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05/01/2003 09:29 FAX 14024714429 NEBRASKA UCC [a 005 /005 <br />&I, <br />or <br />domis <br />afrowao <br />NE taC W Sle4s - Utt� <br />�Y4 <br />993272941 -5 °" t <br />F11PidR m41 m/20�03iO3:00 PMY <br />200 305 438 <br />NOTICE OF STATE TAX LIEN <br />This Notice of State Tax Lien Is Issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice Is hereby given that taxes Including penalties and <br />interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />Nebraska Identification Number Lien Filed With Federal ldentlficaticn Number ISoclai Security Number <br />8390754 0 Register of Deeds [] County Clerk <br />Lien Serial Number 2 Lien Type Date of Lien County <br />r LZOriginal ElContinuation Corrected 1 04/25/2003 Hall <br />I BUSINESS NAME AND LOCATION ADDRESS I TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br />Copper Eagle Brewing Company, L.L.C. <br />Street Address Street or Other Mailing Address <br />120 E Third Street <br />City State Zip Code City State Zip Code <br />Grand Island NE 68801 <br />Tax <br />Category <br />Tax Period <br />Date of <br />I <br />Amount of Tax <br />I <br />penalty <br />I <br />Interest <br />I <br />Addition* <br />I <br />Balance of <br />Number <br />Assessment <br />Assessment Due <br />01 t)�J1g11ZUU2- 04/0212003 2,973.31 I 320.12 85.48 3,378.91 <br />02/28/2003 <br />21 0710112002- 03/27/2003 699.01 118.37 18.06 835.44 <br />12/31/2002 <br />1 I ' TOTAL I$ 4,214.35 <br />1 hereby certify that the Nebraska Department of Revenue has compiled with the revenue laws of the State of Nebraska in the <br />determination of the amount shown to be due, and the taxpayer has failed to pay the amount due after demand. If this Notice of State <br />Tax Lien is an exte sion of an effective lien, It serves to continue the pricrity of the state's interest in the affected property of the taxpayer. <br />Revenue Agent t 305 385 -6073 <br />sign -Pr*arer's(Silirfature Title W Date Telephone Number <br />here Revenue Senior Agent ✓ �' <br />thori a ig a u s Title e <br />4-494 -1974 Rev. 2.2002 Superseders 4 -494 -1974 Rev. Y0 -1995 <br />4 <br />