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<br />02/24/2006 15:33 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />III 006/006 <br /> <br />200601667 <br /> <br />11"'1\1" <br /> <br />9906439963-8 Pgs . <br />!'\FITSON JFll1ES A. M <br />F1~ed: 02/22/2006 03:47 P <br /> <br />oi <br /> <br />ST ATE TAX LIEN . NEBRASKA DEPARTMENT OF LABOR <br />~ ORIGINAL <br /> <br />NDOL Office of Legal Counsel <br />P.O. Box 94600 <br />Lincoln, NE 685094600 <br />Telephone. (402) 471~9912 <br />FAX - (402) 471-9917 <br /> <br />Employer Name: James A. Matson & Deb Matson dba Jade Transmissions <br />-----_.._-_.-_._--_._._-"--------_._--_._"------_._--~----.-..--......"------.-----------"..--.---.----.---..-.----- <br />Address: 3090 W. 2nd Street Grand Island NE 68803 <br />NDOL Serial No.: I LAR-0042-2006, To be filed with the Register of Deeds in the following Counties: <br /> <br />~:::i~:~;:~ _Hall--==+==-~ <br /> <br />,I ,I' , <br />This State Tax Lien is issued for unpaid combined taxes (Neb. Rev. Stat. ~48-657) or payments in lieu of contributions (Neb. Rev. Stat. 948-660.01) pursuant <br />to the Uniform State Tax Lien Registration & Enforcement Act (Neb. Rev. Stat. ~ 77 -3 901, et seq.). Notice is given that combined !:aXes or payments in lieu of <br />contributions, interest (computed at 1.5% per month), and penalties are due from this employer and remain unpaid after demand. These combined taXes or <br />payments in lieu of contributions constitute a lien for any and all personal property and real property in the county/counties nllllled, belonging to the employer, <br />whether noW owned or hereafter acquired. ' ' <br /> <br />I Interest <br />Qt / Y i'\ Date Assessed! I Combined Tax Or Payment In Lieu - P 1 Th Subtotal <br />r. r.' OfContributi~ns Due _ ena ty I rough <br />i " ' 2/11/2006 . <br /> <br />~~712~___-~~~~~5.22- <br /> <br />Jt~~~~1f~~ <br />~.~~ooo <br />-~FH~~~-~ <br /> <br /> <br />I . I _ \. I j' $ 0.00 . <br />TOTAL Combined Tn or Payment in Lieu of Contributions Due (under this lien only): I $1,421.18 <br /> <br />I certify that the Nebraska Department of Labor has complied with the Employment Security Law ofthe State of Nebraska in the <br />determination ofthe amount due, and the employer has failed to pay the amount due after demand. <br />. . FERNANDO LECUON ~ <br />,commissio ,r of 0 "- <br /> <br />Date: February 22,2006 By: & -- , . <br />J~!....,r' ALBIN, cy Legal Counsel <br />T~Y.lAS A. UKlNSKI, Legal Counsel <br />W. RUSSELL BARGER, Legal Counsel <br /> <br /> <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor - LEGAL <br />P _0. BOl: 94600 <br />1.iQ;.nhl' NF, .tjH;';0'l-4lilln <br /> <br />NEBR. DEPT. OF LABOR <br />CHARGE ACCT. #14761 <br /> <br />!vt <br />