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<br />--_.~...........--------------._- <br /> <br />NEBRASKA Dee <br /> <br />141 002/007 <br /> <br />03/10/2006 16:37 FAX 14024714429 <br /> <br />200602146 <br /> <br /> <br />9906441944..2 PSIS' 1 <br />ALBERTS' ENTERPRISES INC . <br />Filed: 03/07/2006 11:21'~M <br /> <br />~ <br /> <br />ST ATE TAX LIEN . NEBRASKA DEPARTMENT OF LABOR <br /> <br />NDOL Office of Legal Counsel <br />P.O. Box 94600 <br />Lincoln, NE 68509-4600 <br />Telephone - (402) 471-9912 <br />FAX - (402) 471w9917 <br /> <br />1 ORIGINAL <br /> <br />Employer Name: Alberts Enterprises Inc. d/b/a Oreammaker Bath & Kitchen By Worldwide <br />u~_~.._,,~_~_...............-,~................~~._.........~~-_.~.__...~~..n_""~."_.-'~~~_.n___~~__,_"~,_,____,..~_,~,_~~,,.__'_-n-"M~-~""--~-'''''''-__~.~~__"u.....,~_~_~__~~_n.__._~.~._".......... <br />.~............~~~.._~~_._...........-_.......- <br />Address: 2408 Locust Grand Island NE 68801 <br />NDOL Serial No.: \ LAB-0064-2006 To be filed with the Register of Deeds in the following Counties: <br /> <br />____._..__...._._"._______._."___~. _______....."..________._....__.___ -....--...----"...--..-----..-.-r-----..-----.--.-.----.....-...\.----.....----............--.---.-.-.-----...- <br />NDOL Employer Acct. No.: 0300894001 Hall 1 <br /> <br />-~;-a.-IDN~:TsSA-No.; 73:'i673544--....,,-----~_. .-.-...-----....-.-..---.-'...t"---...---.--....---.....----'l"---.""~-'_._'--'-~-""--'.'- <br />I <br />This State Tax Lien is issued for unpaid combined taxes (!Ieb. Rev. Stat. !i48-657) o~ payments in lieu of contributions (Neb. Rev. Stat. ~48-660.01) pursuant <br />'_ to the Uniform Sta1e Tax Lien Registration & Enforcement Act (Neb. Rev.'Stat. ~77-3901, et seq.). Notice is given that combined taxes 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 named, belonging to the employer, <br />whether now owned or hereafter acquired. <br /> <br />I I I Interest <br />I \ Combined Tax Or Payment In Lieu <br />Qtr. / Yr. I Date Assessed , Of Contributions Due Penalty,' Through Subtotal <br />; 3/612006 <br /> <br />~~~---ffi~~~~~.~~ <br />=~=~~~~~~~_._,_~t.~=~2~pi.i~~05--==~lr!..~.:='=~=~==-====~::==-~-=-~25~~8?t=~=~~~=~~!~~~C[1~~~==_~$.i5~8Ttt1'--~--'-~~i270.7_o ~ <br />I I . i . .~.- - i ~ -...--. -'''$ 0:00 <br />~~--===+::=-~ <br />----r---r-----------i---r~ <br /> <br /> <br /> <br /> <br /> <br />, _ , I ! $ 0.00 <br />TOT AL Combined Tax or Payment in Lieu of Contributions Due (under this lien only): I $ 862.21 <br /> <br />I certify that the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska i.Ji the <br />determination of the amount due, and tbe employer has failed to pay the amount due after demand. <br />FERNANDO LECUONA, ill <br />Commissione of La <br /> <br />Date: March 7,2006 <br /> <br />By: <br /> <br /> <br />RETURN FILED copms TO: Nebr. Dept. of Labor - LEGAL <br /> <br />P.O. Box 94600 <br />l;nroln_~. 6R~Oq-~600 <br /> <br />NEBR. DEPT. OF LABOR <br />CHARGE ACCT. #m <br />