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200604153
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Last modified
5/12/2006 8:31:29 AM
Creation date
5/11/2006 4:36:11 PM
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200604153
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<br />05/10/2006 13:31 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />I4l 016 <br /> <br />rfb <br /> <br />'''''c <br /> <br />1'111'IIr1 nil r <br /> <br />9906452628-5 PlIS' 1 <br />INFERNOGERR, INC . <br />Filed: 05/10/2006 10:16 RM <br /> <br />200604153 <br /> <br />IIr <br /> <br /> <br />NOTICE OF STATE TAX LIEN <br /> <br />A~14lo <br />iIOl"fllli"*'l <br />or~ <br /> <br /> PLEASE DO NOT WRITE IN THIS SPACE <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 Identificalion Number Federalldenlification Number <br /> 9538720, 20-2602411 <br />Lien Serial Number Lien Fil.ed With Social SecurilyNumber ' SpO\.lfOa's Social Security Number <br />tJ,5 /0 i,- /'0 ri .r " <br /> 1KI Register. of Deeds o County Cler~ <br />Date 6f Lien / Uen Type County <br /> 05/09/2006 ~ Original 0 Continuation o Co'rrected ' Hal1' ' . " '" <br />I BUSINESS NAME AND LOCATION ADDRESS' TAxPAYER NAME AND MAILING ADDRESS ] <br />Business Name Name <br /> INFERNOGE~R, INC. <br />Street Address Street or Other Mailing Address <br /> 1004 Diers Avenue, Suite 310 <br />City Stale Zip Code City State Zip Code <br /> Grand Island NE 68803 <br />I Tax <br />Category Tax Period Date of Amount of Tax Penalty Interest Additions Balance of I <br />Num'bar Assessment Assessment Due <br />01 06/01/2005- 04/06/2006 10,031.49 919.04 335.04 11,285.57 <br />02/28/2006 <br /> -- <br /> Please return to: <br /> STATE OF NEBRASKA <br /> DEPARTMENT OF REVENUE <br /> 181' 1 WEST 2ND ST STE 460 <br /> GRAND ISLAND NE 68803 <br /> --- I r ' <br /> TOTAL $ 11.285,57 <br /> <br />I hereby certify that the Nebraska Department of Revenue has cOmplied with the revenue laws pf the State of Nebraska in Ihe <br />delermination 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 extension of an effective lien, It serves to continue the priority of the state's inlerest in the affected property of the taxpayer. <br /> <br />4.1 ~?,J;.Jt) R~venue Senior Aqent 5ftJ,/c2 j)CJ h 308 385-6073 <br />sign ... Pre arer's Signature" Tille Date Telaphone Number <br /> <br />here r ../ Revenue Supervisor \a~/o.t.. <br />Title <br />4--<494--1974 Re., 2-2002 Supersedes 4-494-1974 Rev, 10.1995 <br /> <br /> <br />/' <br />'L, J <br />?': <br />[fa <br />l <br />
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