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<br />01/19/2007 17:15 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />IaJ 0021003 <br /> <br />~ <br />V <br /> <br />200700.500 <br /> <br /> <br />990'7491163-8 PSilS: 1 <br />PRElSENDORF PLUMBING . HTG IN <br />Filed: 01/19/2007 03:43 PM' <br /> <br />STATE TAX LIEN.. NEBRASKA DEPARTMENT OF LABOR <br />1 ORIGINAL <br /> <br />NDOL OIDce of Legal Counsel <br />P.O. Box 94600 <br />Lincoln, NE 685094600 <br />Telephone - (402) 471-9912 <br />FAX- (401) 471-9917 <br /> <br />Employer Name: PreisendorfPlumbing & Rtg. Inc. <br />--- ......._____......----..-~I....--~- <br />Address: 1104 W. Oklahoma Grand Island NE 68802 <br /> <br />NDOL Serial No.: LAB-0018-2007 To be flIed with the Register of Deeds in the following Counties: <br /> <br />NDOL Employer Acct No.:- 0207544000 .~--._-.- lian---- I 1 . <br /> <br />FederallDNo./SSANo.: 47-0688630 .-----,---'-.--.--r-- -r <br /> <br />This State Tax Lien is issued for unpaid combined taxes (Neb. Rev. Stat.. 948-657) or payments in lieu of contributions (Neb. Rev. Stat. 948-660.01) pursuant <br />tofue Uniform State Tax Lien Registration & EnforccmentAct(Neb. Rev_ Stat. 977-3901, etseq.). Notice is given lhatcombined 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 l Combined Tax Or Payment In Lieu \ Interest <br />Qtr./ Yr. Date Assessed Penalty Through Subtotal <br /> I Of Contributions Due I 11/612006 <br />3/2005 I 11/21/2006 ! $296.68 $0.00 $58.65 $ 355.33 <br />- ;~:~ B~:~~~: ~ $4~~~ $0.00 $61.36 $ 464.15 <br />=- 212006=Pl2lti~ ~19:44' $0.00 $487.39 $4,981.12 <br />$25.00 20.16 $ 364.60 <br /> $ 0.00 <br /> -1= \- -- $ 0.00 <br />, ~~----_..__.- <br /> ---r=-- + --=-' $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> -=1=- <br />-----.. -------.-\ ...--- ,-I $ 0.00 <br />~ <br />.,;,.,.,----- $ 0.00 <br />------- --. I ------. 1 <br /> $ 0.00 <br />TOTAL Combined Tax or Payment in Lieu of Contributions Due (u ",der this lien only): i $6,165.20 <br />I certify that the Nebraska Department of Labor has complie with the Employment Security Law of the State of Nebraska in the <br />determination of the amount due. and the employer has failed to pay the amount due after demand. <br /> F~RNANDO LECUONA, ill <br /> ~ofLabor <br />Date: January 19, 2007 By: ~_, ~~ f <br /> , JOHN H. ALBIN. Agency Legal Counsell <br /> THOMAS A. UKJNSKI..Legal Counsel <br /> W. RUSSELL BARGER, Legal Counsel <br /> FlLED COPIES TO: Nebr; De t. of Labor - LEG \.L NEBR. DEPT. OF LABOR <br /> <br />RETURN <br /> <br />P <br />P.O. Bu94600 <br /> <br />CHARGE ACCT. #147~\) <br />