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<br />01/31/2007 17:47 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />flJ 003 <br /> <br />~ <br />\) <br /> <br />200700808 <br /> <br />\III'II'II~I <br /> <br />9907493292-3 Pgs. 1 <br />FOUR UP TRUCKING <br />FIled: 01/31f2007 11:09 AM <br /> <br />STATE TAX LIEN 0 NEBRASKA DEPARTMENT OF LABOR <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 />E ORIGINAL <br /> <br />Employer Name: Four Up Trucking <br />Add'ress:' 285 D Road, Grand Island, NE. 68801 <br /> <br />NDOL Serial No.: LAB-003S-2007 To be filed with the Register of Deeds in the following Counties: <br />NDOL Employer Acct. No.: 0299204001 Hall f <br /> .......--- <br />Federal ID No.1 SSA No.: 75~31l94S1 <br /> <br />This State Tax LiCll is issued for unpaid combipcd taxes (Neb. Rev. Stat. ~48-657) or payments in lieu of contnbutions (Neb. Rev_ Sta.t. ~48...ti60.01) pursuant <br />to the Unifonn State Tax Lien Registration & Enforcement Act (Neb. Rev. Stat. ~77.3901; et seq.). Notice is given that combined taxes orpayme:nts in lien 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 /> ! Combined Tax Or Payment In Lieu I Interest ! <br /> I <br />Qtr./Yr. Date Assessed Of Contributions Due Penalty Through I Subtotal <br /> 12/20/2006 <br />1/2006 12/512006 $74.99 $0.00 $8.65 $ 83~64 <br />2/2006 12/5/2006 I . $260.71 $25.00 $1S.25 $ 303.96 <br /> I - <br />3/2006 12/5/2006 $483.11 $25.00 $11.91 $ 520.02 <br /> - I <br /> 1- $ 0.00 <br /> -- <br /> $ 0.00. <br /> t== $ 0.00 <br /> $ 0.00 <br /> I $ 0.00 <br /> -T $ 0.00 <br /> I <br /> $ 0.00 <br /> - <br /> $ 0.00 <br /> I - <br /> I $ 0.00 <br />TOTAL Combined Tax or Payment In Lieu of Contributions Due (u~der this lien only): $ 907.62 <br /> <br />I certify that the Nebraska Department of Labor ha.s complied with the Employment Security Law of the State of Nebraska in the <br />determination of the amount due, and the employer has faUed to pay the amount due after demand. <br />, FE~ANDO LECUONA, m <br />Co <br /> <br /> <br />ALBIN, Agency Legal Counsel <br />TH S A. UKlNSKI, Legal Counsel <br />W. RUSSELL BARGER, Legal Counsel <br /> <br />.\f <br /> <br />Date: January 31,2007 <br /> <br />By: <br /> <br />RETURN FILED COPIES TO: "Nebr. Dept. of Labor - LEGAL <br />P.o. Bolt 94600 <br /> <br />NEBR. DEPT. OF LABOR <br />CHARGE ACCT. #14765 <br /> <br />.... 11 "1ILftIio 'lIIJ!"nn ~LAA- <br />