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<br />10/11/2007 THU 15:29 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121002/003 <br /> <br />& <br /> <br />, Please relurn 10: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND 8T 8TE 460 ' <br />GRAND ISLAND NE 68803 <br /> <br />200708738 <br /> <br />. II 1"1 11111IIII If ~ 'I <br /> <br />9907529134-2 PllS: 1 <br />JANOVEC DRVID J ' <br />Filed: 1011112007 09;17 RM <br /> <br />IIr <br /> <br /> <br />NOTICE OF STATE TAX LIEN <br /> <br />ft~mb <br />doparltlltfll <br />Of nlYOllIIt <br /> <br /> PLEASE DO NOT WRITE IN THIS SPACE <br />This Notice of State Tax Lien is issued by the Nebraska Departmant of <br />RevenlJe for unpaid taxes pursuant to the revenue laws ofthe 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 ~nd remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxp..yer <br />or hereafter aCQuired. <br />Nebraska Identification Number Federal Identification Number <br /> 9280162 91-1762829 <br />Lien Serial Number ' , Lien Fil~ With " ' ' Social Security Number ' Spouse's Social Security Number <br /> '0.2;1 oil O'Dlf-ln ' ' ' <br />". IKI Regisier. or Deeds,: '0 CountY Clerk 505-62-9418 <br />Date of. Lien Lien Type County " <br /> 10105/2007 ' [!] Original 0 Continuation D Corrected Hall <br />I" BUSINESS NAME AND LOCATION ADDRESS ' TAXPAYER NAME AND MAILING ADDRESS I <br />Business Name Name <br /> David JJanovec <br />Street Address Street or Other Mailing Address <br /> 7200 South 20th - <br />City Stale Zip Code City State Zip Code <br /> Lincoln NE . 68512 <br />I Tax I <br />Category Tax Period Date of Amount of Tax Penalty Interest Additions Balance of <br />Numbar Assessment, Assessment Due <br />01 12/01/2003- 10/03/2006 3,290.60 2.839.97 1.667.45 7.798.02 <br />07/30/2006 <br /> , <br /> , <br /> "., <br /> 'TOTAL $ 7.798.02 <br /> <br />sign, <br />here <br /> <br />I hereby certify thaI the Nebraska Department of Revenue ,has complied with the revenue laws ofthe State of Nebraska in the <br />determination of the amount shown to be due, and the taxpayer has failed to pay the amount due, ,after demand. If this Not,ice of State <br />Tax Lien iSlln: extension an eff~ctive lien, it serves to continue the priority of the state's interest in the affected property of the taxpayer. <br /> <br />Revenue Senior Agen't I OIIA~ .JOt) 7 308 385.-6073 <br /> <br />Tille Date Telephone Number <br /> <br />Revenue Supervisor /'() /9 fO"'? <br /> <br />Tille 'Dat6" ' <br /> <br /> <br />4.<194.1974 Rev. 2-2002 Supersedes 4-494-1974 Rev. 10-1995 <br /> <br />~' <br />