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<br />01/03/2008 THU 14:54 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall ~003/003 <br /> <br />(j6 ~ ~ ~ ..... _ " .... -"" .n <br /> <br /> <br />9908540891-3 PllS: 1 <br />RICHARDSON RONAlD C <br />Filed: 01/03/200801:10 PM <br /> <br />Please retum to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br /> <br />200800070 <br /> <br /> <br />~ <br />IN\el;,ra"k. 1)......""""""1'\1; ~ <br />REVENUE <br /> <br />WIOlloi.w.........nu........o_ <br /> <br />NOTICE OF STATE TAX LIEN <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 />N~braska Identification Number Pederalldentificatlon Number <br /> 0) .{.C):S(l 2~ <br />Lien Serial Number Lien Filed With So"Cial.Security Number Spouse's Social Security Number <br /> , <br />.' DO { DR/ODDl 00 Register'of Deeds Dcounty Cieri( XXX-XX-3945 <br />Date of liEm Lien Type County <br /> 12/31/2007 . l!IOriginal DContinuation o Corrected Hall <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> Ronald C Richardson <br />street Address Street or other Mailing Address : <br /> 413 Oxnard Ave <br />City :state Zip Code City State Zip Code <br /> Grand Island NE 68801 <br />Tax u , <br />Category Tax Period Date of Amount of Tax Penalty Interest Additions Balance of <br />Number Assessment Assessment Due. <br />01 01/01/2005 09/05/2006 453.17 63.88 57.80 574.85 <br /> 06/30/2006 . <br />01 07/01/2006 11/25/2007 1,365.00 273.00 73.66 1,711.66 <br /> 09/30/2007 <br /> .- __,_ <br /> TOTAL $ 2.286.51 <br /> <br />I hereby certify that the Nebraska Department of Revenue has complied With the revenue laws of the State of Nebraska In the deterrmnalion of the <br />amount shown to be due. and the taxpayer has failed to pay the amount due after demand. If this Notice of State Tax Lien is an extension of an <br />. effective lien, it serves to con' u e priority of the state's interest in the affected property of the taxpayer. <br /> <br />Revenue Senior Agent Y cl /0/ <br />Tille Date , <br /> <br />Revenue Supervisor <br />TItle <br /> <br />sign <br />here <br /> <br /> <br />308 385-6073 <br /> <br />Telephone Number <br /> <br />~~ny <br />l1ale <br /> <br />4"",94-1974 Rev. 2-2002 Supersedes 4-494.1974 Rev. 10.1995 <br /> <br />:fJ <br />