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<br />03/06/2008 THU 15:04 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1dI002/002 <br /> <br />0\ <br /> <br />NE Se~ ,,~ ....t. J"hn A Ga I. . uee STL <br /> <br /> <br />200801884 <br /> <br />9908550739-3 PSIS: 1 <br />YOUNG WILLIAM JR. <br />Filed: 03/06/2009 10:54 AM <br /> <br />STATE TAX LIEN . NEBRASKA DEP~TMENT OF LABOR <br /> <br />NDOL Office of Legal Counsel <br />P.O. Box 94600 <br />Lincoln, NE 68509-4600 <br />Telephone - (402) 471-9912 <br />FAX - (402) 471-9917 <br /> <br />1 ORIGINAL <br /> <br />Employ~r or <br />Liable Person: <br />Address: <br /> <br />William Young Jr. f1d/b/a Youngs Trucking <br />315 E. Phoenix 51. Grand Island NE 68801-7936 <br /> <br />N'DOL Serial No.: LAB-0037-2008 To be fdedwith the Register of Deeds in the following Counties: <br />NDOL Acct. No.: 0312812004 Hall I -------=: <br /> I - <br />Federal m No.1 SSA No.: 47-0948681 <br /> <br />ThiS State Tax lien is issucdfor unpaid combined taxes (Neb. Rev. Slot. 0148-657 and 48-(64) or payments in lieu of contributiollli (Neb. Rsv. Stat. 048-660.01) plUllUlUlt to the' <br />Unifonn State Tax Lien RegislIatiori & Enforcement Act (Neb. Rsv. Stat. 077-3901. et seq.). Notice is given diat combined taxes or payments in lieu of contributions, interest <br />(computed at 1.5% per month). and penalties are due from this emplOyer or pason and remain unpaid after demand. These combined taxes or payments in lieu of contributions <br />COII8titute a lien for any and all personal property and real property in the county/counties named, belonging to the employer o~ person, whether now owned or' hereafter acquired. <br /> <br /> Date Assessed, I Combined Tax Or Payment In Ueu Interest I <br />Qtr.1 Yr. Of Contributions Due Penalty Through Subtotal <br /> , I . 2/27/2008 I <br />2/2006 r 2/12/2008 $192.74 $25.00 $54.73+ $ 272.47 <br /> -- $25.00 I <br />3/2006 2/12/2008 $77.00 $-~~~?-t $ 120.37 <br /> $ 0.00 <br /> I -~ i ~o.o~ <br /> I --- --- <br />- i 1---- ~~$ o_o~ <br /> +--_._-~- $ 0.00 <br /> - - ~-- <br /> $ 0.00 <br />--- - ---- -.---- <br /> $ 0.00 <br /> --~ -- <br /> $ 0_00 <br /> --- . <br /> $ 0.00 <br /> ! ,-----t,- $.0.00 <br /> . $ 0.00 <br />TOTAL Combined Tax or Payment In Lieu of Contributions Due (under this lien only): $ 392.84 <br /> <br />I certifY'that the Nebraska Department of Labor has complied with the Employment Security Law of the State of Nebraska in the <br />determination of the amount due, and the employer or person has failed to pay the amount d after demand. <br />FERNANDO LE ONA, II <br />Co Labor <br /> <br />Date: March 6, 2008 <br /> <br />By: <br /> <br /> <br />T:\DOCUMENTS\FORMS\Liens\Original.doc <br /> <br />RET~ FILED COPIES TO: Nebr. Dept. of Labor - LEGAL <br />P.o. Box 94600 <br />UneoJn, NE 68509-4600 <br /> <br />NEBR. DEPT. OF LABOR <br />CHARGE ACCT. #14765 <br />~ <br />