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03/05/2008 WED 15:13 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall 1dJ003/006 0\ 200801886 Ir NOTICE OF STATE TAX LIEN MIltUkl ."~1Mm Of rMII4lf PLEASE DO NOT WRITE IN THIS SPACE ~~':~=:r~::~~~i:::u:::::~ =:~:ra:: ~:::=::. 111111111111 ~ebraSka. ~otlce is hereby given that taxes including penalties and Interest, which are shown below, are due from the taxpayer specified . below and remain unpaid after demand. These taxes constitute a lien in the county for real and personal property belonging to the taxpayer 9908550441-2 p _ or hereafter acquired. , :~JHALCHANDRA L. liS. 1 - Nebraska Identification Number Federal Identification Number : 03/05/2008 10:01 AM 9490779 56-2495512 Lien Serial Number Lien Filed With Social Security Number Spouse's Social Security Number I :a. 00 ~ O(.?~~ 129 Register of Deeds D County Clerk XXX-XX-7358 Date of Lien Lien Type County 03/01/2008 129 Original D Continuation D Corrected HALL BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS I l3usiness Name Name BHALCHANDRA L. RAO Street Address Street or Other Mailing Address 2214 COTTAGE STREET City State Zip Code City State Zip Code GRAND ISLAND NE 68803 Tax I Category Tax Period Date of Amount of Tax Penalty Interest Additions Balance of Number Assessment Assessment Due 01 06/01/2006 02/08/2008 535.00 53.50 63.99 652.49 06/30/2006 68 06/01/2006 02108/2008 584.99 66.32 69.14 720.45 06/30/2006 . TOTAL $ 1,372.94 sign here I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determination of amount shown to be ue, and the taxpayer has failed to pay the amount due after demand. If this Notice of State Tax Lien is a nsion of an etfe . e Ii ,it rYes to continue the priority of the state's interest in the affected property of the taxpayer. 19-q-tJ ~. 402471-5711 Date Telephone Number 3.3-of Revenue Agent Title Revenue Senior Agent Title Date 4..0194-1974 R.v. 2-2002 Sup<<sedes 4..0194-1974 R.v_ 10-1995 y