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<br />10/03/2008 FRI 14:52 FAX 402 471 4429 UCC SECRE~ARY OF S~A~E ~~~ Hall <br /> <br />GlIo 0 21 0 0 2 <br /> <br />200808490 <br /> <br />IIIIII.JI <br /> <br /> <br />GREum LONNIE P,s, 1 <br />FJled: 10/03/2008 02:42 PM <br /> <br />\JJ <br /> <br />STATE TAX LIEN. NEBRASKADElJARTMENTOFLABOR <br /> <br />NDOL Qffice 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 />~ ORIGINAL <br /> <br />Employer or <br />Liable Penon: <br />Address: <br /> <br />Lonnie Greuter dba G S E Construction; Greuter Steel Erectors <br />580 Evergreen Lane Grand Island NE 68801 <br /> <br />NDOL Serial No.: LAB-O 185.2008 To be filed with the Re2ister of Deeds in tbe foliowin!! Counties: <br />NDOL Acet. No.: 0320038008 Hall I <br />Federal m No./ SSA No.: I <br /> <br />This State Tax lien is issued for unpaid combined taxes (Neb. Rev. Slat. ~f48-657and 48-664) or payments in lieu of contribwions (Neb. Rev. Stat. g48-660.0 I) pursuant to the <br />Unifonn State Tax Lien RcgiSlration & Enforcement Act (Neb. Rev. Stat. 077-3901, et seq.). Notice is given that combined Iaxc$ or payments in lieu ofconlributions, interest <br />(computed at 1.5% per month), and penalties are due from this employer or person and remain unpaid after demand. These combined taxes or paymenti in lieu of contributions <br />constitute a lien for any and all personal property and real property in the county/counties named. belonging to the employer or per$OIl. whether now owned or hereafter acquired. <br /> <br /> Combined Tax Or Payment In Lieu Interest <br />Qtr./ Yr. Date Assessed Penalty Through Subtotal <br /> Of Contributions Due 9/23/2008 <br />1/2007 9/8/2008 $109.27 $25.00 $27.58 $ 161.85' <br /> -. <br />2/2007 9/8/2008 $545:00 $25.00 $112.85 $ 682.85 <br /> - - $440.591-$3,219.87 - <br />3/2007 9/8/2008 $2;724.65 $54.63 <br />412007 9/8/2008 $1,737.27 $40.44 --'-$202,13 r $1,979.84 <br />1/2008 9/8/2008 I $2,970.00 $55.00 $213.77 $3,238.77 <br /> -- <br />2/2008 9/8/2008 $2;970.00 $55.00 $79.07 $3,104.07 <br /> - <br /> $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br /> $ 0.00 <br />TOTAL Combined Tax or Payment In Lieu of Contributions Due (under this lien only): $12,387.25 <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 tbe amount due after demand. <br />FERNANDO LiCUONA, m <br />. ioner Lab <br /> <br />Date: October 3, 2008 <br /> <br />By: <br /> <br /> <br />. ALBIN, Aeency Legai Counsel <br />A. UKlNSKI, Legal Counsel <br />USSELL BARGER, Legal Counsel <br /> <br />T:\DOCUMENTS\FORMS\Liens\Original.doc <br /> <br />RETURN FR.ED COPIES TO: Nebr. Dept. of Labor - LEGAL <br />P.O. BOI 94600 <br />Untoln, NE 68509-4600 <br /> <br />NEBR. DEPT. OF LARk <br />CHARGE ACCT. #14765 <br />