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<br />04/09/2009 THU 14:46 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />~002/002 <br /> <br />(} <br /> <br /> <br />200902640 <br /> <br />9909592871-5 Pgs: 1 <br />HARRIS BARBARA C. <br />Filed: 04/09/2009 11:41 ~ <br /> <br />STATE TAX LIEN. NEBRASKA DEPARTMENT 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 />~ ORIGINAL <br /> <br />Employer or <br />Liable Person: Barbara C. Harris fJdlb/a The Next Page <br />Address: 204 E. 17rh St. Grand Island NE 68801 <br /> <br />NDOL Serial No.: LAB-0068~2009 To be filed with the Reaister of Deeds in the following Counties: <br />NDOL Acct. No.: 0317194004 Hall I I <br />Federal ill No.1 SSA No.: 03...()583113 I I <br /> <br />This State Tax Lien is issued for unpaid combined laxes (Neb. Rev. Stat. ~t48.6S7 and 48-664) or payments in lieu of contributions (Neb. Rev. Stat. 048.660.0 I) pursuant 10 the <br />Unifonn State Tax Lien Registration &: Enforcement Act (Neb. Rev. Stat. ~77-3901. et seq .). Notice is given tbat combined taxes or payments in lieu of conuibutions, 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 payments in lieu of conmbutions <br />constitute a lien for any and all !)monal property and real property in the county/counties named, belonging to the employer or pmon. whether now owned or hereafter acquired. <br /> <br /> Combined Tax Or Payment In Lieu Interest <br />Qtr.1 Yr. Date Assessed Penalty Through Subtotal <br /> Of Contributions Due 3/31/2009 <br />1/2008 3/16/2009 J $41.55 $9.74 ~_ $ 58.15 <br />-----y--- -- <br /> ---~ $ 0.00 <br /> ----t= . - ............._----...........-- <br /> $ 0.00 <br /> ft__..._._~--- - -- ------ <br />-. - - - .. I----~ ~:~i- <br /> --..........--- .__n_,~ - --;---'-'-'--- <br /> $ 0.00 <br /> ----- .-- '------- <br /> S 0.00 <br />--.. - -- --- - <br /> $ 0.00 <br />--------.---....--.- -~--~~- -- --~- ---------- ...__..~-------_....... <br /> ~. $ 0.00 <br /> - <br /> $ 0.00 <br />- - ._-- --..-- <br /> $ 0.00 <br />.----1 1--. <br /> $ 0.00 <br /> <br />TOTAL Combined Tax or Payment in Lieu of Contributions Due (under this lien only): <br /> <br />$ 58.15 <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 due after demand. <br />CATHERINE D. <br />Commissioner <br /> <br /> <br />gency Legal Counsel <br />A. UKlNSKI. Legal Counsel <br /> <br />Date: April 9, 2009 <br /> <br />T:\DOCUMENTS\FORMS\Liens\Original.doc: <br /> <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor. LEGAL <br />P.O. 80x 94600 <br />Linealn, NE 685O!J.46QO <br /> <br />NEBR. DEPT. OF LABOR <br />CHARGE ACCT. #14765 <br />Y <br />