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06/17/2009 w>;D 14:46 FAX 402 471 4429 t1CC SBCRETARX OF STAYS y-~y Hall <br />D~ <br />Please return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />i s ~ 1. wEST 2"° sT sTE a6o <br />GRAND l:Sf.AND NE 68803 <br />w~r w <br />~E'~E <br />wrww- r,~v~r Y', rrrw. rti rr. !~ ear <br />This Notice of State lax 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 tha county for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />7'7'00806 <br />2oo~o4s7s <br />X004/007 <br />NOTICE OF STATE TAX LIEN <br />47-0805187' <br />0 Register of Deeds County <br />06!12/2009 []x original [Continuation ~Correctad Hall <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRE88 <br />M. H. SOLUTIONS, INC. <br />treat Address Street or Other Mailing rasa <br />1811 West 2nd St, Suite 320 <br />Grand Island <br />NE ti8803 <br />ax <br />Category Tax Period pate of Amount of Tax Penalty Interest AddWons Balance of <br />Number Assessment Assessment Dus <br />21 112/31 /2008 102111 /2009 I 4, 950.91 I 247.55 I 89.52 <br />5,287.98 <br />TOTAL ~$ 5,287.98 <br />1 hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determination 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 continue the priority of the state's inte tin the affected property of the taxpayer. <br />eA 308 385-6073 <br />sign rep rer's igtl~ture items~ a e Telep one umber <br />here ~ ~f:. ~~. ~~ ~ ~ ~.rr~~ ~ o <br />u on d ure T'itfe ~ Da <br />494-1974 Rev. 2-2002 Supersedes 4194-1974 Rev. 10.1995 <br />CI. H. SOLUlxvrva~ . <br />Fllad: 0611712009 08:34 AM <br />