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07/22/20D9 WEt] 15:06 FAX 402 471 4429 UCC S>aCRBTARY OF STATS ~y~ Hall 0~ y` 2oo9oso22 ~D02/005 NE Sac ai S!~!e Jphn A Gele - uCC STL NE MRN02ESL4 E~ pp6 ~ t Filed: 07/22/2009 08:02 AM , rrr4-uwreki m4~nrrrrtwm ~ ,~~E1!~I~E NOTICE OF STATE TAX LIEN This Notice of State Tax Lien Is Issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the revenue laws of the state of Nebraska, Notice its 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 or hereafter acquired. 9577343 ~..3 Register of Deeds County Clerk XXX-XX-3489 XXX-XX-4801 Date of Lien Lien ype 'County 08/28/200$ ~QriginalContinuation QCorrected HALL BUSINESS NAME AND LOCATIUN ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name LESLIE & KIMBERLEY Ni:,EMAN Street Address Street or Cher Mailing Address 505 N PINE city a @ Zip o e city state Zip code GRAND ISLAND NF FRRft1 Tax Category Tax Period Date of Amount of Tax Penalty Interest Additlnns Balance of Number Assessment Assessment Due 01 v uu u,cvvv- 08/01/2006 125.44 25.00 23.67 ~. 174.11 12/31/2005 01 01/01/2006- p7/D1/2007 30D.00 6D.00 3$.20 398.2D 12/31/2006 01 01/01/20D7- 07/07/2008 375.00 75.00 17.75 467.75 12/31/2007 TOTAL ~$ 1,040.06 ~ nereoy r:e~ury mar ure rvevrasrca ueparrmenr or wcevanue nas compneq witn the revenue laws of the State of Nebraska in the determination of the 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 effective lien, it serves to continue the priority of the state's interest in the affected property of the taxpayer. 402 sign Prap rs Signata Tit ale Teeph ne N ber here ~ ~ , Au vri i t T le pate 4.494.1974 Rev.2-2002 Supar4adeo 4-A94.1974 Rav.1D•1995 •~ .. \~