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09/09/2009 WED 15:12 FAX 402 471 4429 UCC SECRETARY OF STATE yy-~ Hall iajOD2/003 HE SYC pr fil~l~ Jahn A Gd• -UCC STl O 2 0 o s o~ 3 s 4 99091306631-4 PaS: , ARNDT MARK T Filed: 09/09/2009 19:59 AM Nebraska department of REVENUE NOTICE OF STATE TAX LIEN www.revenue.ne.gnv PLEASE DO NOT WR TE IS SPACE This Notice of State Tax Llen is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the revenue laws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which are shown below, are due from the taxpayer speeitied below and remain unpaid after demand. These taxes constitute a Ifen In the county far real and personal property belanging to the taxpayer or hereafter ac uired. Nebras a Identification umber Federal Identification Number 98673831 lien Saris um r ien Filed With Soaal Security Number Spouses 5ocia 5ecunty umber 091210260 ®Register of Deeds ~Caunty Clerk XXX-XX-5190 Date of lien Lien Type County 09/03/2009 ®Originel ~Continuatlon Corrected HALL BU51NES5 NAME AND LOCAT ION ADDRESS TAXPAYER NAME AND MAILING ADDRESS MARK T ARNpT PO BOX 18 ALDA NE 68810 Tax Category Tax Period Date of Amount of Tax Penalty Interest Additlons Balance of Number Assessment Assessment Due 22 2005 02/12/2009 523.00 26.15 123.77 672.92 TOTAL $ 672.92 I hereby certif y that the Nebras ka Deeartment a avenue hAf: rmm~lintl W ilk }hP rwvpni~a aw e of tha R-afo of Nnhrac4a in iha ri niwm, nafinn off e amount shown to be due, and the taxpayer has tailed to pay the amount due alter demand. If this Notice at State lax Lien is an extension of an effective lien, it serves to continue the priority f the state's interest in the affected property of the taxpayer, ~~ ~ Revenue Senior Agent 09/03/2009 (402)595-2091 5111 rep sSi lure Date Tee one urrf er here ~ ~~'~ Revenue Supervisor 09/03/2009 Autho ed Sign lure Tide ~' ~ ~' Dale e-49H1974 Rw. t-20DZ Supsrnedea 4a9M19711iev.1a1995 Q"