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200908632
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Last modified
10/29/2009 3:00:54 PM
Creation date
10/29/2009 2:54:12 PM
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DEEDS
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200908632
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lp/2$/2009 Ga'ED 13:29 FAX 4pz 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br />Please return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVIrNUY; <br />1811 WEST 2"° ST STE 460 <br />GRAND ISLAND NE b8803 <br />20090863w <br />f~ooz/ooz <br />NE Soc of Sb~• John A 6ela - ULL STL <br />9909610fii;8-7 Pgs: 1 <br />J (i & J, INC. <br />Filed: 10/28/2009 10:20 AM <br />Apra*k~ oawy~wmverrn! +okr <br />E;'~''EE NOTICE OF STATE TAX LIEN <br />This Notice of State Tax 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 the county for real and personal property belonging to the taxpayer <br />or hereafter acauired. . <br />6588395 <br />47-0756101 <br />QRegisteraf DeedsCounty <br />10/23/2009 QOriginai Continuation []Corrected Hall <br />BUSINESS NAME AND L~CA7'IUN ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br />J G & J, INC.d/bla Hullwinkles f3ar S~ Grill <br />Street Address Street or Other Mailing Address <br />2118 N Webb Road <br />Grand Island <br />N~ 68803 <br />Tax <br />Category Tax Period Date of Amount of lax Penalty Interest Additions Balance of <br />Number Assessment Assessment Due <br />D1 10/01/2007- .10/05/2009 272.35 ~ 2,289.76 524.64 3,086.75 <br />07/31/2009 <br />21 01/01/2009- 08!31/2009 549.85 89.71 14.67 654.23 <br />06/30/2009 <br />TOTAL ~ $ 3,740.98 <br />I Hereby certiry tnat the NeCrasKa uepanment or ttevenue Has compi~ea witn the revenue laws or me sura~ or neorasKa m uie uererminauon a. rna <br />amount shown to be due, and the taxpayer has failed to pay the amount due after demand. If this Notice of Stake Tax Lien is an extension of an <br />effective lien, it serv to continue the pri riry of the state's int tin the affected roperty of the taxpayer. <br />e -~ ~Q 308 385-6073 <br />sign Prepa rs ignatu a Date Telephone Number <br />here ® , ~ <br />Autha ~ i a ure T' le <br />494-1974 Rav. 2,20D2 Supersedes 4~94197A Rev. 1Q1895 <br />V <br />
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