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01/29/2010 FRI 14:55 FAX 402 471 4429 UCC SECRETARY OF STATE a-+-~ Ha11 <br />~~ <br />2oloooss1 <br />~002/OD4 <br />BI6 ALS ELECTRICAL INC. <br />Filed: 01/29/201p 09:56 RM <br />STATE TAX LIEN NEBRASKA DEPARTMENT OF LABOR NDOL Office of Legal Counsel <br />P.O. Box 94bp0 <br />Lincoln, NE 68509-4600 <br />OI21G1NAL Telephone - (402) 471-9912 <br />FAX - (402) 471-9917 <br />r,mptoyer or <br />Liable PersonBig Als Electrical Inc. <br />__....__._.W..___---- _---._.. .~_._.~ <br />Address: 102 Vine Street Alda N E68810 <br />_ NDOL Serial No.: LAB-0007-2010 To be filed with the Re ister of Deeds in the followln Counties: <br />_ NDOL Acct. No.: 0324757000 Hall Howard <br />Federal ID No. /SSA No.; 77-0704117~~y ~~ <br />This State Tax Lien is issued for unpaid combined taxes (Neb. Rev. Stet. §§48-657 and 4864) or payments in lieu of contributions (Neb. Rev. StaG §48-b60.01) pursuant <br />to the Uniform State Tax Lien Registration 8c Enforcement Act (Neb. Rev. StaG §77-3901, et seg.). Notice is given that combined taxes ar payments in lieu of <br />contributions, intet+sst (computed at I.5% per month), and penalties are due tmrn this employer or person and remain unpaid after demand. These combined taxes or <br />payments in lieu of contributions constiNte a lien for any and all personal property and real property in the county/counties named, belonging to the employer or person, <br />whether now owned or hereafter acquired. <br />.Qtr. / Yr. ~ Date Assessed I Combined Tae Or Payment In Lieu <br />Of Contrlbntions Due <br />2/2009 ~ 12/28/2009 ~ - $347.71 <br />TOTAL Combined Tax or Payment in Lieu of Contributions Due (under this lien only): <br />Iuterest <br />Penalty Through I Subtotal <br />1/12/2010 <br />$0.00) $28.28 <br />$ 3_75.99 <br />$ 0.00 <br />~~~ $ o.ao <br />$ o.oo <br />s o.oo <br />ry $ o.oo <br />$ o.oo <br />~~~ o.oo <br />~$ o.oo <br />$ o.oo <br />$ o.oo <br />$ o.oo <br />$ 375.99 <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. LANG <br />Commis 'over of Labor <br />Date: January 29, 2010 gy: <br />OHN H, ALBIN, Agency Legal Counsel <br />T:~DOCUM)rNTS~URM51Liens~Original lien.docx THOMAS A. UKINSKI, Legal Counsel <br />RETURN FILED COPIES TO: Nebr. Dept. of Labor -LEGAL <br />P.O. Box 94600 <br />Lineoln, NE 68509.4600 <br />NEBR. DEPT. OF LABOR <br />CHARGE ACCT. #147b5 <br />tr< <br />