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03/12/2010 FRI 15:06 FAX 402 471 4429 UCC SECRETARY OF STATE ~y~ Hall i~j002/002 <br />~~ Nt Sde of f!e!. 7ahn A 4a1• - q[C sT4 <br /> 2oa.ooiss~ <br /> 991062204-2 Pas: 1 <br /> LEHNERD CHARLES A <br /> Filed: 03/12/2010 08:38 AM <br />,- <br />fil~hraskr 3yar~~a-fmsr+t ad <br />RE'11r'EL~E ~ 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 far real and personal property belonging to the taxpayer <br />or hereafter acauired. <br />9331107 <br />Iv37~b <br />Register of Deeds County <br />02/16/2010 I QOrlginal Continuation <br />BUSINESS NAME AND LDCATIpN ADDRESS ~~ <br />xxx-xx-5188 <br />~Correctad MALL <br />TAXPAYER NAME AND MAIt.ING ADDRESS <br />CHARLES A LEHNERD <br />or Other Mailing Address <br />277 FOLK COUNTY ROAD 184 <br /> BIG FOR K AR 71953 <br />ax <br />Category Tax Period Date of Amount of Tax Penalty Interest Additions Balance of <br />Number Assessment Assessment Dua <br />01 1/1/2007- 07/06/2008 955.00 <br />12/31/2007 191.00 125.28 1,271.28 <br />01 1/1/2008- 08/20/2009 1,195.00 <br />12/31 /2008 239.OD 63.35 1,497,35 <br />7QTAL ~$ 2,768.63 <br />• ••..•oM~ ••~-~••~~ .~~p•.~•o Iwu~aanr ucpa~unarn ar revenue nos compueq with the revenue laws of the State of Nebraska In the determination of the <br />ameunt shown to be due, and the taxpayer has failed to pay the amount due after demand. If this Notice of State Tax L.Isn is an extension of an <br />effective lien, it serves to continue the priority of the state's interest In the affected property of the taxpayer. <br />N~ Revenue Senior A ent ,2 ~ Zl71D 402 471-5709 <br />sign P e r s re its ate Telep ne umber <br />here ~ Revenue Senior A ent <br />thori " ig to Title Date <br />A~94-1974 Rav. 2-2OD2 Superasdos 484-797a Rev. 7o-1995 <br />