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06/03/2010 THU 13:91 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br />I~IQD3/pQ3 <br />1~[ 5.•L nl 51.111 - 11L1 Sll <br />I11111111~II Il~li Ihll lull Illil till III! ~ <br />7EISLtE-IS L1nkY I <br />e i 1~a 'V::1 r 17COC Git '1;1 ti!'I'I <br />~q bc~ q3 ~ 1~ t~~ 3, l ~c~i <br />201~pp~q~~ <br />~ ~ ~ Notice of State Tax Lien <br />~Ir <br />MerMte <br />d~prreneM <br />d revenge <br />• ~ Pf.~-s~ po Nar wrdTi~ IN THIS sPaas ___. <br />This Nutfce nt State Ta: Lien Is Issued by the Nebraska Department of • <br />Revenue ter unpaid taxes ptusuaat W We revenue laws ~ot the state of <br />Nebraska. Notice W hereby girep tbrtt rases Ircluding penalties and <br />Interest, wWth are slwwn below, erx due ~rvm We taxpayer apedtleW <br />below end t+eroaiq unpaid ader demand, 7Lesa taxes eonstltute a Ikn Un <br />the cougty tur !teal and petsanal property belogSing b the taxpayee ar <br />hertatter ac ulrat.• <br />~Ialtr•eka Identifieatvn Ntei+b•r U•n Find yy~ Saaal emuhy/ a Federal I.U. Numtiat Spouse's So~9a1 Ssalnty Ntlrnbel <br />X10 9 9 6 9 D 5 ~{ Heyieter of peede ^ ~tN D~* 5 0 6- 4 2 -14 8 3 <br />Uen Barter Number 41en Type DaCa at Lien anti <br />0 0 3:7 S O 0 71 ~ Orlpklsl ~] fcrlnnuatlon ^ Cwrectad 0 7~ 31- 2 0 0 0 HAL L <br />dUSINE55 NAMH ANp Lt7CAT10N ADDRESS ~ TAXPAYER NAME ANp MAIWNG ADDFIEBS <br />Bu+irinst Name Nstrw <br />LARRY HEI[RI;NS <br />Street /-ddrs~ ttreet or Odlsr MetMp Address <br />2323 3ELLwoon aR 95 <br />~ ~O ~ ~ ~ ~r State zp Cad• <br />rsgm G D ISL,~,Nq NE 68501 <br />Humbery T•x Plat! Aa•iiintfenf Antotrnt of Trtc Psnstty tntsr•e11 Addition. 9.-wnc• of <br />Asesrsme,t-t Dos <br />Z2 1 92 05-07-D 75 1 7 I ~ ~ 2E <br />_22 1993 D5-D -D 8 7 2 ' <br />~` . a.g94 05-(17-f1(1 7C1h nn i no nn 9•, •5 ~., . _ - - _ <br /> <br />sign <br />here <br />~~o~~~ <br />r <br />201003846 <br />ataturn io: <br />STATE pF NEBRA91tA <br />DEPAR7MEN7 OF REVENUE <br />~; 1811 WEST 2ND ST 9TE 460 <br />GRAND 18LAND NE 68Bg3 TOTAL $ r• <br />I be-a6y cay-y drat tl16 Nebreekr Deperpnel.,... , ...., n.. n.. w..qn,.., w,v„r„. ~..,,,..... ,r„~ ,,. _ ~, ,....L• al Mebraeka In the determirtatlan <br />d Uls enrount shorm to be due, end tie terpeyer has htlsd to per th• •rno,rrt due stlw domend. It thle NMks of Stair Tex Uat ie an sxlensltn of <br />en rtfecrve ien, it eervss to ovrrtir~s Ihr prlorttyof Ih• swte's Irtersct in tts ate~ed property of the liApeyef. <br />NEBpASKA DEPAA?A~1 T bF ~IEV~N • IMlite and Golderuod Copies <br />+~~~- 385 = v G <br />Cel• Telephone No. <br />"/Itt ~~_ <br />• Pinh Gopy COUNTY OFFICE • Canary Gopy <br />4.af4M Rev. loge SupNlsdoe t-t94r~ Pre S•9d~$'~ <br />(~ <br />'' ij~:. <br />