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201004801
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Last modified
7/13/2010 4:26:28 PM
Creation date
7/13/2010 4:25:49 PM
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DEEDS
Inst Number
201004801
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07/13/2010 TUE 14:48 FAX 402 471 4429 UCC SECR)3TARY OF STATE yyy Hall Id1002/004 <br />NE 5aG ni Sk~ka John A Gila - l1CC STl <br />Please return Copy to ssi0e3z0~0.,5 Pig: t <br />Nebraska Dept of Revenue Fi tads 0 R1$N20R0 1~0T37 RM <br />PO Box 94818 <br />Lincoln NE 6$509 ~ Q i Q O 4 S O <br />?F;e~rgskY S]rcarin~ar+t~v? <br />I~E~'E~E NOTICE OF STATE TAX LIEN <br />PLEASE DO NOT WRITE IN THIS SPACE <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 acquired. <br />7434367 <br />11041462 QRegisterofDeeds County <br />Lien Type <br />070/01/2010 QOriginal Continuation <br />BUSINESS NAME AND LOCATION ADDRESS <br />47-0792779 <br />tcial Security Number <br />Corrected Hall <br />TAXPAYER NAME AND MAILING ADDRESS <br />RUFF'S BAR INCORPORATED <br />t or Other Mailing Address <br />311 N. WALNUT ST <br />State <br /> GRAND I SLAND NE. 6$$01 <br />Tax <br />Category Tax Period Date of Ampunt of Tax Penalty Interest Additions Balance of <br />Number Assessment Assessment Due <br />01 07/01 /2009 <br />07/31 /2009 09/03/2009 0.00 89.11 0.74 89.85 <br />01 08/01/2009 <br />08/31 /2009 10/05/2009 0.00 111.00 1.22 112.22 <br />01 10/01/2009 <br />10/31/2009 12/07/2009 944.51 122.18 32.38 1,099.07 <br />01 11 /01 /2009 <br />11 /30/2009 01 /06/2010 1,175.89 117.59 30.28 1, 323.76 <br />01 12/01/2009 <br />12/31 /2009 02/05/2010 1,290.62 129.06 27.76 1,447.44 <br /> TOTA L $ 4,072.34 <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determination o the <br />amount shown to tae due, and the taxpayer has failed to pay the amount due after demand. If this Notice of State Tax Lien is an extension of an <br />effeckive lien, It SEN continue the prio ' of the state's interest in the affected property of the taxpayer. <br />e Revenue A ant ~ ~~ a /p 402 471-6067 <br />sign Prep er's Signature Title D to elephone Number <br />here ~ Senior Revenue A ant ~ .. <br />u orize Signa a Title DatT'" <br />4194-1974 Rev- 2-2002 Supersedes q-494-9974 Rev- 10-1895 <br /> <br />
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