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07/13/2010 TUE 14:49 PA% 402 471 4429 UCC SSCRETARI' OF STAGE ~~~ Ha17. <br /> <br />Please return Copy to. <br />Nebraska Dept of Revenue <br />PO Box 9$18 <br />Lincoln NE 6$509 <br />?w~ehrreke ~paanns•tent. a+ . <br />RE'~E'N E <br />.IY W~'F .+Plvn v~.e ...:v• fr~4V <br />X003/004 <br />r1C sea o1 S1^!^ Jahn R G^Ip - uCC S1L <br />991063x031-7 Pgs: i <br />RUFF'S BAR INCORPpRA7ED <br />F[lad: 07/13/2010 10:37 AM <br />2Qloo4so2 <br />NOTICE ~F STATE TAX LIEN <br />This Notice of State Tax Lien is issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given that taxes including penalties and <br />interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />ar hereafter acquired. <br />7434367 <br />47-0792779 <br />11041509 I Register of DeedsCounty <br />070/01/2010 Qt7riginal ~Gontinuation <br />BUSINESS NAME AND LOCATION ADDRESS <br />[]corrected Wall <br />TAXPAYER NAME AND MAILING ADDRESS <br />RUFF'S BAR INCORPORATED <br />or Other Mailing Address <br />311 N. WALNUT 5T <br /> <br />Tax <br />Category Tax Period Date of Amount of Tax <br />Number Assessment GRAND ISLAND NE. 68801 <br /> <br />Penalty Interest Additions Balance of <br />Assessment Due <br />01 01/01/2010 <br />01 /31 /2010 D3/08l2010 0.00 1D3.30 0.71 104.01 <br />01 02/01/2010 <br />02/28/2010 04/06/2010 0.00 86.1D 0.47 88.57 <br />01 03/01/2010 <br />03!31 /201 D 06/04/2010 1,233.01 0.00 11.32 1,244.33 <br />01 05/01/2010 <br />05/31 /2010 07/06/2010 977.34 97.73 D.80 1,075.87 <br />TOTAL ~$ 2,510.78 <br />t hereby ceRiry that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determination of the <br />amount shown to be 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 />effective lien, it sear ntinue the priori the state's interest in the affected prapeRy of the taxpayer. <br />e ~-C..~ Revenue A ent v~ ®~ ,.7s d 402 471-6067 <br />sign reparer's Signature Title Date Telephone Number <br />here e ~ 5~:nior Revenue A ent <br />Ad n ed Signature Title Date <br />4-494-974 Rev. 2.20D2 Supersedes 4.494-1974 Rev.1D•1985 <br />~~ <br />