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07/13/2010 TUE 14:49 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Ha11 Please return Capy ta: Nebraska Dept of Revenue PO Box 94$1$ Lincoln NE b$SQ9 "r~t7•nsks ilsrl:a~rtn••pnl O" FiE~fE1~l ~E W W 1YV .r pY~Y ~1 4~~. i-C. y9'v X004/004 201oo4so3 NOTICE OF STATE TAX LIEN This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the revenue laws of the state of Nebraska. Nntice is hereby given that taxes including penalties and interest, which are shown below, are due from the taxpayer specified below and remain unpaid after demand. These taxes constitute a lien in the county for real and personal property belonging to the taxpayer or hereafter acquired. 74343fi7 47-0792779 11041512 Register of Deeds County Clerk Lien Type County 070/01/2010 Qoriginal Continuation Corrected Hall BUSINE5S NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDF2ESS RUFF'S BAR INCORPORATED v~ other Mailing Address 311 N. WALNUT ST GRAND ISLAND NE. 688D1 ax Category Tax Period Date of Amount of Tax Penalty Interest Additions Balance of Number Assessment Assessment Due 21 01/01/2009 03/31 /2009 05/12/2009 0.00 1.19 D.02 1.21 10/0.1/2009 21 12/31/2009 05/26/2D1p 514.24 51.42 10.64 576.30 TOTAL ~$ 577.51 ~,..~~„r ,.~~~~~r .~~a~ <~~o ~.~u~a5~a uCpanrnem or revenue nas competed with the revenue laws of the State of Nebraska m the determination of the 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 effective lien, it serv ontinue the prin ' the state's interest in the affected property of the taxpayer. 8 _ Revenue A ent v 7~g ~d/d 402 471-6067 Sign Prepar is ignature itle Date elephone Number here e Senior Revenue A ent _ 7-1 A/t~ uthorized Signature Title Date • 4-494-1974 Rev 2-2002 Supersedes 4-494.1974 Rsv.10.1995 ~l~~a aHK iAICORpORA7ED -^t3s: 1 07/13/2010 10:87 AM