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09/03/2010 FR2 15:01 FAX 402 471 4429 [ICC SSCRSTARX 08 STATE ~~~ Hall X002/004 <br />NC Sea of S~e~e John A G.Iw - UCC STl <br />D :::111 <br />2oioos357 <br />9910fi36a57-3 Pga: 1 <br />DRVIDSON KATHLEEN C. <br />Filed: 09!03!2010 11:41 AM <br />ihl~sbriska w'sMV.t~Arr..6nt ex <br />I~EE~lE NOTICE OF STATE TAX LIEN <br />~~~ <br />__.__ - - - ------- --- -- of <br />Revenuetfo runpaid-t xestpursuant to the rev N uerlawsLLof partmentmm~~~~-~~~--.--~._-..-~ ~~-~, ~T - ts~t~a~~,,,,,,,,,,,,,,,,,~.~: <br />en he state of <br />Nebraska. Notice is hereby given that taxes including penalties and <br />interest, which are shown below, are dus 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 />8923027 <br />3 ~ Register of Deeds County <br />n Lien Type <br />08/22/2010 ©Qriginal Continuation <br />BUSINESS NAME AND I.QCATIpN ADDRESS <br />Name w,~.,. <br />XXX-XX-8675 <br />~Corr~ected Wall <br />TAXPAYER NAME AND MAILING ADDRESS <br />4 <br />Kathleen C. Davidson <br />t or ther at ng Address <br />2120 Chanticleer <br />state <br /> Grand Isl and Ne- 68801 <br />ax <br />Category <br />Number Tax Period Data of Amount of Tax Penalty Interest Additions Balance of <br /> <br />07/01/2007 Assessment Assessment Due <br />01 <br />09/30/2007 11/05/2007 115.18 O.OD 20.38 135.58 <br />01 07/01/2008 <br />09/30/2008 11/04/2008 115.18 25.00 11.14 151.32 <br />01 10/0112D08 <br />12/31/2008 02!10/2009 115.18 25.00 9.06 148.24 <br />p1 0'!!01/2009 <br />03/31/2009 05/06/2009 115.18 25.00 7.64 147.$2 <br />01 04/01/2009 <br />06/30/2009 08/05/2009 115.18 25.00 6.20 146.38 <br /> TaTA L $ 730.32 <br />• ••-••~-~ •--•••v ~~~a~ ~~~~ •~`y~p~~o ~~Na~~~rom ur Revenue nas compneq with the revenue laws of the 5tata of Nebraska m the determination of the <br />amount shown to be dua, 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 sere ontinue the priorit estate's interest in the affected property of the taxpayer <br />e Revenue Agent _ ~ ~~ ~o Q 402 471-6067 <br />sign rep red's Signature ~°itle Da elephone Number <br />here 8 Senior Revenue A ent ~ % /p <br />ut orized tgna ure Title Date <br />A+194-1974 Rev.2-2p02 5uparoedes 4x184-1974 Aav.tp-1995 <br />\~ <br />