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10/07/2D10 TH� 15:23 PAX 402 471 4429 pCC SECRBTARY OF STATB ��� Ha11 <br />�003/004 <br />� <br />� <br />� <br />201U0�392 <br />+Tti�b�rask� ;JP:puriri-•!�'rla� <br />RE1J'E�1�E <br />wwhrw. � ewr�n+a.n..�.e�. va� v <br />NE 8ac of i�a4p John R Gale - U[C STL <br />9910839708-9 P9S- � <br />SNQW SHRCK �F NEBRASKA, INC. <br />Filad: 10/07/2910 09:43 AM <br />NOTICE OF STATE TAX LIEN <br />This Notice of State Tax l.ien is issued by the Nehraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Natice is hereby given that taxes including penalties and <br />interest, which are shown belaw, are due from the taxpayer specified <br />beiow and remain unpaid after demand. These taxes constitute a lien <br />in the cownty for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />9600258 <br />2fi-0071700 <br />/� O�(� d[� � �Register of peeds �County Clerk <br />ate of Lien Lien 7ype County <br />10/03/2010 QOriginal �Continuation �Corrected Hall <br />BU51N�55 NAME AND LOCATiQN ADDRE5S TAXPAY�R NAM� ANq NIAILING ApDFt�SS <br />Category Ta�c Period Date of <br />Number Assessment <br />01 �/p / 2006 � 1 /05/2007 <br />06/30/2006 <br />01 q7/n1/20Q7' �1/05/2Q07 <br />� 09/30/2007 <br />0 � 1 Q/01 /2007 11 /04/20Q8 <br />12/31 /2007 <br />01 10/01/2008 08/05/20Q9 <br />12/31/2�08 <br />01 oaro�rzoas 08/05/2009 <br />06/30/2009 <br />Amount of Tax <br />0.00 <br />121.38 <br />1,209.69 <br />o.00 <br />o.00 <br />SNOW SHACK �F NEBRASKA, INC. <br />t or Other Mailing Address <br />1618 ALLEN AVE <br />State <br />GRANL7 ISLAND, NE. <br />Penalty Intorest Additions <br />0.00 144.29 <br />60.11 86.12 <br />120.97 196.63 <br />O.OD 9.01 <br />z�.00 a.oa <br />68803 <br />Halance oF <br />Assessment pue <br />1�14.29 <br />267.61 <br />1,527.29 <br />9.01 <br />25.Q4 <br />TOTAL �$ 1,973.24 <br />���C,ruy cerury �na� ��e rveorasrca uepartment at Revenue has cpmplied with the revenue laws af the Stale of Nebraska m the determmation of the 's <br />amount shown to be due, and the taxpayer has failed to pay the amount due afier demand. if this Notice of State Tax Lien is an extension of an <br />effective lien, it serv ntinue the pr' t� of the state's interest in fhe affected property ot the taxpayer. ' <br />e � Revenue A ent a�y ���p 402 471-6067 <br />S19C1 reparers Signature Title Qal Te ephone umber ' <br />here e Seniar Revenue A ent lp-S-/ { <br />A orized ig ure Title Dake <br />4•494-7974 Rav. 2-2002 Superaedea 4-q9q-1974 Rev. to-7995 <br />