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10/14/2010 THU 13:15 �AX 402 471 4429 UCC SECRETARX OF $TATE Ny� Hdll <br />�' <br />�003/004 <br />201007582 <br />� <br />Nebraska Department of <br />�iEV�NUE NOTICE OF STATE TAX LIEN <br />www.rmvUnu�.ne.qpv <br />This Notice of State Tax Lien is issued by th@ Nehraska pepartment of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nehraska. Notice is hereby given that taxes including penalties and <br />interest, which are shvwn below, are due from the taxpayer specified <br />beiow and remain unpaid aRer demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />98099388 <br />11 Q46540 �C Register af aeeds �]County Clerk XXX-XX-9478 <br />)ate of Lien Lien Type Counly <br />10/12/2010 �priginal �ConGnuation �Carrected �{ALL <br />gU51NES5 NAM� ANA I.00A710N ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />BASMIR SEEp <br />1805 W 540 N AP7 41 <br />SAL1" LAKE CI7Y UT 84116 <br />Tax <br />Category Tax Period pate of <br />Number Assessment <br />22 2008 03/09/2010 <br />Amount of Tax Penalty <br />718,00 35,90 <br />Interest I Additions <br />53.51 <br />�alance of <br />Assassment l]ue <br />8D7.41 <br />TpTAL �$ so�.a� <br />I hereby certify that �he Nebraska pepartment of Revenue has complied with the revenue laws of the State of Nebraska in lhe determinaUon af Ihe <br />amount shpwn ln be due, and the taxpayer has Failed to pay the amount due after demand. If this NoUce of 5tate 7ax Lien is an extension oF an <br />effeGive lien, it serves to cpnGnue the priority of tht state's interest in the affetted propeAy pt the taxpayer. <br />� � Revenue Agent (Q a,., (4p2)471-5928 <br />���n Pre 5ignature itle pat Talephone Number <br />here ■ Revenue Su ervisor <br />Aulhonzed Signafu Title Dai <br />1-1&t-7B74 Rsv. 2•2002 Superaedes W9I-197� Rev.10-19Y5 . <br />i <br />S��p �RSn1rc <br />�iled: 10114l20 09:my P <br />