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10/26/2p10 T[�E 13:52 FAX 402 471 4429 UCC SBCRBTARY OF STATR -��� Hall <br />, ' <br />�j0A2/OAZ <br />NP L.s a� S�ake John 11 G�1� -{I�C STL. <br />9�10641155-0 pas: 1 <br />GILMORE CORY <br />F'ilNd: 10/2612010 10:31 RA <br />� <br />Ne6raska Department af <br />REVENUE <br />www.revenua.ne.gov <br />20�.047929 <br />NOTICE OF STATE TAX LIEN <br />This Notice of State Tax Lien is issued by tha Nebraska Department of <br />Revenue far unpafd taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice 1s hereby �ivan that taxes including penalttes and <br />interest, which are shown be)ow, are due from the taxpayer spsciFed <br />below and remaln unpaid after demand. These taxes constitute a Ilen <br />in the ovunty fnr real and personal property belanging to the taxpayer <br />or hereafter acauired. <br />�F3303668 <br />11047039 �Regiaterof Deeds C]County Clerk XXX-XX-1153 <br />Date o Lien an ype County <br />10/2Q/2010 �Original [IConGnuation �Corrected HALL <br />9U$INES5 NAME AND LdCA710N ADDRE$S TAXP NA ME ANI] MAIL ADDRESS <br />CORY �ILMORE <br />1D4 W WALNUT PQ BOX 222 <br />DONIPHAN NE 68$32 <br />� <br />Category Tax period Date of <br />Number /lssamsment <br />22 20D7 05N4/2010 <br />Amount ot 1"xx PanaRy <br />605.00 30.25 <br />Interest � Additions <br />89.09 <br />Balance af <br />Assessment Due <br />724.26 <br />707AL IE 724.zs <br />..._.- ,°..... ,...�. �.� ..v�,a � y� u,����� �� ��r�ue nas wmp�iea Hn�n �ne revenue laws � the State of Nebraska in the detertiiinadon a the <br />amo nt sh be.due th ta�ay' r has failed to pay the amount duc aiter demand. If this Notice o( 5tata Tax Llen is an extension of an <br />effective lien, it se tin th e tate's interest in the a%cted property nf the ta�a er. <br />� � Ravenue Agent (0 ZQ Q (3D8�32-1210 <br />sign gneW e Ti e Dat Telep um6er <br />hete ■ ' Revenue 5u ervisar �j �j ( � <br />orized ure T�tle p�� <br />HB��19N Rev, 2�2pp2 $upersed�s �.19M19i/ Rav. ta1BD5 <br />