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11/OS/2010 KQN 13:21 FAX 402 471 4429 UCC SECRETARX OF STATB a�� Hd11 <br />.' <br />�005/006 <br />NE fse pi 9��4r Jahn R 6al• - UCC fTL <br />9910642458�-3 P�$ � 1 <br />HRRRI5 BARBRRA C <br />Filed: 11/08/2010 09:11 AM <br />2oioos3�o <br />c�i+bbrwekr 'L���snn��4� ad <br />��� �� <br />W w W'.4 K+� I� �1e11F. IL�.'4O'Y <br />NOTICE OF STATE TAX LIEN <br />This Notice of 5tate Tax Lien ls Issued by the Nebraska Department of <br />Revenue for wnpaid taxes pursuant to the revenue laws �of the state of <br />Nebraska. Notice is hereby given that taxes Including penalties and <br />interest� which are shown below� are due from the taxpayer specified <br />below and remain unpaid atter dernand. Thege taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acauired. <br />�r�k���; <br />11048081 QReQister of Qeeda �Counry Clsrk XXX-XX-0�4p2 <br />Lien Type Counly <br />1q/23/2D10 �Original �Contfnuation �Corrected HALL <br />BUSINESS NAM� ANU LQCAtIQN ADDRESS TAXPAYER NAME AN� MAII.ING ADDRE35 <br />Category Tax Period Date of <br />Number Assassmenk <br />41 0$!01/20p7 Qa�03/2Q08 <br />01/31/2�08 <br />0 � n2/01/20�8 � �/04/2008 <br />Q9/30/2008 <br />�� 10/01/2�0$ D7/17/20Q9 <br />03/31l2009 <br />Amount of Tax <br />C' f' <br />0.00 <br />241.92 <br />731,34 <br />BARBARA C MARRIS <br />eet or Qther Mailmg Address <br />22a� w. �ivisiorv s <br />v <br />GRAND ISLAND, <br />Penalty Interest <br />123.39 27.74 <br />175.D0 34.39 <br />223.13 62.67 <br />NE. 68803 � <br />� <br />Addlllons ealance of � <br />Assessment Dua <br />151.13 <br />451.31 <br />1,017.1a <br />TOTAL �$ 1,619.58 <br />�����Q�r �����r ■���� ���a �•¢��d�nm veNd,�nro,n v► Rnvenue nas campnea wnn tne revenue iawa prtne stata at Nanrasrca in tne qetermination of the ! <br />arpount shown to be due, and the taxpayer h�s failed to pay tha amount due after demand. If tMis Notica of State 7ax i.len is an extensien of an ! <br />effective lien, it se ntinue the p'�y of the state's interest in the affected property of the faxpayer. <br />8 c� � Revenue Agent �/ a,�` � p 4 02 a71- � <br />sign Preparer's ignature 7itfe �� D te Telephone Number <br />here e /ti !. <br />5enior Revenue A ent /—� / j� <br />Authorized Signature Title Date <br />4�494-7874 Rev. 2-20�2 Suparsedes 4�94•7974 Rev. 70�1995 <br />.�" . <br />