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12/O1/201� W8D 15:2D FAX 4D2 471 4429 UCC SECRETARY OF STAT� ��� Ha11 <br />I <br />� <br />. <br />zoioas��o <br />�l�rb�aakr �]er#�rfrn�ani �oX <br />�E��E <br />�„��..�w.�..�.,...��� <br />�002/003 <br />NE S�C ef s.... �,ti� a a.�. - uec sn <br />8910644208-6 Pss: 1 <br />KING RONALD F. <br />Filed: 12/01/2010 11:17 AM <br />NOTICE OF STATE TAX LIEN <br />This Notice of State Tax Lien is issued by the Nebraska Department af <br />Revenue for unpaid taxes pursuant to the revenue laws af the state of <br />Nebraska. Notice Is hereby given that taxes including penaities and <br />interest, which are shown below, are due fram the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personai property belonging to the taxpayer <br />or hereaft�r acauired. <br />91869fi8 <br />����9� <br />QRegister af Daeds �County <br />11/13/2D10 �X Original �Continua#ion <br />BUSINESS NAME AND LOGATION AD�RESS <br />Category 7ax Period Date of <br />Number Assessmenk <br />Z � 0'l/01l2D09 08/11/2009 <br />�3/31/2009 <br />21 �/01 /2009 d2/.� �2010 <br />12/31/2009 <br />, . .,. . <br />Zip Code <br />Amount of Tax <br />0.00 <br />15.33 <br />XXX�XX-79�44 <br />�Corrected L MALL <br />� 7AXPAYER NAME ANQ MAILING pDq � <br />RE$6 <br />RONALp F. KING <br />t or Olher Mailing Address <br />2615 W. CHARLES <br />tate <br />GRAND ISI.AND NE. <br />Penalty Interest Addltfons <br />8.6B 0.66 <br />8.75 1.4a <br />68801 <br />8alance of <br />Assessment �ue <br />9.32 <br />25.52 <br />70TAL � $ 34.84 <br />i nereoy ceniry ina� me rveorasKa uepaRment or rcevenue nas Compllea witn tne fevenue Iaws ot tne state ot rvebrasKa m tne aetermination of the <br />amount shnwn ta be due, and the taxpayer has failed to pay the amvunt dua after demand. If this Notice of St2ta Tax Lien is an extension of an <br />effective lien, it serv ontinue the prio �f the state's interest in the affected property of the taxpayer. <br />8 . � Revenue A ent / x� a�u/er 402 471-6Q67 <br />sign Prepa s ignature Tftle Q � ata elephnna Numher <br />�;� <br />here e ��i�- Senior Revenue Agent /-- Q—/p <br />uthorized Signature Title � � �� Date <br />Aa19A-797A Rev.2-2002 Supsraadas 4�i9A-1974 Rev,10-1995 <br />I <br />i <br />i <br />I <br />` � <br />