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12/O1/2010 oPED 15:2Q PAX 4D2 471 4429 UCC SECRETARY pF STATE y»� Hd11 <br />�, <br />� <br />�oioos�s� <br />M+cdbbrdek� a�rp�artn�6nt eir. <br />�#E�`E�I�E <br />wx�rwr.r��ain+w+. nR.Ye�r <br />68801 <br />Balance of <br />Assessment Due <br />4,025,69 <br />This Natice of State Tax Lien is issued by the Nebraska pepartment of <br />Revenue for unpaid taxes pursuant ta the revenue laws of the state af <br />Nebraska. Notice is hereby given that taxes tncluding penalties and <br />interest, which are shawn below� are due from the taxpayer specified <br />b�law and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property 6elanging to the taxpayer <br />or hereafter acauired. <br />9185868 <br />�� � 9/ 9 d �X �e9ister of Deeds �County <br />a of Lien Llen ype <br />11/13/2010 QX Original �Continuation <br />BU51N�55 NAMA� AND LOCATION ADDRE93 <br />Category Tax Periad Date of <br />Number Aasessment <br />�� 06/U1/2p09 01/Q6/2D10 <br />10/31/2Q09 <br />01 11/01/2D09 p2/05/2010 <br />12/31 /20Q9 <br />01 01/01/2Q10 D3/08/2010 <br />01/31/2a10 <br />01 dz�01 /201 Q 09/O7/2010 <br />07/31 /2010 <br />Amount of Tax <br />3,457.91 <br />977.U4 <br />432.86 <br />4,066.82 <br />NOTICE OF STATE TAX LIEN <br />►:�:�:e:�:er�z!� <br />�Corrected 1 HALL <br />TAXPAYER NAME AND MAILING ADDR�55 <br />R4NALD F. KING <br />t or Other Mailing Address <br />2615 W. CHARL�S <br />GRAND ISLAND <br />Penalty Interest <br />367.84 199.94 <br />38.54 41.60 <br />43.29 15.49 <br />491.5A I 98.73 <br />T07AL <br />N6 f�e ef Sir�a Jehn N!el• - �CC �TL <br />9930644209-8 Pss: 1 <br />KING RONALq F. <br />F11ed: 12/01/20i0 11:17 pM <br />NE. <br />Additions <br />�003/003 <br />1,057.18 <br />�491.64 <br />4,657.09 <br />$ 1 p,231.60 <br />������yr ��•��r ���a< <��a �•6y�p��tl �CNo�unCn� o� Revnnue nas compnea witn [ne revenue iaws ot tne 5tate ot Nebraska in the determination of the <br />amount shawn to ha dua, and the taxpayer has failed to pay the amount due after demand. If this Notice of State Tax Lien is an extension of an <br />effectiva lien, it serv continue the prio ' f the state's interest in the`�affacted property oF the taxpayer. <br />� � Revenue A ent /,x 9,�o �a 402 471-6067 <br />sign repa ers ignature Title Da e elephone Number <br />here e Senior F2evenue A ent r�—/ o ' <br />thorized Signature Title Date • <br />4a94-197A Rev. 2»ZOD2 Supiersedes 4�9A•1874 pev. ta7995 <br />i• <br />� <br />