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O1/13/2011 THU 13:30 PAx 402 471 4429 ❑CC SBCRETARY OF STAT� ��� Ha11 <br />1� <br />� <br />2011�Q�7.� <br />'.�Pbhr�r+xkt fJp�y�sY�i.rtr.�biY1 �� <br />�E'�'E��E <br />�,�,�.:.,���,.��. �..,��w <br />�j002/pQ2 <br />N� 9ue e■ S1aie John B Gels - 11GG 57L <br />ssii�asz4e-z P9s: 1 <br />v-s �ea, �.�.c. <br />Filad: 01/13/2011 08:51 AM <br />NOTICE �F STATE TAX LIEN <br />This Notice of State Tax Lien is issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws af the state of <br />Nebraska. Notice is hereby given that taxes including penalties and <br />interest, which are shown below, ar� due from the #axpayer specified <br />below and remain unpaid after demand. These taxes constltute a lien <br />in the county far real and personal property belanging to the taxpayer <br />o� hereafter ac uired. <br />Nebraska Identificatian Number F'ederal Identification Number <br />10566651 2fi-4819005 <br />11150716 [�X Register of Deeds [�Counry Cierk <br />L�en ype County <br />11 /29/2010 �X ��iginal �Cantinuatlon �Corrected Hall <br />BUSINESS NAME AND I.QCATION ADDRE88 TAXPAYER NAME AND MAILING ADDRESS <br />me Name <br />V-B Lea, L.L.C. dlb/a Valentinv's af Grand Island <br />ss Street or Other Mailing Address <br />2245 N. Webb Rd <br />e Zip Cade City State ZiF <br />Category Tax Pariod Date of <br />Number A ssessment <br />0 � 11/01/2QQ9 .� �/29/2010 <br />11 /30/2009 <br />01 03/01 /2010 11 /29/2�10 <br />08/31/2p10 <br />Grand Island, Ne, 68803 <br />Amount of Tax Penalty Interest Additions Balance pf <br />Assessment Due <br />6,500.p0 1,300.00 3p1.85 8,101.85 <br />33,583.35 6,716.68 709.51 41,009.54 <br />TQTAL � $ 49,111.39 <br />� hereby certity tnat the Nebraska Department af Revenue has cnmplied with the revenue laws of the State of Nebraska in the determination of thB � <br />amount shown to be due nd the taxpayer has failed to pay the amount due after demand. If this Notice of State Tax Lien is an extension of an • <br />effective lien, it se t ontinue the p' ity of the state's interest in the affected property qf the taxpayer. i <br />8�� --`. � Revenue A ent p! // „7� � 402 471-�6067 � <br />sign Prepare s Signature 7itle �ate Telephane Number <br />here e ,� Senior Revenue A ent �. /�� �/ <br />A horized Signature Title Date � <br />4�8q-1974 Rev. 2-2002 Superaedas 4-494-7974 Rev. 1p-1995 <br />