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02/10/2011 THU 15:26 FAX 402 471 4429 UCC SECRETARY OF STATS ~~~ Hall � G 2011011 �br•rtk.e t,7��yubrlxm:Mrrt �f �I�E�''E��E .��,.,�.�.��.�..�.,.o.,�.�, 99116! FETTIG Filed: NOTICE OF STATE TAX LIEN This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the revenue laws of the state of Nebraska. Notice is he�eby given that taxes including penalties and interest, which are shown below, are due from the taxpayer specified below and remain unpaid after demand. These taxes constitute a lien in the county for real and personal property belonging to the taxpayer or hereafter acauired. 9437010 11151665 �X Register of Deeds �County Lien Type 02/03/2011 �Original �Coatinuation �Corrected HALL BUSINESS NAME AND LOCA710N ADDRESS TAXPAYER NAME AND M ADDRESS WENDEL FETTIG t or Other Mailing Address 232 SOUTH VINE State Category Tax Period Date of Number Assessment �� 01/01/2007 �0/28/2008 01 /31 /2007 01 04/01 /2007 11 /04/2008 04/30/2007 01 05/01 /2007 10/28/2008 09/30/2007 01 06/01/2008 09/03/2008 Q6/30/2008 11-3744320 XXX-XX-6923 GRAND ISLAND NE. 68801 Amount of 7ax Penatty Interest Additions 8aiance of Assessment Due 127.29 0.00 32.15 159.44 75.25 25.00 17.54 117.79 3,132.66 228.83 650.39 4,011.88 148.93 0.00 20.78 169.71 TOTAL �$ 4,458.82 i hereby cemty tnat [ne NeprasKa �epartment of Revenue has complied wtth the revenue laws of the 5tate ot NedrasKa m me oetermmauon ot tne amount shown to be due, and the taxpayer has failed to pay the amount due after demand. !f this Notice ot State Tax Lien is an exte�sion of an effective lien, it serv ontinue the prior' the state's interest in the affected property of the taxpayer. e� Revenue Agent o� c / 402 471-6067 sign Prepare�s Sign ture Title Date Telephone Number here e � y� Senior Revenue Agent �� // ut orized Signature � Tdle Date 4�94-1974 Rev. 2-2002 Supersedec 4-494-7974 Rev.10.1995 �002/003 � irz/70/2011 10:48 qM