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02116/2011 WED 16:42 FAX 402 471 4429 UCC SBCRETARY OF STAT$ ��� Hall <br />� <br />,� <br />20110146 <br />�+rwb.asfes. s�w,p�rrr�r:�ern �t <br />�E''1�`E��E <br />�,,,,�..,r.�.��.�.....,��., <br />FRHUEN <br />Filed: <br />This Notice of State Tax Lien is issued by the Neb�aska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is Mereby given that taxes including penalties and <br />interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the cou�ty for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />9111131 <br />�� 1 5 '' f��� QRegisterof Deeds �County Clerk XXX-XX-1140 <br />�f Lien i.ien Type Courtty <br />01l18/2011 []X Original �Continuation []Corrected Hell <br />BUSiNESS NAM� AND LOCATlON ADDRESS TAXPAYER NAME ANQ MAll.ING ADDRESS <br />Category Tax Perfod Date of <br />Number Assessment <br />z � 10/01i20U6 01l18/2411 <br />12/3112Q06 <br />2 � 04J0112047 01/18i2011 <br />O6t3012007 <br />Amount of Tax <br />216.64 <br />105.21 <br />68801 <br />Balance of <br />Assessment Due <br />326.20 <br />NOTICE OF STATE TAX LIEN <br />Diane Frauen <br />t or Other Maiti�g Address <br />285 'D' Rd <br />State <br />Grand Isiand Ne. <br />Penaity Interest Additions <br />54.16 55.40 <br />21.04 Z2.75 <br />TOTAL <br />�OQS/QQ6 <br />t @1;13 PM <br />149.U0 <br />$ 475.20 <br />I hereby certiiy that the Nebraska Department of Revenue has complied with the revenue laws ot tne �tate or neorasKa �n me ae�erm�nai�on or ure <br />amount shown to be due, and the taxpayer has faited to pay tbe amount due atlet desnand. {f this Kobce of State Tax Lien is an e�ctension of an <br />effective lien, it serv tinue the prio '!�f the state'stinterest in the affected property of the taxpayer. <br />e r c.• ` Revenue Agent �j .2 � „7��f � 402 471-6Q67 <br />sign Prepar r's Signature i�tle Dat 7elephone Number <br />here 8 Senior Revenue Agent Z"���/ <br />horized Signature 7�1e <br />Date �� <br />4�84-1974 Rev. 2-Za02 Supelsedes 4�494-1974 Rav.10-7995 <br />t <br />