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02/24/2011 THU 14:23 FAX 402 471 4429 UCC SECRETARY OF STATE ��� Hall <br />�, <br />� Register of Deeds [] County Clerkf XXX I XXX <br />�003/006 <br />..�, "„ <br />20110150� <br />�, � <br />Nebraska Departaisnt of <br />�����:.�� NOTICE OF STATE TAX LIEN <br />www.revenue.iie.gov <br />This Notice of State Tax Lien is issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given that taxes including penalties and <br />interest, which are shown below, are due from the taxpayer speci�ed <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />3106i478 <br />11152288 <br />02/22/2011 I �Original �Condnuation <br />BUSINESS NAME AND LOCAT{ON ADDRESS� <br />Catagory Tax Period Date ot <br />Number Assessmer <br />22 2009 11/12/2010 <br />❑���� I HALL <br />TAXPAYER NAME AND MAILING ADDRESS <br />MiCHAEL J PUNCOCHAR <br />L1861E L PUNCOCHAR <br />2231 WEST 11TH STREET <br />GRAND ISLAND NE 68803 <br />Amount of Tax Penalty <br />B,371.00 318.55 <br />interest f Additions <br />273.17 <br />Balance of <br />�essment Due <br />6,962.72 <br />TOTAL � $ 6,962.72 <br />� r,ere�y �eray u�a� u�e ��eorasKa uepartment ot rcevenue nas compfietl wun the revenue laws ot the 5tate ot NebrasKa in [he determination of the <br />amount shown to be due, and the ta�ayer has failed ta pay the amount due after demand. If this NoUce of State Tax Lien is an extension of an <br />effective tien, it serves to oontiriue the prioriry of the state's iMerest in the affected property of the taxpayer. <br />� � �'mq,� Revenue Agent o2 � � ./ � (402)471-5731 <br />sign Prepa s i ure Title Date Telephone Number <br />here ► Revenue Supervisor 2; <br />Authorized Signa e Title Dake <br />A-494-1971 Rev. 2•2002 Supersedes 4•194-1974 Rav. 70.1995 <br />�� <br />\� <br />