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Q3/1Q/2011 THU 13:59 FAX 402 471 4429 UCC SECRSTARY OF STATE ��� Hall <br />f <br />' <br />�003/007 <br />NE Sao o� S��ls John N Gala - 11CC STL <br />9931653573-2 P9s: t <br />DENTON JERRY L <br />Filed: 03/10/2011 i0:48 AM <br />20i1�19�� <br />� <br />Neb�aska Qepartm.ent of <br />�����:�f N0710E OF STATE TAX LIEN <br />www. revs�.ue. ne.g;oy <br />This Notice of State 7ax Lien is issued by the Nebraska Department of <br />Revenue for unpald taxes pursuant to the revenue {aws of the state of <br />Nebraska. Notice is hereby given that taxes including penalties and <br />interest, which are shown below, a�e due from the taxpayer specified <br />below and remain unpaid after demand. These taxes const�tute a fien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />91610905 <br />11152908 �Register of Deeds [�County Clerk XXX-XX-3010 XXX-XX-6592 <br />Date of Lien Lien Type CAUMy <br />03/09/2011 �Odginal QContinuation [�Corrected HALL <br />BUSINESS NAME AND LOCATfON ADDRESS 7AXPAYER NAME AND MAILING ADDRESS <br />Category Tax Period Date of Amount of Tax <br />Number Assessment <br />22 2006 11/29/2009 .00 <br />22 2008 12I17/2010 3,055.00 <br />JERRY L DENTON <br />CAROLE L DENTON <br />1513 STAGECOACH RD <br />GRAND ISLAND NE 68801 <br />Penalty . <br />.00 <br />152,75 <br />22 � 2009 �10120/2010 � 1,098.33 � 134,90 <br />Interest Additions <br />2.82 <br />290.02 <br />105.90 <br />9alance of <br />sessment Due <br />2.82 <br />3,497.77 <br />1,339.13 <br />T07AL �$ a, 839.72 <br />���c�CUy �z� ury u�aa u�e �veorasKa ueparunen[ or rcevenue nas complieG v�m the revenue laws of the 5tate of Nebraska in the detertnination of fhe <br />amount shown to he due, and the ta�ayer has failed to pay the amount due after dernand. IS this Notice of State Tax Lien is an extension of an <br />effective lien, it s to con6nue the priority of the state's inter�est in the affected property of the ia�ayer. <br />� � Revenue Agent ' � � ' (402�471 <br />sign reparer'sSignat e Title Date TetephoneNumber <br />here ► RevenueSupervisor �• Q�• // <br />A rized Signatur Title Date .� <br />4-494-1974 Rev. 2•2002 Supersetles 4-1941974 R¢v. t0.t995 <br />