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03/10/2011 THU 13:59 FAX 402 471 4429 UCC SSCRBTARY OF STATE ��� Hall <br />I� <br />i <br />�005/007 <br />1 10:4H AM <br />20 1101947 <br />ht�ii���«ka 33aD�rrarh:enr� <br />�'iE'�1'����E <br />, � r,,, � . � � w. � �.,.. .,... � �.., <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 f�om the taxpayer speci�ed <br />below and remain unpaid after demand. These taxes constitute a lien <br />tin the county for reat and personal property belonging to the taxpaysr <br />ar hereafter acquired. _ <br />9370870 <br />NOTICE OF Sl'ATE TAX L1EN <br />75-3158224 <br />f �-� � � �Register of Deeds �County <br />�f Lien Lien ype <br />02/28l2011 QOriginal �Continuation <br />BUSfNESS NAME AND LOCATION ADDRESS <br />Category <br />Number <br />01 <br />01 <br />01 <br />01 <br />01 <br />Tax Periad t Date of <br />""," "`""`" 04/06/2009 <br />09i30i2008 <br />10/01/2fl08 05/06/2009 <br />10/31/2008 <br />11/01/2Q08 06/04/2U09 <br />03/31/2009 <br />05/01/2009 11 /04i2009 <br />05/31 /2009 <br />10i01/2009 02/05/2010 <br />12/31 /2009 <br />Amount of Tax <br />� �� <br />� �� <br />� �� <br />� �� <br />3,382.99 <br />[�Corrected Hali <br />TAXPAYER NAME AN D MAILIN ADORESS <br />� <br />7he Boat Dock, Inc <br />l of Other Mailing Address <br />3620 W. Old Hwy 30 <br />State <br />Grand Island Ne. <br />Penalty Interest Additions <br />0.00 25.19 <br />219.71 45.33 <br />525.69 149.91 <br />236.52 32.08 <br />343.43 211.04 <br />TOTAI <br />68803 <br />Balance �f <br />cessment Due <br />25.19 <br />265.04 <br />775.60 <br />368.60 <br />3,937.46 <br />$ 5,371.89 <br />I hereby certify that the Nebraska Depadment of Revenue has complied v�ntM ihe revenue laws of the State of Nebraska in the determination ot the <br />amount shown to be due, and the taxpaye� has failed to pay the amount due after demand. If this Notice of State Tax Lien is an eactension af a� <br />effective lien, it sen continue the pri '+�fo, the state`s interest in the affected property of the taxpayer. <br />e -_,�. Revenue A ent O,� o� �/ 402 471-6067 <br />sign Prep rer's Signature Title Date Telephone Numher <br />here � �"�'"' Senior Revenue Agent J�"y �� <br />uthorized Signa ure Title Date <br />4-494-197A Rev. 2-2002 Supersedes 4-094-1974 Rev. 741985 <br />� <br />�� �� <br />100.00 <br />