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03/25/2011 FRI 15:17 FAX 402 471 4429 UCC SSCRETARY OF STATE ~~~ Hall <br />� <br />b <br />20i1U240� <br />KEVIN R � r � = � <br />: 03/25/2011 10:44 AH <br />� j � "'" �' .r- <br />Nebraska Departmerrt of <br />�'���E N4TICE OF STATE TAX LIEN <br />www.revenue.ne.gov <br />This Notice of State Tax Lien is issued by the Nebraska Department of <br />Revenue for unpatd taxes pursu�nt to the revenue laws of the state of <br />Nebraska. Notice is hereby ghren that taxes including penalties and <br />interest, which are shown beiow, are due from the taxpayer speci�ied <br />below and remain unpaid after demand. These taxes constitute a ifen <br />In the county fo� reat and personal property belonging to the ta�ayer <br />or hereafter acquired. . <br />29968461 <br />Lien Serial Number Lien FI ith <br />11153326 �RegisterofDeeds �C <br />Date of Lien Ue� Type <br />03/21/2011 �Ori9inal �Contlnuation <br />BUStNESS NAME AND LOCATION ADDRESS <br />Category 'fa�c Period <br />Number <br />22 2004 <br />22 2008 <br />22 2009 <br />Date of I Amount ot Tax <br />12I19120U8 <br />_....._.� <br />05l26/2U09 <br />06/02/2010 <br />79.81 <br />_ <br />368.45 <br />415.00 <br />XXX <br />�Cortected I HALL <br />TAXPAYER NAME AND MAIUNG AD DRE3S <br />KEVIN R DUFF <br />1817 W 8TH PO BOX 5721 <br />GRAND ISLAND NE 68802 <br />Penalty <br />647.00 <br />24.40 <br />20.75 <br />Interast Additions <br />766.29 <br />37.27 <br />19.33 <br />rora�. <br />�ooz/oo2 <br />Balanee of <br />:essment Due <br />1,493.10 <br />430.12 <br />455.08 <br />2,378.30 <br />� h6fP.by CC(�1(�t�18i U16 NEb(�Sk3 �B�RII1Ctl� 01 RSVP.tIIlB haS COt11p6Ed Wlih th2 !EV@TIUB lBWS Ot Qt@,i2i@ W NPAI�SK31n uie aetem��+ratnx� ui �nc <br />amouM shown lo be due, and Ihe as failed to pay the amount due after demand. If this Notice of State Tax Lien is an ext�sion of an <br />effedive lien, it sen►es to conGnue ' ri terest in the a(fected property of the taxpayer. <br />� <br />� evenue Agent �— (308)632-1206 <br />S19�1 Preparer's gnature � e Date Te ep one Number <br />here � .��c,� ����D ��%i! _!�:nr L'�Ji►�_ <br />Authorized Signature Title ( J Date <br />4i91-1971 Rev.2-ZUO25uperse4es4-191-1971 Rev. t41985 <br />�. <br />