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06/30/2011 THU 15:23 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ 8a11 � � � 2U1104�98 �Iooa/ooa - ,��.t-z r - 1Vebraska Depar.tment of ��:�.� NOTICE OF STATE TAX L1EM www.�even.ue.ne.gov This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the revenue laws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which are shown below, are due from the taxpayer specified below and remaln unpald after demand. 7hese taxes cons�#ute a lien in the county for real and personal property belonging to the taxpayer or hereafter acauired. 98639315 14157615 �Register of Deeds [�Caunty Cierkl XXX-XX-2910 I XXX-XX-G982 06/28/2011 I �Original �Continuation BUSINE35 NAME AND LOCATION ADDRESS Cafegory Tax Period Date of Number Assessmel Z2 2007 Q9/10/2010 22 I 2008 I 12h 7/209 0 ❑�R� I HALL TAXPAYER NAME AND MAILING ADDRES EDWARD L SCHARRENBERG KRISTEN A SCHARRENBERG 1106 SOUTHLANDS CT PORT ORANGE FL 32129 Amount of Tax Penalty 27200 68.00 689.00 172.25 I�terest I Additlons 49.37 75.79 Baiance of :essmeat Due � { 389.37 i 937.04 i i f TOTAL �$ 1, 326.41 �„� �y �e�u�y u�ac U� �veorasaa veparur�enc or rcevenue nas comp»ea w�m me revenue iaws aa tr� state or Ne�rasKa �n tne aeiermmanon or v� amount 5hovm to be due, and the taxpayer has failed to pay the amount dus after demend. If this Natice of Stace Tax Lien is an extension af an effectiive lien, it serv to c�ntinue ihe priority of the state's interest in the afFected propaty af 1he taxpayer. � � Revenue Agent (o d..� � � (402y471 �928 sign pr e sig TiUe Date Tele�hon Number here ► Revenue Supervisor �d z� � � Auttrorized Signature Title Date 4�4&1•197A Rev. 2-20U2 Supefaed86 4-484-1974 ReV.10•1995 �� .