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, <br />07/il/2011 MON 14:58 FA7c 402 471 4429 UCC SECRETARY OF STATE ~~"'� Ball <br />`� <br />20�105�.0"� <br />Fi <br />�003/005 <br />- -..__.. ��:,, �, <br />� � _ <br />�lvtibr.qska ��arlrn4nt <rd <br />�E"�E�I��E NOTICE OF STATE TAX LIEN <br />�„�.,�.�.�.,,��.n��.. ��..�d„ <br />s o ce o tate ax Lien is issued by the Neb�aska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice (s hereby given that taxes including penalties and <br />interest� which are shown below, are due from the taxpayer specifted <br />below and remain unpaid aiter demand. These taxes constitute a lien <br />in the county for real and p@rsonal property belongi�g to the taxpayer <br />or hereafter acquired. <br />9894969 <br />' I� � �Register of Deeds �County <br />Lien Type <br />06/30/2011 �X O�iginal �Continuation �CoRected Hall <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />s <br />J S ASIAN GIFTS <br />t or ther Mailing Address <br />303 WESTERN HILL B <br />State <br />Category Tax Period Date of <br />Number Assessment <br />01 � O/01/2007 09/03/2008 <br />12/31/2007 <br />01 01/01/2008 08/05/2008 <br />03/3112008 <br />�� 04/01l2008 11/04/2008 <br />06/3Q/2008 <br />07/01/2008 <br />01 09/30/2008 02/10/2009 <br />01 10/01 /2008 09/03/2009 <br />12/31/2008 <br />20-5830030 <br />CHEYENNE WY. 82009 <br />Amount af Tax Penalty Interest Addltions Balance ot <br />Assessment Due <br />O.QO 0.00 • 39.61 39.61 <br />0.00 <br />0.00 <br />0.00 <br />1,347.20 <br />0.00 <br />46.35 <br />105.29 <br />148.30 <br />16.36 <br />12.45 <br />16.33 <br />167.95 20.00 <br />1 t�� lcl� <br />16.36 <br />58.80 <br />921.62 <br />1,683.45 <br />$ 1,919.84 <br />� <br />� <br />� <br />� nereoy ceRrty ir►at ine roeorasKa uepanment or rcevenue nas compuea wrcn tne revenue iaws ot tne 5tate ot nepresKa m me aeterm�nanon of the � <br />amount shown to be due, and tha taxpayar has failed to pay the amount due after demand. If this I�oUce oE SWte Tax Lien is an extension of an ? <br />effective lien, it se to contioue the pri of the state's interest in the affected property oT the taxpayer. � <br />e o� + Revenue Agent PJ �o / 402 471-6067 � <br />sign Prepar rs 5i na ure TiUe Date ' Telephone Number '� <br />here e Senior Revenue Agent � 7-� // �� <br />o Signa re Trtle Date <br />4�94-7974 Rev. 2-2002 S�ersedes 44841974 Rev.10-1985 <br />1 <br />� ! <br />