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07/11/2011 MON 14:58 FAX 402 471 4429 UCC SECRSTARY OF STATE -�-�� Hall <br />� <br />20�.1059.0� <br />J <br />Fi <br />I�I004/005 <br />'� �� <br />N�Obe�Y6kW ��trasmr�st ad <br />�E`''�i�'''E���E NOTICE OF STATE TAX LIEN <br />�.�,�,��,�,�.�.�.. �a,� <br />� <br />PLEASE DO NOT WRITE IN THIS SPACE <br />This Notice of State Ta�c 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, a�e due from the ta�tpayer specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and persona! property belonging to the taxpaye� <br />•or hereafter acquired. <br />9894969 <br />20-5830030 <br />��99�2 nX Register of Deeds �County Clerk <br />Lien Type County <br />06/30/2011 QOriginal �Continuation �Correeted Hall <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRE3S <br />me Name <br />J S ASIAN GIFTS <br />g$ . Street or Qther iling Address • <br />303 WESTERN H�LL B � . <br />a e Zip Code City State <br />Category <br />Number <br />01 <br />01 <br />01 <br />Tax Period � . Date of <br />06l30/2009 09/03/2009 <br />01/01/2009 �y26/2008 <br />03/31/2009 <br />07/01 /2Q09 12/26/2009 <br />09/30/2009 <br />CHEYENNE WY. 82009 <br />AmounE of Tax Penalty Interest Additions Balance of <br />Asseasme�rt Dus <br />664.90 0.00 60.93 725.83 <br />9,501.50 300.15 163.73 1,965.38 <br />1,501.50 300.95 126.08 1,927.73 <br />TOTAL � $ 4,618.94 <br />amount shovm to be <br />effedive lie�, it serv <br />e <br />9 p� <br />Il@@ e reaJ <br />� <br />o�� �apdrunen� vr rcevenue nas compuea wn[n [ne revenue �aws of tne state or NebrasKa in the determination of the <br />d the taxpeyer has failed to pay the amount due after demand. If this Notice of State Tax Lien is an extension of an <br />itinue tl�e priori e stete's interest in the affected property of the taxpayer. <br />' Revenue Agent � � ,�dt/ 402 471- <br />►ature Tide Date Telephone Number <br />c(, �i �7•c� Senior Revenue Agent � 1- l� <br />natureT' T�le Date <br />4-484-1874 Rev. 2-2002 SupeBades 4-484-1974 Rev. 70�1995 <br />I <br />i <br />; <br />1 <br />I ! <br />I <br />i <br />; <br />•�: a7/11/2011 �9:17 qp� <br />