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06/12/2011 FR= 15:04 FAx 402 471 4429 UCC SECRETARY OF STATS -�y-� Hall <br />� <br />� <br />i <br />�,•-�----�--. <br />Neb�aska-�DepartFnent of <br />������ <br />;,�,Ww.�e���u8.��.g.4� <br />�004/004 <br />�,o�.��so�o <br />NOTICE OF STATE TAX LIEN <br />This Notice of State Tax Lien is issued by the Ne6raska Department of <br />Revenue for unpaid taxes parsuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given that taxes Encluding penalties and <br />interest, which are shown below� are due from the t�xpayer specified <br />below and remain unpaid after demand. These taxes constitute a Ilen <br />In the county for real and personal properly belonging to the taxpayer <br />or hereafter acauired. <br />44095449 <br />111598U9 �Register of Deeds []Couniy Gerk XXX-XX-2602 <br />Date of Lien Lien Typa Carnty <br />OS/11/2011 �]Original �Con�rxratia� �Corteded HALL <br />BUSINESS NAAAE AND LOCATION ADDRESS TAXPAYER NAME AND 149AIUNG ADDRESS <br />MICHAEL K HARRlS <br />4359 W CAPITAL AVE <br />GRAND ISLAIdD NE 68803 <br />Cetegory Tau Pedod <br />Number <br />22 1994 <br />22 1995 <br />22 1998 <br />22 1997 <br />22 1998 <br />Date of � Amount ot Tax <br />01J�5/2011 <br />01/05/2D11 <br />01/05/2011 <br />01105/2011 <br />01/05/2071 <br />7,037.56 <br />5,101.09 <br />3,423.08 <br />791.00 <br />9,284.Q0 <br />Penalty <br />9,826.67 <br />1,275.27 <br />855.77 <br />497.75 <br />321.00 <br />Interest �• Addtdons <br />5,791.20 <br />3,578.10 <br />755.63 <br />1,111.03 <br />TOTAL $ <br />17,808.5� <br />12,167.5E <br />7,856.95 <br />1,744.38 <br />2,716.Q3 <br />i nereny c�ary tna[ me NeordsKa uepar[ment ot Heven� nas compl�ed witn tne revenue �aws of the State or r�eDrasxa u� �e aetertronauon or tne <br />amount shavm to be due, and the taxpayer has fa� to pay the amount due after demand. If this NoGc� of State Tax lien is an e�dension of an . <br />effective Gen, it serves to �ntinue the priority of the state's interest in d�e affected prop2rty of the �xpayer. <br />� ' � , �pA Revenue P�qent �• � ) • a(j [ j (402)471-5731 <br />s ig n Prepa s rrat tle Date Teteptwr� Number <br />here ► �^ � Revenue Supervisor <br />Authorized Sign - Title . Date <br />4-a�e-�e�4 Rav.2-2aoz su�rsedes �-aea-�a�a Rev. �a�ass <br />� . .. <br />Balance of <br />__ - -- _ __. <br />