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Q8/24/2011 �ED 14:57 FAX 402 471 4429 UCC SECRE2ARY OF STATE �a-� 8a11 <br />� , <br />�0�.106332 <br />��"�----'�---� <br />Nebraska Departmerrt af <br />���� <br />www.revenue.ne.gov <br />�J002/003 <br />i o. stet. .rok., p Gale - UCC sn <br />37@056-7 Pss: 1 <br />� 09:4i pM <br />NOTICE OF STATE TAX LIEN <br />This Notice of State Tax 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 U�at t�uces inciuding penalties and <br />interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for reai and personal properly belonging to the taxpayer <br />or hereafter acquired. <br />972322$9 <br />11160376 <br />�( Regis�r � Dceds �]County Cterlcl XXX XX-8556 <br />08/23/2011 ��g� �Cor►8nuaaon QCorrected HALL <br />BUSINESS N�1dAE AND LOCATtON ADDRESS TAXPAYER NANIE AND I�AILING ADDRESS <br />ERIC C SCHRECHENGOST <br />546 W BUTLER ST <br />MERCER PA 16137 <br />Category I Tax Periad I Date oF I Amou� of 7a�c <br />Number Assessme� . <br />22 � 2008 �01/26/2011 � 1,047.00 <br />52.35 � 123.21 <br />Balance of <br />1 �222.56 <br />TOTAL I$ ti,222.ss <br />I hereby cerrtify tt�t the Nebraska Department of Reven� has compUed with me revenue taws or me sta[e or rveArasKa u� me a�cerrnn�auw� u� u�e <br />amowt shown to be due, and the taxpayer haa failed to pay the amourd due after demand if this Noace of State Tax lien is an extension of an <br />effective lien, it serves t conanue the priodty of the state's interest in the affec�ed property of the taxpayer. <br />` � Revenue P�qent [�; I�a.� � j� (4U2)471-5928 <br />sign Prepar s �gr�ture itle �e� Telephar� Ntnnber <br />here ► � Revenue Supervisor -.�� // <br />'zed Signature Title Date <br />._ • a.aaaae�a �. 2-�ao2 supar�a� a.asa-zs'ra Rev_ tia�ae� <br />Penaity � Interest � Add�ions <br />� <br />i': <br />I' <br />f. <br />x <br />�. <br />; <br />i• <br />; <br />