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11/21/2011 MON 15:27 FA7t 402 471 4429 UCC SECRETARY OF STATB -�yy Ball <br />� <br />� <br />6 <br />�002/002 <br />. NE See o� 5lein ,1ohn p Gela - UcC STl <br />9911677559-0 Pas: i <br />CLINE LAVERN E JR <br />Flled: 11/21/201t 09:05 pM � <br />20110876i' <br />� • ' ' • <br />. Nefi�aska Dep,artment of : � . <br />�����:(�.� NOTICE OF STATE TAX LIEN <br />www.revenue.ne.gov <br />This Notice of State Tax Lien is issued by the Nebraska Department of <br />Revenue for unpaid taxes pu�suant 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, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal properly betonging to the taxpayer <br />or herea�ter acauired. <br />29042704 <br />11165457 <br />�Register of D�ds �County Clerkl XXX-XX-9339 I XXX-XX-6665 <br />11/18/2011 I�Original �C4nGnuation <br />BUSINESS NA6HE AND LOCATION ADDRESS. <br />Category <br />Number <br />22 <br />22 <br />Tax PeNod � Date of <br />2007 I 06/2912011 <br />2008 � 06/21 /2011 <br />❑�� I HALI <br />T AXPAYER NAME AND MAIL A <br />LAVERN E CLINE JR <br />KAREN A CLINE <br />2407 N SHERIDAN AVE <br />GRAND ISLAND NE 68803 <br />Amount of Tax Penalty <br />5,904.08 295.20 <br />1,860.00 93.00 <br />Interest I Addltions <br />1,187 <br />241.04 <br />2,194.04 <br />TOTAL �$ 9,580.61 <br />� nereoy �aury Na� uie rveorasxa uepartmen[ or Kevenue fras camplietl with the revenue la� of n1e State of Nebraska in the determination of the <br />amount sh�++m to be due, and the ta�ayer has failed to p�ay the amount due efter demand. lf tf►fs Notk:e of State Tax Lien is an extension of an <br />eff�tive fien, it rves to c�6nue ihe prioriry of the state's interest in the affected property of tl�e taxpayer. <br />� \� 7a Reven4e l�qent ��• / � (402}471-5731 <br />sign Prepar �le , pate. Telephone Mumber <br />here ► Revenue Superoisor � <br />Auth�r¢ed Signature Title Date <br />4-/94-1974 Rev. 2-2092 Supersedes 4�494-1974 Rex 10-1845 <br />� <br />.� <br />Balance of <br />sessmenE Due <br />7,386_57 <br />�. <br />