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11/23/2011 WSD 16:00 FAX 402 471 4429 UCC S�ECRETARY OF STATE �-+� Hall �002/002 �� l� 201�08�4f of e: - - --.�_ ry, NOTICE OF STATE TAX LIEN This Notfce of State Tax Lien Is issued by the N raska Departrnent of Revenue for unpaid taxes pursuant to the revenu laws of the state of Nebraska. Notice is hereby given that taxes inclu ing penalties and interest, which are shown below, are due from th taxpayer specified � below and remaln unpald after demand. These es constitute a lien in the county for real and pefsonal property belo ging to the taxpayer or hereafter acquired. . Nebraska IdenGfication Numb� F�eral IdentificaGon Number 29174384 Lien Serial Nwnber Lien Filed With Social S�rity N�nber Spouge's el S 11165542 �C Register of �County Cierk XXX Dete of Lie.n Lien Type County 91/21/2011 �Original �Con'nuabon �Camect� HqLL BUSINESS NAME AND {.00ATION ADDRESS TAXPAYER WAME AND MAILING ADDRESS GABRIEL C TROESTER 420 SOUTH HIGH #103 CAIRO NE 688247063 Category Tax Period Date of Amount of T x Penalty Interest Addttlons Balance of Number AssessmeM Il�sessment Due 22 � 2008 05/26/20�9 26.00 82.25 39.43 386.68 � ' TOTAL . $ � 386.68 I hereby c�lify t�at the Nebraska Qeparlment of Revenue has co plied with the revenue laws af the State of Nebraska in the determination of lhe amount shown to be due, and the taxpayer has failed to pay the a nunt due after demand. If this Notice of State Tax Lien is an extension af an effective lien, it s to contfiue the priority of tf�e s�ate's inter in the affected property of the taxpayec _ � �^ � '� � Rev nue�Agent � �� ' • (402)471-57�9 sign Prepare ignature � e Date elephoneNw�ber here ► e enue Su ervisor l'1! �,r', >/ � . A rized Signehue • ' Title • • Date � . 4-4Bq•797G Rer. 2-2002 Supersedes ��4@4-19T4 Rev.141895 � . • . . ; • � . . . . . ' • ' • ' • ,