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ADAMS`.~CO~p TY, NE
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Date QZ~D ~U8 Time_
~~~
REGISTER OF DEEDS
RESERVED FOR REGISTER OF DEEDS RECORDING SPACE
ADAMS COUNTY NE
PAGE 1 OF ~ PAGES
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1811 WEST 2"~ 5T' ,STI? d60 9908548859-3 Pgs: t
C;GRAND 1SLANL PdE 68803 C6 COMPF>h'Y LLC
Filed: 02/20/2r'kt6 4^~ 53 PM
-.i e~ka Rlns'~me rYrr r,Y, as
R~~1'E: NOTICE OF' ~TA`i'E TAX LIEN
w'w V.'.a e~.•ort.A's. i.e.go~w~
This Notice of S#ata: Tax Lien, is issuea a,; the Nebraska nepart~nent of
Revenue for unpaid texas g.~ursuant t:o tine revenue laws of the state of
Nebraska. Nootice is hereby gi+ren that faxes inwiudirlg penalties and
interest, which are Shawn bellow, are due from th4 taxpayer specified
below and reimain unfaaid otter demand. 'these taxes constitute a lien
in the county Tar rt~'a! and personal Pt'opel'tY aeionging to the taxpayer
or hereafter acciuired. _ _ __
Nebraska tdentificatian Numbe ~ -_~-._ ^-- Fe era[ ldentiri~ation Numl~e°
7561776 I ~"7-07971 g0
~RegiSt~Wr of heedsCounty Clerk
011271;?iJ0si _-~~Grigirlai ~Go~~tinua`.IOn (~CorrFCt2rl Adams
~i BIJSINCSS NAME AND LOCATION S,C7G~SESS ~~! TAXPAYER NAME AND MAILING ADDRESS ~~
--- i CG G~mpany LLC
Street A.d rase Street or Other Mailing Address
- - ~ ( PQ Box 885
Hactinnc
Ne. 68902
Tax ~~~
Category Tux Perlrx! Uate uf^ Anrarnt at lax ' Penalty ~ Interest t Addit9ons Balance of II
Number J_ ~kssessmerit ~~ Ass'rssmenl: Due (
21 1041011?007 I i11!27I20t)8 650.00 137.50 21.76 ~ 709.2C
06130/ZJ07 _ ______
21 09l30/Z007 01/7/2008 _...v_ oi'G-OG 67.C0 _ 12.92 749,92
TOTAL {$ 1,459.^2
I hereby certify that the Ne~raska DzF~artmant of Revenue has compl~ea wlen ene revenue laws or ;ne Male 01 IveAla515a In « le ueteil Iw ~nuui, v. a is
amount shown to be due, and the taxpey~r nos `ailed to pay thv amount due after demand. If this. Notice of State lax L.ier is an extension of an
effective Tien, it sere continue tare trio f the state's interns! in the affected property of the ia;cpayer.
~ ~ 303 385-6075---
~"~,~.~;~ ~ ~ Rauent,e A~et~tt ~,? is ~ v7r~
Si~11 Preparer's Siynature ~ ~__.,. Title afe ____ Telephone tJumber ~
,~ ~~:_~ ~ ~ _:~ Senior Rev~ntle Anent "~ ~-G"~
here p- _ _ - -- '1/~7' ~
Authonzed gneture _ Title Date _____.
<t94~~157a ~ev.[ ::D32 SuP~~seGes 4-4941974 Rev. '1D-1395
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