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Q2/28/2012 TUE 14:37 FAX 402 471 4429 UCC SECRETARY OF STATE �yy 8a11 V� �...�., �004/004 20:1201568 � FVeliraska Departtne�t of �� NO TE TAX LIEN www.reven.ue.ne.flov �C� Q0z�.3"T��S C-hl�k �nn� na �s This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the revenue laws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which are shown below, are due from the taxpayer specified below and remain unpaid after demand. These ta�ces constttute a Ifen in the county for real and personal property belonging to the taxpayer or hereafter acauired. 40246523 12010429 �Registerof Deeds �Counly Clerkl )()()( 08/27/2002 �Original �Condnuation �Corrected HALL BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS DANIEL S MIERS 1201 BYRN MAWR PL • DENTOId TX 76201 Category Number � 22 7'ax Period Date of Assessment 1998 05/03/2001 2060 I 05/04/2001 Amount of Tax Penalty 245.00 198.50 252.00 12.60 loterest I Additiona 222.67 31.01 295.61 70TAL I $ 961.78 I lrereoy cerufy tnat tne IveurasKa uepaitm�t a� Revenue has camptied with the revenue laws of the 5tate ot NebrasKa �n the Cetemu�adon ot t�e amaunt shown to be due, and the taxpayer has (ailed to pay lhe amount due aiter demand. If this Nobce of State Tax Lien is an extension af an effective lien, it serv to con6nue fhe priority of the shate's interest in We affected property of the ta�ayer. � Revenue Agent a d 1y - / ,� (402)471-5928 sign Prepar 's Signature TiUe Dat Telephone Number here ► ,�,� Revenue Supervisor �, �Z f/ /7 . riz� Signa TiUe Date — 4•494-1874 Rev. 2•2002 Supersedes 4-194-1974 Rev.10-1995 Balenca of sessment Due 666.17 i � Y�