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05/29/2012 TUE 14:53 FAX 402 471 4429 UCC SECRETARY OF STATS ~~~ 8a11 <br />� <br />� <br />2U12U4263 <br />�006/006 <br />-... �� A � <br />+� . . <br />Nebraska Department of <br />�EVENUE �T1�E�S TAX LIEN <br />www.revenue.ne.gov UG� G} d�ZC�l+•03�—��� <br />_ � <br />� #�aa7a�a.�s��3 <br />PLEASE DO NOT WRITE IN THIS S ACE <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 that taxes fncluding penalttes and <br />intsrest, which are shown below, are due from the taxpaye� specifled <br />below and remain unpald after demand These taxes coristitute a Ifen <br />in the county for real and pe�sonal property belonging to the taxpayer <br />or hereafter acaufred. <br />3324U922 <br />12360242 �RegisterofDeeds �CountyC�ertc XXX-XX-5611 <br />�ace a uen uen Type Gau,ty <br />11/12/2002 Qariginal �ConUnuaHon �Corrected HALL <br />BU5INESS (VAME ANO LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />SPENCER/DENNIS G <br />710W9THST <br />GRAND ISLAND NE 68801 <br />Category Tax Perlotl <br />Number <br />� 2000 <br />Date of I Amount of Tax <br />asiasi2oo� <br />525.00 <br />Penalty <br />26.25 <br />Interest I Additlons <br />16.98 <br />TOTAL <br />Balance of <br />5�8.aI <br />$ 5bs•at <br />� � �c� cuy �.c� ury u�at u� rveora�a uepalunen� � K6YPJN6 RdS CORIpIIBC WIUI i!1@ f2VPd1U218riS 0� � STBCB OT NP.DI85K81I1 B18 CQt8Ri11�8tl0� OT tl1E <br />amouM shovm to be due, and the taxp�yer has failed to pay U�e artrount due a(ter demand. If this Notice of State Tax Lian is an extension of en <br />effeaive lien, it s�rves ro con6nue the priority of t�e state's ir�erest in the affected properiy of the taxpayer. <br />� � �� � Revenue Agent 5 1 1� (402�71-5928 <br />sign Prepare�s nature Title Oate ' Teiephane umber <br />here � �—� Revenue Superoisor � Z, y, / 2.. <br />�ed s9r�a,re ree o� <br />*48C-1974 Rev. &2002 Suparsadw 4�494-1874 Rev.10-1885 <br />t <br />S <br />4 <br />L <br />