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Tax <br />Program <br />Tex Period <br />or <br />At1 m <br />Tnx <br />terry <br />Interest <br />Costs <br />Total Due <br />22 <br />2000 <br />11/04/2003 <br />5,09918 <br />254.95 <br />1,277.84 <br />.00 <br />6,631.17 <br />Total <br />$31.67 L <br />reb.26 2014 3 :45PM NE Secretary of State — UGC <br />Ne rz,ti s 4 <br />REVENUE <br />This Notice of State Tax Uen Is issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commissioner. Taxes, Inducting penaltee, interest, and costs, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after demand.These taxes area limn for all property located <br />in the county and rights to property owned by the taxpayer ar <br />acquired before the expiration of this lien,This lien will expire and <br />become unenfottceable 10 years after the date of recording If no <br />continuation statement is recorded on or prior to the expiration d, <br />the previous lien or continuation statement. <br />Nebraskan Number <br />41412826 <br />Lien Serial Number <br />41412020 <br />Lien Now* <br />® Fie Bier of Deeds ❑ Conily cek <br />Lien Type: <br />cede or Lien <br />0810912004 0 o <br />Business Name and Location Address <br />sign <br />here <br />Signaalwe <br />201401092 <br />ucc 0: ciemif i- t02.52- s <br />Notice of State Tax Lien Count 'mgr.'s! A.aa utoz 101 <br />Federal ID shake <br />Sada►8ecurty Number <br />700( -XX -5106 <br />ocorerated <br />ROSSICONNIE D <br />223 RED COACH CT <br />SANFORD FL 32773 <br />I cerary that the Nebraska Oepmlment of Revenue two misled wilt the laws d Me Stale of Nebraska In determining the amount shown ro be due, <br />and and the taxpayer has lased to pay he enwrml dub a ter4emend.TNS Noise of Sane Tex Lien in en effective len end same to wither hit a the snorer rY <br />are Sin = ° dntereet in the affected property otthe low. <br />Revenue Assent <br />PLEASE Do NOT WHITE INTHIS SPACE <br />tito <br />Revenue Supervisor <br />County <br />HALL <br />Taxpayer Name and Mailing Address <br />Jo.3526 p, 2 <br />c 11111111111 <br />sal¢ .Ott sCge <br />89147 31246—e <br />ROSS CONN4IE D �Qe: 1 <br />Pi1od. ax /m /2014 11 :27 am <br />Spouse% Sock Sammy /amber <br />(4 12 28 <br />z , . f/ <br />Date <br />araa.1o7a rleit 41-2013 Supemdee 4044407/ kW 341001 <br />