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.Jun. 3. 2014 3:28PM NE Secretary of State — ACC No.5061 P, 3 <br />- o7i8Bl2004 1X;59 FAX 14024714429 ,NEBRASKA 11CC 81004 /004 <br />1 — <br />tr <br />noirwia <br />of <br />2014032.96 <br />6 <br />2004,07995 <br />INDIVIDUAL INCOME TAX <br />SOC. SEC* � y N � O.' 5# BT21 <br />NEBR• 'M . 37573382 <br />SPOUSE SOC. SEC. NO. <br />TAXABLE. YEAR. ZOOM <br />LUX 'NO. 04044 1B1 .. - <br />comm. • , HAU NATDAD L PEASE <br />BATE of NCHACE 02/3,3 - 214 ' #f DIVISION APT 3 <br />DATE OF ASSES IBF GRAND NE 65803 <br />• 4f� 7fi s ir. <br />PREPS. ' OU;'S SIOlE , TITLE <br />—(44 <br />$TCII ATUP TITLE . <br />NEIANAM A PCPAMIM T OF FEVEM E — Whila .nd O., .y CWIN <br />se M s* - <br />Nome of State Tax Lien <br />PLEASE 4X iiot WRITE 71419 ERILCE <br />py <br />THIS NOTICE OF STATE TAX LIEN YS ISS D BYTHE.NEBRASKA DEPARTMENT 'L <br />REVENUE FOR ENDTVIDowiNcONE TAX PUKSuAHT TO THE NEVEM LAMS OF THE <br />STATE OF NEBRASKA. NOVICE IS Herr SIYHI THAT IN OZYIDUAL /Nl <br />TAXES INCHING PENALTIES AND IJE*ESTp MUCH ARE SHOUN1NELOW ARE ova <br />F ! 1J TAXPAYER SPECIFIED ABOVE AND MAIN-WM AFTER .'AN=NAND. <br />THESE TAXES CONSTITUTEALIEN IN THE cowry FOR PROPERTY DELONOWTO <br />THE TAXPAYER tRt • NAR ACRUII• . <br />ANOINT .I3F UK' • • • • r = .. ,r 1r02 <br />."{Y . . • . . • • • ... . • . • -f M litogrto 5 <br />INTEREST (COMPUTED TO 92113/20 i4) . • . • . r 24,04 <br />T O T A L A m o o N T DL ..• ... . . . . . . • * • • . 1000459 ` <br />I 0ERE8Y 'CERTI1FY TAT THE NEBRASKA DEPARTMENT OF ROME OAS cOMPLIED <br />WITH TUOE REVENUE LAWS Of THE STACIE OF NEBRASXA IN THE: Of <br />THE AST SHOWN TO OE ! ANJ THE TAXPAYER . HAS FAILED TO PAY fiUE <br />Amon DOS AFTER DEMAND. IF THIS NOTICE OP STATE TAX LIEN AN <br />Eke; E9NS' IQH . OF AN EFFECTIVE LIEN U SERVES TO GO WTI THE ` PRI$RXfl OF <br />THE STATE *S BEST IN THE AFFECTED PROPERTY OF THE TAXPAYER. <br />DATE/TELEPHONE 4 2% <br />DATE <br />TNi1 MEB— Pick Cyr <br />74IFIWA Rau aaee. •osni ai. .r44si•Ie ~Amgen <br />