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Trot Pro Ileam <br />Tex Period <br />Ads ° <br />Tax <br />Penally <br />Interest <br />Cods <br />Total Due <br />22 <br />2003 <br />05/25/2004 <br />. 611.00 <br />51.55 <br />12.05 <br />.00 <br />574.60 <br />Total <br />$674.80 <br />Oct, 1, 2014 3:05PV1 N <br />Nebraska De anent of <br />REVENUE <br />This Notice of Stale Tax Lien la Issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commissioner. Taxes, including penalties, Interest, and costs, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after demand.These taxes are a lien for all property located <br />in the county and rights to.property owned by the taxpayer or <br />acquired before the expiration of this (ion, es lien wIN expire and <br />become unenforceable 10 years after the date of recording if no <br />continuation statement Is recorded on or prior to the expiration of <br />the previous lien or continuation statement. <br />Nebraska ID Number <br />99000200 <br />Lien Serial Nunher <br />42261182 <br />Date of Den Lien Type: <br />08/13/2004 ❑Darnel ® Coniivation <br />Business Name and LgcalI en Address <br />sign <br />here <br />Art <br />E Secretary of State — UCC No.7015 P. 2 <br />201406243 <br />Notice of State Tax Lien County Instr- 11: s y4e/- <br />L+s1 Red M1: <br />1 Rater of Deeds ❑ County {lark <br />PLEASE D0 NOT WAITE INTNIS 6PACE <br />Federal ID Number <br />Sodas SmNryrfy Number <br />XXX40t4I730 <br />ucc <br />Spoxaeb Social Smutty Numbs <br />XXX -XX -4512 <br />NE Sec sr II ear Jahn 11 fate - Uri YON <br />aei 4742777-5 P9e: <br />WILLIAMS MARK R <br />Filed: 10111,21114 12:51 PM <br />99 os3 s oo-a <br />County <br />❑Corroded HALL <br />Taxpayer Name and Mailing Address <br />WILLIAMS/MARK R A SHERRILL J <br />PO BOX 5376 <br />GRANO ISLAND NE 65802 <br />I certify that he Nebraska Deparoneni r11 geNUxre has complied with the bes spa Slate of Nebraska in determining the amount !hewn to be mme, <br />Ind Thal the rape ar NS Med ID par trio ernoutll due eller demand nib Nolte 01 Me Tax Lien is an elfaclhre ken Weenies lo continue the pdonry or <br />irrlam>vl In the eikded weeny of the taxpayer. <br />Revenue Anent <br />TiUa <br />Revenue Supervisor <br />Title <br />Des <br />(402)471 -6028 <br />Phone Number <br />Dere <br />+ 4 1 4 0 7 4 mexa2at3 SWISS 4s4e-td74Re¢24002 <br />