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_03/06/2001 17:31 FAX 14024714429 NEBRASKA UCC R005/005 <br />Ir <br />nebmsks <br />deparlment <br />of revenue <br />9901122020 P9s 1 <br />RAMIREZ JUL-10 M <br />Filed. 03106/2001 03:19 PM <br />200101829 <br />otice of State Tax Lien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />� I <br />T RE MYNiATYON O S ATE TAX <br />IN !IVIA I COME TAX <br />IF YOU INQUIRE AbaUT YOUR <br />ACCOUNTf REFER TO THESE NUMBERS= <br />SOC. SEC, NCB+ <br />5067297+65 <br />N+EBRe I.DENT• NO. <br />19242921 <br />SPOUSE S0Cr SEC* <br />NO. 506841155 <br />TAXABLE YEAR <br />2993 JUL.i <br />LIEN NO. <br />971710liO 415 <br />LIEN RELEASE N0,m <br />010600*49 GRAN <br />COUNTY <br />DATE OF NOTICE <br />2/ C�1 <br />7 -106 ?l <br />INSTRUMENT NOs <br />r.•..•aa• <br />PURSUANT TO THE <br />.REVEN THE ST <br />HEREBY 41VEN BY <br />THE NEBRASKA DEPAR MEN <br />STATE TAX LIEN WHICH HAS BEEN DULY FIL <br />TAXPAYER FOR INDIVIDUAL INCOME 'TAXES Y <br />I HEREBY CERTIFY THAT <br />WITH THE REVENUE LAWS <br />THIS T MINATIONe <br />.r • ?W o.•..i• <br />PARER S3Ci"sN.i1TURE <br />C H .jj <br />T a ��I�EIi SIWATUIR E <br />I M & TA114MIE R RAMIREZ <br />.JEFFERSON <br />i ISLAND NE 66801 <br />Former QcV eS - <br />X/4 ides L 1St <br />6, yr no/ Ln " &L (a?aj3 <br />TE OF NEBRASKAP NOTICE IS <br />QF REVENUE TMA7 THE <br />D AGAINST THE ABOVE NAMED <br />TERMINATED* <br />THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />Is I off 0 .6 a 40 41 a 0 a e 0 0 <br />TITLE <br />I <br />eo�� <br />TITLE i <br />Please mtum to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REV4NUE <br />NEBRASKA DEPARTMEP 1811 WEST V11 ST STE 460 <br />Printed with soy ink on recycled paper GRAND ISLAND NE 6883 <br />• •1►'����i,e7rssa• <br />DATE <br />. i7s`i v� ...... <br />Afi <br />'AXPAYER — Pink Copy <br />1.145.1970 Rev, 2.2000 Supersedes 7- 1451979 Rev. 10 -1995 <br />