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05/22/2000 14:15 FAX 14024714429 NEBRASKA UCC Z002/002 <br />MH Svc of St. *. - UCC STL <br />(1 11111111111111111111111111111111111 IN <br />9900055849 Pes- t <br />UU NONG HIEN <br />Filed 05/22/2000 01.09 PM <br />200004193 <br />Or Notice of State Tax Lien <br />or rwMwe PLEASE DO NOT WRITE Nt THIS SPACE <br />This Notice of State Tax Len is issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of state d of <br />Nebraska. Notice is hereby gives that taxes including penalties <br />Interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. Then taxes tons tuts B taxpayer or <br />the county for real mad personal belonging <br />hereafter ac uited. twoiai Security or Faderal I.D. Number spouse's social Security Number <br />Nebraska Identliwtion Humber Uen Filed WMh <br />8238111 QCA'giew of Desm 0 Cimm 0lo t 505 -34 -9506 <br />Lien Serlal Number Lien Type Date of lion CdtYItY <br />0 �r 6 L �,pryp1°l Conurnntlon ❑ Conecied 4 -24 -00 HALL <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Nsme Name <br />HIEN NONG <br />Street Address street or 01MI Malung Address <br />2222 BELLWOOD OR #19 <br />pty $late zkp Cads city Ste" Mp Code <br />GRAND ISLAND NE 68801 <br />�� y Tax Partod <br />Nunn <br />Data of <br />Assaaamwi t <br />Amount of Tax <br />PanMty <br />Irrtarsst <br />Addklona <br />Due <br />08 -01— 9 T <br />RU <br />-5 -99 <br />55.9 <br />24.45 <br />3.18 <br />5.00 <br />88.•6 <br />03 08 -3�-9 <br />10 <br />09 -01 -99 <br />O1 11 -30 -99 <br />Ruu <br />4 -7 -00 <br />150.0 <br />90.00 <br />5.59 <br />245. <br />TOTAL <br />$ 334.21 <br />I hereby cenify that 1t10 Nebraska Department of HiNenus hen eornpfled w O the revenue laws at the st m or Newasm in one aerermawsu, 1 <br />of the amount shown to be due, "the faxPeYsr has ttjled to pay the amount due &'M demand. If this Notice of Stdte Tax Uen is an extension 0f <br />an sh0§P'PM. t to pft" of the state's inlereel in tM MI-Md property of the taxpayer. <br />sign ` REVENUE SENIOR AGENT �7 �r3'�' ���c, <br />here t T"° Date T N <br />REVENUE SENIOR AGENT If <br />� Aulho,i:.a S'ignasre <br />Troe oat <br />NEBRASKA DEPARTMENT OF REVENUE - White and Goidenrod Copies TAXPAYER - Pink Copy COUNTY OFFICE - Canary Copy Lj <br />449+74 Rev. 10.96 SuWeed- "94.74 Rev. 5,95 <br />