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05/09/2001 15:26 FAX 14024714429 NEBRASKA UCC � 003/003 <br />14111111111111111 11114111111111�111T1111 <br />9 ]140226 <br />PIS 1 <br />O 0 <br />(CC`JJJ OoOM ,7tiME5 E <br />Fi,ed: 0510912001 02.22 PM <br />Or <br />flowe Ya <br />depsm"t <br />of revenue <br />Notice of State Tax Lien <br />Pt.EASE oo NoT WRITE W THIS SPACE <br />This Notice of State Tax Lies is issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of 200104320 <br />Nebraska. Notice is hereby given that taxes iacluding penalties and <br />interest, which are shows below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute alien in <br />the county for real and personal property belonging to the taxpayer or <br />hertalter ac aired. <br />Nebraska Identficatlon Number Lien EWdh Social Security or Federa l I.D. Number Spouse's social Security Number <br />39371247 de ❑CourtlyCierk 250 -94 -0842 478 -82 -1827 <br />Lien Wal Number Ll_ Qate of Uen �+^ty <br />9 8 2 2 6 0 0 2 2 Conlnuation ❑ Corceded 0 5- 0 7- 01 HALL <br />RUI NNESS NAME AND LOCATION ADDRESS TAXPAYER NAME NO MAILINf3 ADDRESS <br />t3rsineas Name 'Name <br />JAMES E & DAWN R ODOM <br />Street Address Street or Cher MaI1r1y Address <br />1124 E HALL ST <br />city State Zip Code City state ap Code <br />GRAND ISLAND NE 68801 <br />Date of Interest Addklons Balanceot <br />Category Tax Period Asessettnertt Amotutt of Tax Penalty Assesarnartt Due <br />22 1997 05 -26 -9 783.00 49.3 225.5 — 1057.72 <br />Please return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2N0 ST STE 460 <br />GRAND ISLAND NE 68803 10 5 7.7 2 <br />TOTAL $ <br />I hereby oerdly that the Nebraska Department of Revenue has complied with the raysnue laws of the State of Nebraska In the determination <br />of" amount shown to be due. and the taxpayer has failed to pay the amount due after demand. It this Notice of state Tax Uen is an extension of <br />an elf 'a fan nerves to oorelnue the priority of to state'e intvlest in�ed property of the taxpayer. r <br />�tN$ <br />sign <br />Tr ft Telephone No. <br />here P era slynamre <br />Wllhon2dle fe <br />NEBRASKA ()EPA T OF REVENUE - White and Goldenrod Copies <br />TAXPAYER - Pink Copy COUNTY OFFICE - UarlarY UoPY <br />.449474 Rev. 10.96 $148"(112 4.494 -14 Rev. 5.95 —' <br />