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06129!2000 11:37 FAX 14024714429 NEBRASKA CCC 2003/004 <br />_- , ~---- -_ -__- 1111111ti i111141611111111 1I14111fi111'1111 <br />9900066676 of <br />HANSEN TIMOTHY 5 <br />Filed. 06!29!2000 10 24 AM <br />Notice of State Tax Lien <br />�1r <br />nebnike <br />eieperement <br />,It 'eYen"' PLEASE DO NOT WRITE IN THIS SPACE <br />Please forward to, <br />Nebraska Department of Revenue 4 <br />450(! Ave I PO Box 1500 — 4 <br />Scottsbluff NE 69363 -1500 <br />TERIWi�iATION <br />IND3YIiDhAL <br />IF YOU INQUIRE,ABOUT YOUR <br />ACCOUNTP REFER. -TO THESE_NUMS.ERSS <br />STATE TAX LIEN. <br />INCOME TAX <br />SOC• SEC. NO.. 505842350 <br />' NEBR. -IDENT. NO. 31352626 <br />SPOUSE .SOC.,.SEC. NO. - <br />TAXABLE YEAR, 3994 TIMOTHY, <br />S HANSEN <br />LIEN N0• 952650049 2011 ASTEC DR BLDG 31 APT 1 <br />LIEN °RELEASE NO* 001164211 NORTH LITTLE RDCK AR 72115 <br />COUNTY <br />DATE OF NOTICE O�iL �OOa <br />INSTRUMENT . NO. .fit'• •Ltii +iS� SP <br />PURSUANT TO THE A W "OF THE STATE..OF NEBRASKA} NOTICE IS <br />HEREBY .GIVEN BY SHE HEBRASIGI► .DEPARTMENT -OF REVENUE. JHAT THE <br />STATE TAX' LIEN WHICH. -'HAS -BEEN DULY FILED , AGAINST TE ABOVE NAMED <br />TAXPAYER FOR INDIVIDUAL INCOME TAXES IS TERMINATED. <br />I HEREBY � CERTIFY, THAT <br />WITH THE- REVENUE'LAWS <br />THIS TERMINATIONS <br />PREP <br />s sue..... <br />AUTHOR 2ED SIGNATURE <br />THE NEBRASKA DEPARTMENT. OF REVENUE HAS COMPLIED <br />OF. THE `STATE OF NEBRASKA IN THE.. DETERMINATION OF <br />)PvJ-4-1 " I <br />ic�. <br />SOL'* 0 assess <br />;;T LE V <br />00 *4e <br />r <br />i� <br />rs �� <br />..�j.1A71p.�.... <br />DATE <br />DATE <br />NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy COUNTY — Goldenroo Copy Gil <br />7. 145.79 Aev 10.46 Supauadee 7. 145 -79 F19Y. 5-91 <br />Printed with soy ink On recyCiOd P&M ✓ <br />