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07,,0'1/2000 13:33 FAX 14024714429 NEBRASKA UCC Z002/002 �- R 1111111111 ti�111411�I11111111I11141Ei1 VAN 99fl0Q168061 Fl ieci F4ERRt 120 Filed: 07r0772000 11:17 AM Or nowas ra department ?00005565 Notice of State Tax Lien I hereby cartlty r of tna Nebraska 06pwnem of Revenue has complied with the revenue laws of die Stile of Nebraska in the datennirutbon aline amount ett m lobe due. and the Mpayer has tailed to pay the amount due after demand. N this Notice of Stets Tax uen ie an oxwnelon d an effective li , it serves to c tine the priority of the state's Ral the affacted property of the taxpayer. sign �rl� %OG here Prape, rs Wre Date Te lephone No. Autho NEBRA KA DEPARTMEN F REVENUE bite and Goldenrod Copies TAXPAYER - Pink Copy COUNTY OFFICE - Canary Copy Dq, R �, 4.4"74 r. 10-95 supersedes 449,.7* RRv 6 -ere bd' w \C PLEASE DO NOT WNTE IN THIS SPACE This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the revenue laws of the state of Nebraska. Notice is hereby given that taxes including penalties and Interest, which are shown below, are due from the taxpayer specified below and remain unpaid after demand. These taxes constitute alien In the county for real and personal property belonging to the taxpayer or hereafter acquired. Ne1r89ki mariftaWn Number 8327564 Lien Filed Vft RJOWster of Deeds ❑ Courriy clerk Soda! Security or Federal 1.0. Number 5 0 7-04-4175 Spouse's Social security Number. Lien Serial Number 00/07/344 Lien Type Dab of Lien ❑coo+ ❑ 07 -06 -2000 Ccunty HALL BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS t;usiness Name Name MERAL VAN NATTA Street Address Street or Dew Maiinp Address 402 E 7TH PO BOX 2582 City State Zp Cade Clry state Zip Code GRAND ISLAND NE 68802 F--Tau— Catpery Toot Period Assessment Amount of Tttx Penalty Interact AddMlona selence of Assessment Due Number 09- 01 -99- 01 03 -30 -00 05 -08 -00 240.68 160.27 38.57 439.52 Return to: STATE OF NEBRASKA DEPARTMENT OF REVENUE 1811 WEST 2Nd ST STE 460 TOTAL $ 439. 52 GRAND ISLAND NE 88803 I hereby cartlty r of tna Nebraska 06pwnem of Revenue has complied with the revenue laws of die Stile of Nebraska in the datennirutbon aline amount ett m lobe due. and the Mpayer has tailed to pay the amount due after demand. N this Notice of Stets Tax uen ie an oxwnelon d an effective li , it serves to c tine the priority of the state's Ral the affacted property of the taxpayer. sign �rl� %OG here Prape, rs Wre Date Te lephone No. Autho NEBRA KA DEPARTMEN F REVENUE bite and Goldenrod Copies TAXPAYER - Pink Copy COUNTY OFFICE - Canary Copy Dq, R �, 4.4"74 r. 10-95 supersedes 449,.7* RRv 6 -ere bd' w \C