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07!10/2000 15:59 FAX 14024714429 NEBRASKA UCC IM002 /003 <br />�`�j {= I illlli VIII 11111 lull Illl1 ����� IIII Ilfl <br />V �LU s' 9900068696 Pye 1 <br />NOLOAH IVAN <br />Filed 07/1012DOO 02 `17, PM <br />Or <br />F19011111430111 <br />"Pertinent <br />of <br />�:w()90056` 3 <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE IN THIS SPACE. <br />This Notice of State Tax Lien is issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given that taxes including penalties and <br />interest, which are shown below, are due flrom the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute alien to <br />the county for real and personal property belonging to the taxpayer or <br />hereafter acauired. <br />Nebraska IdentlAcolon Number <br />410 0 3 6 5 9 <br />Lien Filed With <br />Water of Deeds ❑ County Clerk <br />Social Security or Federal I. D. Number <br />615-26-7915 <br />Spouse's Social Security Number <br />Uen Serial Number <br />000770074 <br />Uen Type <br />Q Of Vnal ❑ Continuation Corr erled <br />I Date of Lien <br />06-16-2000 <br />County <br />HAL L <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />IVAN ROLDAN <br />Strout Address <br />Street or Other MaWg Address <br />PO BOX 86164 <br />city State 0.p Code <br />City state Zmp Code <br />LOS AEGELES CA 90086-0164 <br />Cat <br />Nu� <br />Tutu Period <br />AsOde rn nt <br />Amount of Tax <br />Por risky <br />Intered <br />AWRlone <br />Asm mom Due <br />22 <br />1995 <br />01 -30 -00 <br />159.00 <br />39.75 <br />59.71 <br />258.46 <br />Return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1891 WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br />TOTAL <br />$ 258.46 <br />I hereby certify that the NetrasM Department of Revenue has complied wkh the revenue lows of the State of Nebraska in the determination <br />of the amount showr to be due, and the taxpayor has failed to pay to amount due ater demand. If this Notice of Slate Tax lien Is an adonskm of <br />an afflictive lion, it serves to continue the priority of the state's interest in the aNecied property of ft taxpayer. <br />sign Almwo? <br />here Frepamar 9 soanra file Data Tamp a No. <br />AuMOnz ilea <br />p� <br />NE KA DEPAPITM OF REVEN • —Me and Goldenrod Copies TAXPAYER - Pink Copy COUNTY OFFICE • Canary Copy <br />(0 *'W m . lave 4 494 74 F*4. 1495 S1+Dersedes 4 W4 74 Rev. 8.95 <br />L <br />