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07;117/2000 16:09 FAX 14024714429 NEBRASKA UCC 1a004/005 <br />Or <br />e.yeren4et <br />al revenue <br />1111111111111111111111 11111111111111111 <br />9900069495 cgs. I <br />FITUERALD PRTRICK L <br />Filac: 07/1712OUL 1 133 HM <br />`0000051798 <br />Notice of State Tax Lien <br />This Notice of State Tax Uen is issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to tke revenue laws of the state of <br />Nebraska. Notice is hereby given tkat taxes including penalties and <br />interest, which are shown below, are doe 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 />..,. _w.. ..ben <br />PLEASE DO NOT WRITE IN THIS SPACE <br />ucawaaaa oaatru w. <br />Nabraeka Idendfical" Number <br />12604879 <br />Lan Fk d Vft <br />gyRegietarofDesds ❑Court CWk <br />Social sec uriry or Federal I. p. Number <br />506 -42 -8182 <br />Spouee'a Social Security Number <br />505 -68 -4583 <br />Uen Serial Number <br />932610077 <br />yon Type <br />$]Corlp+ w❑ Cormnuation ❑ Corroded <br />Date of Uen <br />07-11-2000 <br />Cotrny <br />HALL <br />{ BUSINESS NAM AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />PATRICK L & RITA A FITZGERALD <br />et aw Address <br />Street or Other Meiling AMOS$ <br />2204 NOODRIDGE PLACE <br />City State <br />Mp Code <br />C40 State DP Code <br />GRAND ISLAND NE 68801 <br />Ceti <br />Number <br />Tax Period <br />AsDot* nwtt <br />Amount of Tex <br />Paxtelty <br />Interest <br />AddRlone <br />Asseewwnt Due <br />22 <br />1996 <br />07 -01 -98 <br />933.00 <br />430.25 <br />404.98 <br />1768.23 <br />22 <br />1998 <br />08-12 -99 <br />377.00 <br />93.40 <br />42.11 <br />512.51 <br />Return to; <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND ST STE 480 <br />GRAND ISLAND NE 88803 <br />TOTAL <br />$ 2280.74 <br />I hereby oe * that the Nebraska DepartmoM of Revenue has Complied wRh the revenue lawn Of the State Of Nebraska In the determinadon <br />of to amount shown to ba due, and the taxpayer has lame to pay the amount due after demand. 11 this Notice cf State Tax Uen is an exiansion of <br />an efle Alien, It serve to cop nue the prbrity of the hate's interest in the alfecled property of the taxpayer. <br />sign U %t'�9rcr Qq� y�G �2- <br />here Pr e f81�'re T o.w �TelephoneNO. <br />TIVe I D& OF <br />'A-2�01 F-9m) - C— I - —4 <br />NEBRASKA DEPARIMEWOF REVS - White and Goldenrod Copies TAXPAYER Pink Copy COUNTY OFFICE Canary COPY �( <br />prep .n wx %id DP 4-04 74 PIW. 10-96 SupMea i 4494.74 Plev. S•T <br />