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08/06/2001 16:34 FAX 14024714429 NEBRASKA UCC Z003/003 Flats* return to; STATE OF NEBRASKA DEPARTMENT OF REVENUE 1811 WEST 2No ST STE 460 GRAND ISLAND NE 68903 Ir ._. naarasta aparvaen[ Notice .of-Stale —Tax Lien RECORD #9801158696 -1 COUNTY scow PIS: 1 5 PM I hereby certilly that the Nebraska Department of Revenue has complied with the revenue 18w9 oT the State of Nebraska in the aeterminauon of the amount shown to be due, and the Taxpayer has talked to pay" amount due after demand. It this Notice cl State Tax Uen Is an extension of an effective lien, it serves to oontrtue the priority of the state's interast in the affected property of the taxpeyef, Si gn here 4KADEWPARTME Telephone No- heir — -biter NEB REVENUE - to and Goldenrod Coples TAXPAYER • Pink Copy COUNTY OFFICE - Canary Copy ap I-- %I', 0911W 4 -49474 Rev- to-95 supersedes 4-494 -74 Rw. 5-351 PLEASE DO NOT WRITE 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 than taxes Including penalties and interest, which are shown below, are clue from the taxpayer specified below and remain unpaid after demand. These taxes constitute a lien in the county for real and personal property belonging to the taxpayer or hereafter acquired. 4 Nebraska Identflicstlon Number Filed With Social Security or Federal LD. Number Spouse's Social Security Number 8061068 rLiieen tls Register of Deeds ❑ Carurty Clerk 47-0812695 Lien Serial Number Uan Type Date of Lien County 01/07/363 ❑ or4rw ❑ conmuatlon KXCoffwted 7-25-01 HALL BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Bu91nass Name Name RELIABLE TIREr L.L.C. StreetAddreec Street or Other Mailing Address 8581 W MEDLOCK Orty Stilts Zrp Codo City State Zip Code GLENDALE AZ 85305 Tax 1 Category_ Nu Tan Period Date °� Amount of Tex Pensky Interest Additions Balance of Agsawnwnt Due 05 -01 -00 - 66 05 -31 -00 07-2 -Qll 426.00 85.20 41,49 552.65 66 06 -30 -00 07 -25 -01 426.00 85.20 38.341 549.54 115- - 0 - 01 05 -31 -00 11 -03 -00 0.00 213.21 64.66 e77.8; 06 -01 -00 - 01 06 -30 -00 03- 06-01 1642.74 164.27 147.85 1954.8( - 70TA1 $ q�i I hereby certilly that the Nebraska Department of Revenue has complied with the revenue 18w9 oT the State of Nebraska in the aeterminauon of the amount shown to be due, and the Taxpayer has talked to pay" amount due after demand. It this Notice cl State Tax Uen Is an extension of an effective lien, it serves to oontrtue the priority of the state's interast in the affected property of the taxpeyef, Si gn here 4KADEWPARTME Telephone No- heir — -biter NEB REVENUE - to and Goldenrod Coples TAXPAYER • Pink Copy COUNTY OFFICE - Canary Copy ap I-- %I', 0911W 4 -49474 Rev- to-95 supersedes 4-494 -74 Rw. 5-351