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08/29/2001 14:28 FAX 14024714429 <br />Or <br />nebreeks <br />do sp•rhn•nt <br />Of t•YMYe <br />iC1Ca SEC, NQ• <br />iNEbRe IDENT4 NOW <br />SPOUSE S4C• SEC. P;U• <br />TAXAcLE YEAR <br />LIEN NOr <br />COONTY <br />LATE OF NOTICE <br />LATE OF ASSZSSME- "4T <br />NEBRASKA UCC <br />200108900 <br />Z004/004 <br />Entered on numerical <br />index and recorded on <br />1g1� <br />at e �M, as instrument <br />Jean � -mner <br />HOR "CO ' <br />Notice =of State Taxtien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />INDIVIDUAL INCOME: TAX <br />505963250 <br />3E9d9584 <br />1991 <br />9b0680024 KELLY L LARGE-5 <br />i�ALL <br />U.'s /Cis /4a 43a MCKENZIiE rive <br />C1/23/96 CCUNCIL LLUFFS IH 515C1 <br />THIS N;rTIC'w fJF STATE TAX LIEN IS ISSUED by THE: NELRAS`A''A ✓LPA;,.TMENT 4r <br />REVENUE; FOP, INDIVIDUAL INCCME TAX PURSUANT 1.0 THE REVENUE LA J, <br />I. uF T'r!i <br />STATE OF MEaRASKA• NOTICE 1.5, HERZ,nY GIVEN THAT INU:V1"'UAL lNCCMliE <br />TAXES INCLUDIiNG PENALTIES ANU INTERES T f Wh11-H AkE ShyG'1gN DELOW ARt 'DUE <br />FAOM TFIE' TAXPAYER ZPaCIFIEU AEJVE AND REMAIN UNPAIU AFTER DEMANDo <br />TIES_ TAXES CUNSTITUTE :+ LICiv IN iH COUNTY FOK Pt LP&f .k rY b LLINvIN(z- TO <br />THE -TAXPAYER OR - H REAFTLK ACQUlR -E -1) -' ; <br />AMOUNT OF TAX • • • + • • • • • • • • • • . 1R3y•0G <br />PENALTY • a }„ <br />INTtftES1 M_'I MPUTELI • a • • . 'ia. +;; <br />TOTAL AMGLINT LUL • • w e w • t�yC;.Bv <br />I hzERZEY GEKTIFFY THAT 3HE NEBRASKA E- EPARTMENT OF Rii V_'HUE: hAS" CoNrlLiEr, <br />WITH .THE REVENUE LAWS OF Trig: S7AT.. 2F JVE6RASKA IN THL 'uETER,'0lNATl.UN Li <br />THi_ ANIUUNT SHOWN Tu BE LiUz_i ANN 1HE TNXPAY .R hAS FAILED TO PAY fiii <br />A; °1nU;J'i J1JE AFTER ;JEMA,yU. IF 7tiI5 NOTICE OF S7i,7E i#4 Lich4 IS AN <br />EXTcNSLGN OF Ald EFFECTIV4 LIEN IT SaRVES TO CONTINUI THE PRIOi.ITY OF <br />THE LTATE15 ?NTEREST IN Th"� AFFECTED PROPERTY GF THE T,:kPAYLr.• <br />Y ••r• r +•s••■ +i L • t "ii' •�•s• ■••r • ties d• /wr ••i••w <br />Yr<iiR�S :sI' !I T'uRc 7I'Pi u;,7 <br />AQTHURIZED Sl�MATURE TITLE LA <br />NEBRASKA DEPARTMENT OF REVENUE —White and Canary Copies TAXPAYER —Pink Copy CCUNTY — Soidenrod Copy <br />Printed with toy ink on recycled paper 7.14549 Rev. 10.95 Supersedes 7.145-79 Rev 5.91 <br />