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10:'31/2000 10:38 FAX 14024714429 Or "Won d4psAawrl NEBRASKA UCC 1a002/002 Illlftl Iflll Ilell Illll lllll Illl{ 111171111 9900083179 F9s. } BEHRENS LARRY Fl led t0/3112000 06 39 RM 200009438 Notice of State Tax Lien I hereby certify that the Nebraska Departmer. -. .. .. .._.ro of Nebraska in the determination of the amount shown to be due, and" taxpayer has failed to pay the amount duo aftar demand If this Notice of State Tar Lian is an mrtwision of an affective lien, it serves to continuo the priority of the state's interest in the alleded property of the taupayer. sign here NEBRASKA DEPAP'iM T OF REVENI- White and Goldenrod Copies T pr I ad an m-,dw lrAr 3kllr3 M-5--6 o7G Date Telephone No. - Pink Copy COUNTY OFFICE - Canary Copy 4. 494.74 Rau. 10-95 SuWsedss 4 -49&74 Prrv. S-96A$ - L PLEASE DO NOT VYRITE IN THIS SPACE This Nonce 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 a Hen in the county for real and personal property belonging to the taxpayer or hereafter acquired. Nebraska Identifiratlon Number Lien Fled With Social Security or Federal I.D. Number SpoU99 -9 SoClal Security Number 40996905 0 Fleyister of Deeds 0 county clerk 506-42-1483 Lien Sepal Number Lien Type Data of Lien County 001750071 W Orlpirio ❑ Com utatbn ❑ Corrected 07-31-2000 HALL BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS _ Business Name Name LARRY BEHRENS Street Addrese Street or Other Mallinp Address 2323 BELLWOOD DR 95 City slate Zip Code City State Zp Code GRAND ISL.NND NE 68801 Tax Category Number Tax Parlod Date of Assessment [:Hun:t:cf Tax Penalty Intsrast Additions Seianae of Assessment Due 22 1992 05 -07 -00 775.00 193.75 482.53 1451.28 22 1993 05 -07 -0 865.00 216.25 478.02 22 1994 05 -07— 792.00 1367.69 22 1995 — 7— 77-9 119.32 184.52 81 10 Retum to: STATE OF NEBRASKA DEPARTMENT OF REVENUE 1811 WEST 2ND ST STE 460 — GRAND ISLAND NE 68803 TOTAL $ 5159.34 I hereby certify that the Nebraska Departmer. -. .. .. .._.ro of Nebraska in the determination of the amount shown to be due, and" taxpayer has failed to pay the amount duo aftar demand If this Notice of State Tar Lian is an mrtwision of an affective lien, it serves to continuo the priority of the state's interest in the alleded property of the taupayer. sign here NEBRASKA DEPAP'iM T OF REVENI- White and Goldenrod Copies T pr I ad an m-,dw lrAr 3kllr3 M-5--6 o7G Date Telephone No. - Pink Copy COUNTY OFFICE - Canary Copy 4. 494.74 Rau. 10-95 SuWsedss 4 -49&74 Prrv. S-96A$ - L