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I1 %09/2001 13:53 FAX 14024714429 NEBRASKA UCC i n s a5wWOLA DO fl Id CK O 200111468 F,i. .d,+is'�raa�, 12 21 PM Notice of State Tax Lien Or n•brwks dsDBrtrunC of revemm PLEASE DO NOT.WRiTE IN THIS SPACE £0889 EN CENV'ISI QNd Di 09t 31S IS wt IS3M IIS1, 3M2ATd 301.N31^I1.-ffVd'3Q Y?I YEERN 30 91VIS :tnwtt�, Ia INDIVIDUAL INCOME TAX SOC. SEC. N0. 507941740 NEBR• IDENT• NO* 35437767 SPOUSE SOC. SEC* NCI. TAXABLE YEAR 2997 LIEN NO. 010610017 COUNTY HALL DOMINICK D GUARDIOLA DATE OF NOTICE 03/02/2001 1122 E.5TH ST DATE OF ASSESSMENT 01114/2001 GRAND ISLAND HE 68801 THIS (NOTICE OF STATE TAX LIEN IS ISSUED BY THE NE BRAqKKA_DEPARTMENT OF REVENUE FOR INDIVIDUAL INCOME TAX.PURSUANT TO THE R,E NUE -LAMS OF THE STATE OF NEBRASKA* NOTICE IS HEREBY GIVEN THAT INDIVIDUAL,INCOME TAXES INCLUDING PENALTIES AND INTEREST: WHICH ARE SHOWN BELON:•ARE DUE FROM THE TAXPAYER,SPECIFIED ABOVE -AND REMAIN UNPAID AFTER DEMAND• THESE . TAXES -.CONSTITUTE A LIEN IN THE 'COUNTY . F.OR . PROPERTY .BELONSING To THE TAXPAYER OR HEREAFTER ACQUIRED. AMOUNT OF TAX:... . • .. • . -. . • .. ... ... • • 45300: PENALTY.. -._. .:. . . • 47.65 INTEREST (COMPUTED TO- 03/02/2001) •:• • • • • • • 247.20 TOTAL AMOUNT DUE • .:• ..• as a ..._. .,••. -. a . 1t247.85 I HERESY CERTIFY THAT THE NEBRASKA:DEPARTMENT OF REVENUE`HAS COMPLIED WITH THE REVENUE LAWS OF THE'STATE.OF NEBRASKA -IN THE DaTEAMINATICJN OF THE AMOUNT.SH13WN 70 BE DUE# -AND THE - TAXPAYER HAS FAILED -TO PAY THE AMOUNT DUE AFTER DEMAND. IF THIS�NOtICE OF STATE TAX,-LIEN IS AN EXTENSIDWOF AN EFFECTIVE LIEN IT:-SERVES'TQ CONTINUE THE PRIORITY OF THE STATEIS INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER* . 3 s 3o8�o�� •i�{�•..... •�i.••..ra.�r.••a�...•r.. ••..s•s. /..�'•....•• PREPARERiS SIGMA URE TITLE DATE /TELEPHONE UfiHOSbEY+ SIGN RE TITLE DA E NEBRASKA DEPARTMENT OF REVENUE— White and Canary 0*9s TAXPAYER —Pink Copy 1 Prin7•d wllh soy ink an r4cyded WPB. 7.145.1979 R•v. 2.2= SWW56d85 7 -145 -1979 R•v. 50.1995