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01/29/2004 14:45 FAX 14024714429 NEBRASKA UCC <br />Z002/002 <br />r� - <br />�� N! ses of siaf. - urc STL <br />9984335233 -8 POa: 1 <br />DIRZ RUBEN <br />2 0 0 4 0 0 8 9 2 Filed; 01/29/2004 01:11 PM <br />OrNotice of State Tax Lien <br />nebraska <br />department <br />of revenue <br />PLEASE DO NOT WRITE IN THIS SPACE <br />INDIY.IDIUAL gN►NCOWE TAB <br />sac. SEC. Noe 5063E1779 <br />N OR• IDENT i Now 38826224 <br />SPOUSE SOC! SEC* Ngs <br />TAXABLE YEAR 2000 <br />LIE44 N-0m, 3- 7900118 <br />DATE aF Nu ICE 10`/3.7/7_003 � 2617 .S 53RD <br />DATE OF ASSESimEwr 4"'O/0112003 LINCOLN NEE 68306 <br />r <br />THIS NUT'ICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF <br />RE'YENtiUF FOR INDI DUAL lNg"MME TAX PURSUANT TO THE REVENUE LAMS OF THE <br />STATE OF NEBRASKA* NOTICE IS HEREBY GIVEN THAT IMDIVID4AL I'N£WE <br />TAXES INCL'UDI'NG PENALTIES AND TN TEn' ST* WHICH ARE SNMIN N BELOW ARE DUE <br />FRO14 THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID, AFTER DEMAND* <br />THESE TAXES CONSTITUTE A- LIEN IN THE COUNTY FOR PROPERTY BELaNSIANG TO <br />THE TAXPAYER OR HEREAFTER ACQUIRED: <br />AMVJNT. OF TAB . • # w ! a • ! . a a a a • j D} <br />PENALTY* • 'r i ! -• • ! # ; • • a ! w i i • ! i i i 111103 <br />INTEREST (COMPUTED TO 10/27/20030 . i • ! . i ! • 447-95 <br />Ii..-TAL AM--3; T -DUE # w . s • . a e • • . s • s �. # �!�?�•�� <br />I MEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT CE REYLN+€UE HAS COMPLIED <br />WITH TKE REVENUE LAWS OF THE STATE VF NEB)RASKA III TH_ DZT RMINATION OF- <br />T14C AMOUNT SHOWN TO BF DUEL AND THE TAXPAYER HAS FAILED TO PAY THE <br />;MOUNT DUE AFTER DEMAND* IF, THIS NOT -ICE Of STI TE =AX LTEN 1z AN <br />EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE . PRIORITY _ F <br />T NTE ST'ATE'S IRTERES T IN THE AFFECTED PRDOPERT'Y UF- THE TAXPAYER. <br />tY7 t -5'516- <br />• #, . # i .w•SI• aa# • ewe <br />w' <br />as <br />w wl. a•!aa la •�i w!•i•# ..o , ✓,:�. <br />PREPARERS SI - yE s ITLE 'KATIE T E L A E <br />H fNE C�'_t.,, <br />s •a # :♦ s a �f�Q.�a wi�Ysisaww•s r[ / :1�s'(ss�s�sisssar• 4 1,,..�..t'•'` <br />A' Fi RITF{` S­ NATURE _TITLE <br />NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy ' <br />Printed with soy ink on recycled paper 7 -145 -1979 Rev. 2 -2000 Supersedes 7-145-1979 Rev. 10.1995 <br />