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02/05/2004 17:05 FAX 14024714429 NEBRASKA UCC <br />200401150 v <br />nebratke Notic6°o State Tax Lien 33 <br />Lien Serial Number <br />Lien <br />penalties and interest, <br />unpaid after demand. <br />These taxes <br />a lien in the county for real and personal property belonging to the taxpayer or hereafter acquired_ . <br />tType <br />C51 Ona l <br />Interest Additions <br />942310045 <br />Renewal <br />-8 -94 <br />Nebraska I.D. No. <br />County <br />7Date <br />iled Wlth <br />37161032 <br />Hai 1 <br />Register of Deeds <br />518.99 <br />9 8 _ _ 1682.58 <br />County Clerk <br />BUSINESS NAME AND LOCATION ADDRESS <br />Business Name <br />svoet address <br />ulq <br />Slate <br />xial Security Nt <br />462 I 30 <br />Zip Code <br />0362 4 — 1.0 <br />lih 005 <br />L�� <br />9,64 <br />TAXPAYER NAME AND MAILING <br />Name <br />Rn�Plio fanriann�a <br />Street w Other himng Address, <br />1, Box Ot <br />City Stale <br />1.1 i <br />JA <br />This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes purst <br />revenue laws of the state of Nebraska. Notice is hereby given that taxes including <br />shown below, are due from the taxpayer specified above and remain <br />penalties and interest, <br />unpaid after demand. <br />These taxes <br />a lien in the county for real and personal property belonging to the taxpayer or hereafter acquired_ . <br />Tax Period As, Amount Amount of Tax Penalty <br />Interest Additions <br />1982 4 -6 -94 440.28 110.07 <br />658.86 <br />1983 4 -6 -94 465.80 116:45 <br />631.66 <br />1984 4 -6 -94 766.84 191.71 <br />932.54 <br />1985 4 -6 -94 8 0 221.15 <br />951.90 <br />1986 _ 138.61 <br />518.99 <br />9 8 _ _ 1682.58 <br />4407.90 <br />Zip code <br />78596 <br />ant to the <br />vhich are <br />:onstitute <br />Balance of <br />Assessment Due <br />1,209.21 <br />1,213,91 <br />1,891.09 <br />2,057,65 <br />1,212.02 <br />12,820.81 <br />TOTAL I $ 120,404.69 <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the state of Nebraska <br />of the amount shown to be due, and the taxpayer has failed to x Li in the de"Wvsio of <br />an effective lien, it serves to co us the priority of the state's interest m the atl °ectedw If this Notice of Slate Tax Lien is an extension of <br />sign of the r. <br />here Pr ws ignalure <br />a 2. -9 -5 <br />A lhwized signature <br />Date <br />rue <br />Date <br />FOR COUNTY OFFICIAL'S USE <br />CL; <br />Li! 5 eD <br />® � <br />> N =ra I'ti <br />PD CM r-r <br />CO o <br />.� Orr" <br />NEBRASKA DEPARTMENT OF REVENUE — White and Goldenrod Copies TAXPAYER — Pink Copy COUNTY OFFICE —Can Copy; <br />py ' <br />4- 494-74 Rev. 5-91 <br />muK m Sup des 4- 494 -7,4 Rev. 9-88 <br />