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02/13/2004 \\ \17:34 FAX 14024714429 <br />�U <br />Ir <br />fto: <br />NEBRASKA UCC <br />200401364 <br />Q002/002 <br />CgSTE! <br />Filed: <br />NOTICE OF STATE TAX LIEN <br />This Notice of State Tax Lien Is issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given that taxes including penalties and <br />interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />PLEASE DO NOT WRITE IN T <br />Oel <br />IS SPACE <br />" <br />A-1 <br />Nebraska Identification Number <br />22797068 <br />Lien Filed With <br />X❑ Register of Deeds ❑ County Clerk <br />Social Security Number <br />469 -68 -8509 <br />Spouse' <br />-odal Security Number <br />Lien Serial Number <br />089020013 <br />Lien Type <br />❑ Original X, nuat'io ❑ Corrected <br />Date of Lien <br />01/20/1989 <br />County <br />HALL <br />BUSINESS NAME AND LOCATION ADDPF.SS —. <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />BOYD J CASTER, III <br />Street Address <br />Street or Other Mailing Address <br />916 EAST OKLAHOMA ST <br />City State Zip Code <br />City State <br />GRAND ISLAND NE <br />Zip Code <br />68801 <br />Tax <br />Category <br />Number <br />Tax Period <br />Date of <br />Assessment <br />Amount of Tax <br />Penalty <br />Interest <br />Additions <br />Balance of <br />Assessment Due <br />22 <br />1983 <br />01/1211989 <br />328.40 <br />16.42 <br />221.06 <br />565.88 <br />TOTAL <br />$ <br />565.88 <br />1 hereby <br />cerbfv that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska <br />in t <br />e <br />i� <br />determination of the amount shown to be due, and the taxpayer has failed to pay the amount due after demand. If this Notice of State <br />Tax Lien is an extension of an effective lien, it serves to continue the priority of the state's interest in the affected property of e taxpayor. <br />UX qM //-Revenue Agent � 5 -�- 402 471 -5835 <br />Sign <br />Prepare_' Signature Title Date Telephone Number <br />here Revenue Supervisor S-o <br />ADa <br />horized Signet e Title /o <br />