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12/14/2001 11_42 FAX 14024714429 Uu NEBRASKA UCC Q004/004 99011 8 -9 Pas: 1 Faied: 12/131200 -04:55 pm 200112862 Notice of State Tax Lien Or nebrawa department of revenue PLEASE DO NOT WRITE IN THIS SPACE Plem return to. STATE OF NEBRASKA DEPARTMENT OF REVENUE 1811 WEST 210 ST STE 460 GRAND ISLAND NE 68803 INDIVIDUAL INCOME TAX SOC• SECe NO. 307649432 NEBRe IDENTe Noe 27665 054 SPOUSE SOC• SEC* NO. 503700813 TAXABLE YEAR 1999 LIEN NO• 010470261 COUNTY HALL MICHAEL C AMYE K LILIENTHAL DATE OF NOTICE 02/16/2001 5700:S LOCUST ST DATE OF ASSESSMENT 11/13/2000 GRAND ISLAND NE 58801 THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF REVENUE FOR INDIVIDUAL IKCOME'TAX-PURSUANT TO THE REVENUE 'LAWS OF THE STATE OF NEBRASKA• NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME TAXES INCLUDING PENALTIES AND INTERESTP NHICH-ARE`SHOWN BELOW-ARE DUE FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN. UNPAID AFTER DEMAND. THESE TAXES CONSTITUTE ,A LIEN IN THE COUNTY FOR PROPERTY BELONGING TO THE TAXPAYER.OR HEREAFTER. ACQUIRED• AMOUNT Of TAX ... • . . • • • : * • • • • • • • • • 50T1.00 PENALTY . • • e : e • • . • , a-* . , . • • . . . e a . 636.10 INTEREST (COMPUTED TO 02/26/2001)* • • • • • • • 436.86 TOTAL AMOUNT DUE 0 0 0 . . 4:0 • . •,. • • . w 6043096 I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED WITH THE REVENUE LAMS OF THE STATE OF NEBRASKA IN'TH£.DETERMINATION OF THE AMOUNT SHOWN TO BE DUET AND THE TAXPAYER HAS FAILED TO PAY'THE AMOUNT DUE AFTER DEMAND• IF THIS NOTICE-OF STATE .TAX LIEN IS -:AN EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY•DF THE ST ElS TEREST IN THE AFFECTED_PROPERTY OF THE TAXPAYER. EPARERIS GN TURE TITLE DATE /TELEPHONE THORIZ£D Si TURE TITLE DATE NEBRASKA DEPARTMENT OF REVENUE —White and Canary Copies TAXPAYER — Pink Copy Prinled with soy ink On reoyefedpeper 7.145.1970 Rev- 2.2000 Supen7edee 7.145 -1979 Rev. 10.1995 \\