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03/03/2004 10:22 FAX 14024714429 NEBRASKA UCC <br />i <br />200404963 <br />ljt 004/004 <br />OrNotice of State Tax Lien <br />nebraska I <br />department <br />of revenue <br />PLEASE DO NOT WRITE IN THIS SPACE <br />INDIVIDUAL INCOME TAX <br />SGC. SEC, maw 46'01366,61 <br />NERR IDENT, NO. 41 362 <br />SPOUSEE SOCa SEC 0 Nis <br />TAXABLE YEAR : - 2040 <br />LIEN Wa . 400901DVT <br />COUNTY HALL DAVID V GUERRA <br />DATE OF NOTICE *1/09t2004 422.N CLEBURN 3 <br />BATE OF ASSESSMENT 10l28l2603 roPAND ISLAND NE 03 <br />i <br />THIS NOTICE OF. STATE TAX LIEN IS 35StED BY THE NERRASRA',DEPART h'T OF <br />REVENUE FAR INDIVIDUAL .INCOME TAX PURSUANT TO THE nVENW LASES OF THE <br />STATE CF NEBRASKA. NOTT.CE IS HEREBY GIB THAT'INDIVIMAL INCOME <br />TABS INCLUDING PENALTIES AND lKTERESTi WHICH ARE S#EGWBELOW ARE DUE <br />FROM THE . TAXPAYER , SPECu IED ABOVE ANA REPAIN UNPAI.D': ASTER • BEMNi3• <br />THESE, TAX'S . CONSTITUTE A LIEN IN THE COUNTY FCR PROPERTY REUINGIM TO <br />THE TAXPAYER GEC.. HEREA'FUR ACQUIRED. <br />AMOUNT OF TAX • . . .. ,� : s . * 's a s s 0 . a • a • a 345. 48 <br />PENALTY.* • �0 0 a s s 0 W's )• {• 15- •• s .. • a s s IT-2 <br />INTEREST EREST , ( �(�O°i}T�'UTEAADA ITU 01/0912004) V i • ! i # � 1 • � � i 4*46 - <br />I HEREBY CERTIFY THAT T14E NEBRASKA DEPART;ENT OF REVEL PAS. COMPLIED . <br />NTH THE. REVENUE LASS 0 Tqr- STATE OF MEBRASKA IN rtM DET, NINATIGIN OF <br />THE AMOUNT SHOWK TO RE Eq. tiEi AND THE TAXPAYER HAS FAILED TO PA's' THE <br />ANGUNT DUE AFTER DERAND.i IF ijdlS 'NUTICE OF STATE TAX LIEN IS AN <br />EXTENSION OF AN EFFECTIVE LIEN IT'S- RVES' TC CUNTINUE THE 'PRIORITY OF <br />THE STATE•5 INTEREST IN THE AFFECTED PROPERTY O•.THE TAXPAYER• <br />s #a•s•a +a•w•seissas. s a,�!�ss.•:aw is•ssss <br />f7 <br />♦s s�i�i���ws.ssss.ss , <br />PREP ER *S ST UR' !TITLE BATE /TELEPHONE.. 1 <br />• erw, �'sas w•wwsw�w a wswsi0isas '+ . <br />THCRIZ SIGNATURE VAT.E.'.: I. _. <br />NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER - Pink Copy <br />Printed wdh so urk on recyded paper - - 7-145-1979 Rev. 2-2000 Supersedes 7146 -1979 Rev. 10 -1995 <br />