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04/13/2004 16:00 FAX 14024714429 NEBRASKA UCC 20040364ti or Qopta»nf. ptt *O+rldfii Q002/003 NE sic of 5604-8 - U« SCON 9904328104 -0 as 1 coENEN ANTON J JR Filed: 04113/2004 10:35 AM NOTICE OF STATE TAX LIEN This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the revenue laws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which are shown below, are due from the taxpayer specified below and remain unpaid after demand. These taxes constitute a lien in the county for real and personal property belonging to the taxpayer or hereafter ac uired. Nebraska Id tiff t' PLEASE DO NOT WRITE IN THIS SPACE on oa on Number Lien Filed With I Social Security Number Spouse's Social Security Number 33529930 a Register of Deeds D County Clerk 505 -94 -5520 Lien Serial Number Lien Type Date of Lien County 090222411 Original X Continuafio J Corrected 1 08/10/1990 HALL BUSINESS NAME AND LOCATION ADDRESS AYER NAME AND MAILING ADDRESS Business Name Nam�AMWI�M OENEN JR Street Address Street or Other Mailing Address 404 EAST K ST City State Zip Code City State Zip Code IA /VAAnDr= Tax Category Number Tax Period Date of Amount of Tax Penalty Interest Additions Balance of Assessment Assessment Due 22 1989 05122/1990 253.00 12.65 11.35 277.00 _ I I I 1 I TOTAL l$ 277.00 I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the 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 Tax Lien is xtension of ffective lie , i serves to continue the priority of the state's interest in the affected roe _ p p rtY of the taxpayer. ' 4 venue Agent 402 471 -5835 sign Prepa Signature Title Date Telephone Number here 1111. _ _Revenue Supervisor Auithorized Signa�tGre Title Date