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04/28/2004 15:56 FAX 14024714429 <br />g. <br />NEBRASKA UCC IA004 /004 <br />No sac of s #.k. - ucc sit, <br />20-0404215 <br />9904390942.0 Peg; <br />SMITH GENE R <br />Fil•d: 04/28/2004 12;20 PM <br />Notice of State Tax Lien <br />Or <br />nebnmlo <br />deparUMM <br />of revenue PLEASE DO NOT WRITE IN THIS SPACE <br />INDIVIDUAL INCOME TAX <br />SOCw SEC* NO* 5086Z24Z4 <br />NEBR. TDFNT• ISO• 23984236 <br />SPOUSE SOCa SEC• NO. 5069059OZ <br />TAXABLE YEAR 2000- <br />LIEN 140- 012360260 <br />COUNTY 14ALL GENIE R t DEBRA K SMITH <br />DATE OF NOTICE 08/24/2001 3008 BRENTWOOD SD <br />DATE OF ASSESSMENT 06/06/2001 GRAND ISLAND NE 53831 <br />THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF <br />REVENUE FOR INDIVIDUAL INCOME TAX PURSUA14T TO THE REVENUE LAWS OF THE <br />SPATE OF NEBRASKA- NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME <br />TAXES INCLUDING PENALTIES AND 1NTERESTs WHICH ARE SHOWN BELOW ARE DUE <br />FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AsfcTER DEMAND* <br />THESE TAXES CONSTITUTE A LIEN IN THE COUNTY F13R PROPERTY BEL0NGIVo- TG <br />THE TAXPAYER. OR HEREAFTER ACQUIRED* 397.38 <br />AMOUNT Of TAX s • r . s . • a • • <br />PENALTY • • • • • • • . • a • . • • 19• $T <br />INTEREST (COMPUTEn TO 08/24/2001) • . • • . • . 12.84 <br />TOTAL, AM"T DUE • a • • • • s a a • • • • 430.09 <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />wITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THE AMOUNT sjjvWI TO BE DUEv AMD .THE TAXPAYER HAS FAILED TO PAY THE <br />A .114T DUE AFTER DE1+4ANDo IF THIS NOTICE OF STATE TAX LIEN IS AN <br />_XTENSIGN OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY Of <br />THE STATE "S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAY'ERa <br />• .• ••aa••••s•• i•il�aiO�I a••• ••a•• <br />. . • 1 . •... '• •.... TITLE D�iTE /TEL €PHI:HE <br />PRFPA2EER S SIG. T E �I�TL )�}�! 1 <br />ri'fisi s s a�i +• a'•Y��L•`i�-a s �i ia•sr <br />RT ?_D STGRATURE TITLE <br />DATE <br />�i <br />/ NEBRASKA DEPARTMENT OF REVENUE —White and Canary Coples TAXPAYER Rev- 2 Copy <br />S 745.1979 Rev. 1a1s9s <br />Printed with soy ink on recycled Paper <br />