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05/28/2004 16:24 FAX 14024714429 NEBRASKA UCC <br />Enterer on numerical.- <br />ex and rreco ed on <br />d <br />f <br />200405376 <br />7�`-'' Jean Fishe, <br />Register 'of Ned <br />q <br />Hall Courity, Nebraska <br />Z003/004 <br />Notice of State Tax Lien <br />U-4 <br />FILEXSE- 00-NOT WPITE 1"RS -SPACE' <br />rNDIVIDUAL INCOME TAX <br />SOC • SEC, N04 <br />506507361 Prr i IF <br />NESR• IDENT• NO. 39439593 <br />SPOUSE SQC* SEC-- NO. <br />4t)k' 06 _7997 <br />TAXABLE YEAR 1992 a jv <br />jaw <br />,LIEN NO* 91040016 <br />COU14TY HALL JAMES K IRWIN aw, I <br />DATE OF NOTICE <br />03/07/97 ARI BOX 4205 <br />DATE OF AS $ES SMIr NT XX-WX41 vx A /f- f GRAND ISLAND 14E 68803' <br />k�71 <br />34-5, NOTICE UP S,14Te TAX LIEN IS ISSUED BY THE NE . 3RASKA OePATMENT` OF <br />R8VENUE FOR INDIVIDUAL INCOME TAX PQRSUANT'IC, THE REVENUE LAWS,- CF THE <br />STATE OF NEBRASKA• NOTICE IS HEREBY GIVEN THAT INDIVIDUAL. INCOME <br />.TAXES INCLUDIN4 PE.NALTIES AND INTEREST9 WHICH ARE SHOWN B -LQW ARE DUE <br />_FROM THE TAXPAYER :;SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND* <br />,r8etE -TA)(ES_`V1NSff-iiJ-U A_ lft-N i-N `1%4 --CWN'tcy <br />Y IN . <br />THE TAXPAYER OR HEREAFTER ACQUIRED. <br />AMOUNT OF TAX <br />PENALTY <br />INTER-EST (COMPUTEL TO 03/07/97) <br />TOTAL AMOUNT DUI;: s • <br />55i a 3 7 <br />HEREBY CERTIFY 'THAT THE NEBRASKA DEPARTMENT CF Rr-.VENVE. HAS CUMPLIED <br />1411TH THE REVENUE LAWS OF TME" STATE OF NEBRASKA IN THE DETERNIMTIUN OF <br />THE ANCONT SHOWN TO EE DUES AND THE TAXPAYER HAS FAIL.Cp TO PAY THE <br />AMOUNT DUE AFTER DEMAND• IP THIS NOTICE OF STATE TAX LIEN IS AN <br />EXTENSION OF AN EFFEC7IVE LIEN IT SERVES TO CONT114UE THE PRIORITY OF <br />THE STATEIS INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER- <br />;too 6 <br />TITLE P k P A R.. TT <br />" <br />DATEUTELEPHONi.' <br />z <br />AUT <br />S 17A;U E TI ILE DAIL <br />( <br />NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER Pink Copy COUNTY Goidenroo Copy <br />PrWadyvm -Y kl- 7crwpqw 7-145-79 Rev. 10-95 Sups— 7-145-79 R", 6-91 <br />do, <br />