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07/02/2004 16:49 FAX 14024714429 NEBRASKA UCC Or nebraska deparlment of revenue sac SEC* NOs tiE&L IUENT. NO- SPOUSE 3DC. SZ-C_ No* TAXABLE YEAR LIEN NO,w CWNTY DATE DF : uTll`E DATE tW ASSESSMENT e 1Y 200406698 R] 003/003 Notice of State Tax Lien PLEASE DO NOT WRITE IN THIS SPACE 14, DIVIDUAL INCOME TAX 5229,b3T27 41873327 2002 u4C+440393 HALL TERRY L MYERSA 02/13./ZO'04 PO box 1252 11 1 /10/2 03 GRAND IStANZ NE 68801 THIS NOTICE OF STATE TAX LIEN IS ISSN 3Y THE NES ASKA ' f3EPARTMENT" OF REVENUE FOR INDIVIDUAL INCOWE TAX PURSUANT TO THE REVENUE LAWS Of THE STATE DF NE8,qASXAs NOTICE IS HEREBY aIVEN THAT INDIVIDUAL INCOME TAXES INCLUDING PENALTIES AND TNTERESTi WHICH ARE SH�VN BELOW ARE MPE FRGM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. THESE. TAXES CONSTITUTE A LIEN Its T14Z COUNTY FOR PROPERTY" EEL3NGTNG TO THE TAXPAYER OF. HEREAFTER ACQUIRED* ,AK3UNT OF TAX e . s w e . . • s • . s. . 9 6 . 63u *00 INTEREST (COMPUTED TO 02/13/2 4) 33004 ;UTAL AROUMT DUE • . s w • 6 . 6 0. 6 . • . . . 703,954 1 HEREBY CERTIFY THAT THE NEBRASKA DEPART NT OF REVENUE HAS COMPLIED WITH THE REVENUE LAWS OF THE STAVE OF NEBRASKA IN THE DETERMINATION Of THE AMOUNT SHOWN TO BE DUEj AND THZ 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 '10 CONTINUE THE PRIORITY 12F - t{r; THE STATE'S INTEREST IN THE AFFECTED PROPERTY OF THE 'TAXPAYER• <� f',�� PREP ERIS SIG E A RURITED ST�i ATURE NEBRASKA DEPA Panted with soy ink on recycled paper 6#.6...0 0wO.w•.660 Te- a% / s. 9 • . 6. #0900.6 —� �° 4 TITLE RTMENT OF REVENUE — White and Canary Copies L/ /J �,Iaslw y)/6wr! DATEITELEPHONE e7— DATE TAXPAYER - Pink Copy 7- 1451970 Rev. 2 -20DO Supersedes 7- 1451979 Rev. 10 -1995