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07/08/2004 14:59 FAX 14024714429 NEBRASKA UCC fJ002 /002 <br />200406838 <br />fR sac of t1mb - UCC TM <br />9984341482 -7 Poc: 4 <br />NICKERSON CATHERINE A <br />Filed: 07/0812004 02:28 PM <br />Or Notice of State Tax Lien <br />nehraska <br />department <br />of revenue <br />PLEASE 00 NOT WRITE IN THIS SPACE <br />R Il:ATI OF STATE TAX LIEN <br />INDIVIDUAL INCOME T OYC r <br />If YOU SQUIRE ABDUT SCOUR � � 2 �j . �t450 <br />ACCOUR T REFER TO THESE NURSERS** <br />SOCs, SEC. Mg+ EC4774-5644 <br />NERRe IDE�11'i r 413w 3_f24250 <br />SPaUSE SOCw SEC- NO• 5086800 <br />TAXABLE YEAR -1995 RICK L E CATHERINE A NICKERSON <br />LIEN We, ¢ 00612 0 7 028 HERPHIELL RD <br />LIEN RELEASE Nn-- 0417.49?21 JULIAN NC 27233 <br />COUNTY N � <br />DATE Of NOTICE 06i22/200+ <br />'NSTRUNENT Nr-,* tXC r: 22.1:qW __.. ... ... -- - �.. <br />INSTRi MEKT U04 CTY <br />PURSUANT TO ME REV NUN LAWS OF THE STATE OF NEERASKAt NOTICE IS <br />HEREBY 61VEN 8Y THE NEBRASKA DEPARTMENT OF REVENUE THAT THE <br />STATE TAX. LIEN WHICH HAS BEEN DULY FILED .AGAINST THE ABOVE NA MD <br />TAXPAYER FOR INDIVIDUAL IHCONE TAXES 1$ TERNIFA3E%e, <br />I HEREBY CERTIFY THAT THE NEBRASKA CEPARTNiNT OF REVENUE HAS COMPLIED <br />WITH THE REYENVE LAWS OF THS SPATE OF NEBRASKA TX THE DDT RNINATION Of <br />THIS TER 1NA,TIO + <br />sS`�wi+/i0 e rs a w rsry + ♦+ +rrsees ss•w +s• s.swrsw <br />PREPARIRIs S ` HAT TITU � DATE <br />;+ rrw. +w.+rsrr +e w ssr wrr +r + +r •• se #rww.. +r +r s1/. /.e�iy sss• <br />u- TR*QSR10zi «Li SArG -N ; Y URE TiTL *;ATE <br />PLEASE RETAI N THIS NOTICE WITH YOUR PERMANENT R'= CORDS+ <br />NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy <br />Pdnted with soy Ink on reaycied paper 7- 145.1979 Rev. 2.2000 Supersedes 7. 1451979 Rev. 10-1995 <br />