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08/11/2004 14:28 FAX 14024714429 NEBRASKA UCC U002/006 <br />Or <br />. br..ka <br />dop&rtment <br />at revenue <br />200408702 <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />TEP-lff*An=- Of STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br />IF YUU INQUIRE ABDUT YOUR <br />ACC3UNTv REFER TO THESE NUMBERS: <br />SDC*;SEC* MOO, <br />5083�8187 <br />NEBRO' IDENTO NO* 243 I79 <br />SMME SDC*. SEC- RD* 505543802 <br />TAXABLE YEAR <br />1997 ALES A & r-FORGEWE <br />LIEN No. 003430233 -re aft - W& <br />LIEN RELEASE RDsw 01422339.55 GRAND-ISLAND NE 68807- <br />CERM1 y <br />DATE 13E *JTICS 0 <br />INSTRUWNT NO* UCC <br />IRSTRLMENT Me CTY <br />PURSUANT T13 THE REVENtM LAWS OF. THE STATE -OF KEBRASKA.i. Mfflcw IS <br />HEREBY' GIVEN IsY THE XclRA,'a-KA 'j)EpAjtTNEj.T , VE mm THAT.THE <br />GF RE <br />STATE TAX LIEN WHICH 14AS BEEN %ZULY FILEDAGAIKST THE ABOVE NAMED <br />TAXPAYER FOR l)WIVI-!)UAL INCWW,TARES is riRMINATEDo <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTlAENT 0r � itE <br />VENUE HAS COWLIED <br />iff" THE RF-VENUE LAWS UF THE STATE OF NERPAS.XA'I%' TWE DETERMINATION OF <br />THIS YERNINATICN* <br />' aa'pa �dmw'A <br />PREPARER&S SIGN- <br />*a a" <br />Allij it RIZE�D�I%GNATURE <br />♦0waom 112#6 __ 0 *Wa <br />TITLE <br />TITLE <br />0 0*40 a's we *a a Mae • <br />DATE <br />UA Ji Z X <br />PLEASE OLTAIN THIS NGTJCF WITH ",,UR p=RjqAXrzjqr RECCIRDSO <br />NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy <br />Printed with . soy ink on recycled paper 7-145-1979 Rev. 2-2000 supersedes 7-145-1979 Rev, 10-I995 <br />