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08/31/2004 14:29 FAX 14024714429 NEBRASKA UCC 11003 /006 <br />Or <br />nebraska <br />department <br />of revenue <br />200408703 <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />TERIWAIJAM OF STATE Tim LIEN <br />INDIVIDUAL INCOME TAX <br />I YOU 1119i#ILRE ABOUT YWft- <br />ACCW4*Tr REFER TO THESE HU ERS: r� <br />SHC. SEC. NO. <br />BR: It3EH1Ts. r 2Z39? <br />SPOUSE SOC. , SEC.. We 505 2185 <br />TAXABLE TEAR ;1995 GE-RA A &,. LECIt.zALESSTG <br />LIEN He* 96243U213 208 E 23TH ST <br />LIEN. RELEASE Hoag 04M2822' fAH� ISLAND NE b8 80�'3 <br />COUKY : HAS <br />DATE GF . � uncE 08>�.1�120 �..._._ .._. <br />INSTRt Wr "t,. UCC '� .� <br />IWSTR NT N: CTY ..:1 � #�. iJ°� <br />PURSUANT TO I"HE PXYENUE LAWS OF THE STATE OF .8jtASRA!y, , NoTICE IS <br />HEREBY GI'V'EN Y THE HERRASKA'DEPARTMENT M REYEHHE TgAT THE <br />STATE TAX LIEN WHICH HISS BEEN :.Y FIL-D 4AZAINST THE UCTE MANED <br />TAXPAYER FOR INDIVIDUAL INCOME TARES IS TERNIkATEED. <br />I HEk --ZW CE.R1rTTY THAT THE " NERRASKA DEPARTMENT O REVEL HAS COWLrED <br />WITH M R.EVENIM LAWS OF THE STATE 00F NEBRA•'SKA. IH THE DETERKMTION OF <br />THIS TCRHIHATiou <br />•& .. /j <br />PARER ,rS SirNATHR.E , <br />SIGNATURE <br />TITLE <br />TITI <br />A,?"' -W - <br />a Mae Mee .. a!l.1er. <br />DATE <br />• * Z »-v�i 1. l . i . <br />DATE <br />'LEASE RETAIN THIS NOTICE WITH'YOUR PERMANE"T R:=.LOi DS. <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. 10-1995 <br />