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09/10/2004 10:55 FAX 14024714429 Ire - nebraska department at revenue NEBRASKA UCC 200409022 9005/005 - - - - --, ,. MR Notice of State Tax Lien PLEASE DO NOT WRITE IN THIS SPACE INDIVIDUAL INCOME TALC SUCa SEC. MO. 506?289 7 RCBRis IDE'NTo NO* 17144914 SPOUSE SO'_>. SEC. NO- 55759486 TAXABLE YE; 2_00Z LIEN: NC. 042190173 COUNTY HALL DAVID R & BRENDA K ASTRUNES DATE €#F Nunn 0B/06/00104 PO BOX 213 DATE OF ASSESSMENT 05/19/200-4 DD;INIPHAN N-= 68832 TNTS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NESIZASKA ' DE'PARTMENT OF REVENUE FOR INDIVIDUAL INC O E TAX PURSUANT TO -THE REVENUE LAWS QF - '# HE STATE OF NEBRASKA.. NOTICE IS HEREBY GIVEN_ THAT INDIVIDUAL INCOME TAXES INCL DIN&. PENALTIES AND INTEIRESTs WHICH ARE-SHOWN BELDW ARE DUE FROM THE TAXPAYER SPECIFIED ABUVE AND REMATH ' UNPAID AFTER DEMAND-0, THESE TAKES A LIEN IN THE COUNTY - FUR PROPERTY SEL014GI14G TO THE TAXPAYER OR HEREAFTER:ACQUIItEDa. AMOUNT OF TAX .. a s s s a a, a a a 81119. t3D PENALTY o s a s a o. a s o / a _• a1 • s a s .+ $a00 INTERES e . ICUM UTED T!, 08/06/ 200.. i. a • i u 4 s; 639:29 TOTAL. - AMOUNT DUE . o o a a a a a a a a a s a s ST 766.29 I' i,EREBY : CERTIFY THAT : THE NEBRASKA DEPARTMENT OF 4EYENDE HAS COMPLIED WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE i�ETERMINATIDN OF ;THE AMOUNT SHOWN TO BE DUES ANDJHE TAXPAYER HAS FAILED TO PAY THE ROUNT DUG AFTER DENANDa IF THIS NnTICE DE STATE TAX LIEN IS AN EXTENSION OF AN EFFECTIVE LIEN IT SERVES YD C%4TIWJE THE PRIORITY OF THE y. ATE R S INTEREST IN THE AIFFECTED PROPERTY OF , THE TAXPAYER- F-31 . e..a as a • .• �asassaaaa• ♦ss�aaa• •s'iaas�aa faa �'` -, PREP EROS ST E TITLE DATE /TELEPHUAIE � in o/. Zs ai N! s,v 4 0 sa a. A' HCRIIED SIGNATURE, TIT' ,-; DATE NEBRASKA DEPARTMENT OF REVENUE - White and Canary Copies TAXPAYER - Pink Copy Printed with soy info on reowAad paper 7- 145.1979 Rev. 2 -2000 Supersedes 7- 146-1979 Rev. 10 -1996