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09/28/2004 14:54 FAX 14024714429 NEBRASKA UCC IM003 <br />v C}V <br />Or <br />nebraska <br />department <br />of revenue <br />Sac. SEC. NO* <br />NEBRa I3DENT• NO.. <br />SPOUSE SOC. SEC..NO, <br />TAXABLE YEAR <br />LIEN NO. <br />COUNTY <br />BATE OF NOTICE <br />DATE OF ASSESSMENT <br />200409591 <br />NE see of S4.j. - UCC sTL <br />9904382397 -9 Poi; 1 <br />PICKREL SCOTT <br />Filed: 09/27/2004 04:01 PM <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />INDIVIDUAL INCOME TAK <br />5D7786"s <br />38800861 <br />1998 <br />03G430750 <br />�r <br />0 2/1412003 <br />a. 14-03 <br />SCOTT P CKREL <br />3420 S STUHR RD <br />BRAND ISLAND NE 68801 <br />THIS NOTICE OF .STATE TALC LIEN IS ISSWD By THE NEB�cASKA DEPARTMENT OF <br />REVENUE FOR I` DIV11WAL INCOME TAX PURSUANT TO THE REVENUE LAWS Of THE <br />STATE OF NEBRASKA. NOTICE IS HEREBY- GIVED#; THAT INDIVIDUAL INCUME <br />TAXES INCLUDING PENALTIES AND NTERESTv WHICH ARE SH`1�N .SELt]N ARE DUE <br />I <br />FRAM THE TAXPAYER SPECIFIED ADaVE AND REMAIN UNPAID ,AFTER DEMAND- <br />'ESE TAXES CG14- STITUTE A LIEN IN THE cauNTY FOR PROPERTY BELONGING TO <br />HE TAXPAYER OR HEREAFTER AC4UJRED,w <br />AMOUNT OF TAX . IS . IS . . . . • . ,. I72 *GO <br />PENALTY a *,a r . . . • a . . . • . . Se 60 <br />INTEREST (CURPUTED TO '52/1412003) . . . . a a . 58.7$ <br />TOTAL AMOUNT DUE . a s . . . ■ a . . . a a • 0,40 ?39.38 <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED-. <br />WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THE AMOUNT SHOWN TO BE DUEP AND THE TAXPAYER HAS FAILED TO PAY THE <br />CUNT DUE AFTER #DEMAND, IF THIS NDTICE OF STATE TAX LIEN IS AN <br />EXTENSION OF AN EFFECTIVE LIEN IT .SERVES TO CONTINUE THE PRIORITY aF <br />* ST,ATEIS INTEREST IN THE AFFECTED PROPERTY OF THE TAXPA'YERN <br />ARERI S SIZNAT;'jRE <br />SIGNATURE <br />TITLE <br />DATEITELEPHONE <br />DATE <br />NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy <br />Printed W&h soy ink on recycled paper 7 -145 -1979 Rev. 2 -2000 Supomodes 7- 146 -1979 Rev. 10 -1995 <br />