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11/17/2004 17:32 FAX 14024714429 NEBRASKA UCC IA007/010 <br />200410 <br />Or Notice of State Tax Lien <br />nebfaska <br />department <br />of revenue <br />PLEASE DO NOT WRITE IN THIS SPACE <br />I NDI V1011AIL l-$RCWrL TAX <br />Saco SEE* - ND-b 5069,68485 <br />MENT* NOe 3 6 T. Z 44: 715 <br />S au ZMCO SECA NPO <br />TAXABLE YEAR 2-23:51 <br />LIEN NO, 041490364,11. <br />LOMY HALL ERIC 4 THDINPSON. <br />DATE. VF:XGTICZt 0 W W Z004 30-2'�-a WESTSIDE Sf.V.FF.T <br />OATE 1W ASSESSMENT 0Q'1,2-f200'4- G-RAND 1SLAND WE O-Wl <br />THIS NOTICE OF STATE TAX LIEN 15 ISSUED 'B11' THE NEBRASKA � DEPARTMENT Of <br />AEVENUE fOR TAX PURSUANT - TO THE LREVEWUE:LAVS DE THE <br />STATE OF NEBRASKA- '-L' NOTICE. IS HEREBY, 916YE4.' THAT VDIVIDIJAL. INCOME <br />IN�IILUDTN6 J?, -hm <br />UXES J6 ENIALTIES AN LIATERESTir WHICH' ARE SHL SELUOW, ARE 011-E: <br />FRO N TiCE UKPAYER SPE'CIFIKED k4WE <br />THESE TAXES COUMTUTE A-rLlz-:N;114 THE - COUNTY FOR MOPERTY BELONGING TO <br />THE JAXPAYER nak HEREAFTER ACQUIRAE"ne. <br />AN-CUNT 04� TAX • qw 40 -77 -0 3w <br />PFOULTY 34995 <br />INTEREST' C M? UTED TO 9 4) o :% s, e 252N' :3 <br />TOTAL AMOURF DUE ZIP4.340 D-3 <br />FY THAT-TRE NEBRA.SoWDEPARTNEW OF REVF-9UC-:JiA$:C0lVA-l5D <br />WITH .THF- REVENUE LAWS 3F THE S TATE OF NEBRASKA: Ift THE 7 DET'-9041wl 101.4 Of <br />THE AM MINT SHOWN: T-0 BE D;JF-.t AND % THE - TAXPAYER, HAS FAILEa TO PAY :ThE. <br />ANOUNT DUE AFTr--R 'VEMAIW, , IF THIS WITICE Vtf STATE TAX - LZ-Em; IS A-M <br />EXTENSIEMUF AN EFFECTIVE LIE WIT SUVES TO CUNTINIETHE PRIGRITY DF <br />THE STATESS.INIEREST Th THE AP rZTED MPERTY OF - THF?TAXPkYER* <br />V F- <br />4Y-Ilv- <br />?REP RERIS a A T I 71-7z: <br />140; <br />UT Ell SIGNATURE TITLE <br />NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies <br />PriMM with Anv Ink on recloCled DW91 <br />DATE/ TEUPHaNE i'V <br />6X <br />LATE <br />TAXPAYER — Pink Copy <br />7-145-1974 Rev. 2-2000 supersedes 7-145,1979 Rev. 10-1995 <br />