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11/19/2004 12:50 FAX 14024714429 NEBRASKA UCC <br />00 (7 <br />Or <br />nelxaska <br />department <br />of revenue <br />200411269 <br />in <br />1jh002/003 <br />NE Sao of Sigh - LICC 3% <br />9964361017-6 Peg: I <br />MARSH MARLIN L DECD <br />Filed: 11/19/2004 10:41 AM <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />1 4 1 E <br />4-RDIVIDUAL INCOME TAX <br />SVC* SEC . * Woo 506288727 <br />NEBR. ID'ENT- NO- 123194297 <br />,C. S=C. No. - 86646,66 <br />TAXABLE VIEAR 2000 <br />LIEN ND•; 032-900117 E MARSH <br />CwmTY 14 ALL MARLIN DECD & N AR " <br />ATE !NOTICE 10/17/200�3 2320 W PLATTE RTYER DRIVE <br />D OF <br />DATE OF !ASSESSMENT 0 9 / 01-- / 2 0, IC 3. DONIPHAN NE &88321 <br />M.ICE Qf: E NEBRASKA DEPARTMENT <br />THIS STATE TAX LIEN ISSUED tY rer 1- a <br />REVENUE folk INCIVIDUAL 114CIUME 'TAX PURISUANTI TO THE REVENUE LAWS OF <br />Y GTVEN TIAT INDIVIDUAL INCtIME <br />S74"ATE CIF NEBRASKAv NCT114CE TS HEREB .1 h- <br />WHTCjJ ARF <br />TAXES !NCLUDING PENALTIES AND ITNTE'RESTY " SEOWN BELOW ARE <br />FROM Tk TAXPAYER SPECITF"zrc-D ABOVE AND RE?JA.TN Ul,.IPAID A-rT;-R DEMA10 <br />FC qGPERTY BELS14GIN11IG <br />THESE TAXES CONSTITUTE A. LIEN 1N :HE 4C UMni iR P. <br />THE TAX0,AYER OR HEREAFTEER ACQUIRED, <br />AN NT OF TAX 1033w-0-13 <br />PENALTY 40 • 51.65 <br />CF <br />TP;E <br />DUE <br />Tel. <br />G <br />a/1!7j-';'G03) * 0 0 • • <br />INTERE-%T (COMPUTED vO <br />TOTAt AAC]UNT DUE <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIE'D <br />WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE.DETE-RHIkATIOM OF <br />THE AMOON-1 SfFJW;4 TO BE DUET AND THE TAXPAYER HAS FAILED TO PAY THE <br />ATE N IS AN <br />-1UE AFTER DEMAND- IF THJ� NOTICE OF STATE TAX LIE. AM00UNT n a- . Q I m PRIORI EXTENSIJ�N Of AM EFFECTIVE LIEN IT SERVES TO CON-f I -JE THE PRIOR g y 13F <br />THE S-,,'AT=-tS INTEREST 1H THE AFFECTED P'ROPERTY UP THE TAXPAYER• <br />4u 1 j C <br />PREP `'=PPS S'TGNAFTUR <br />THOR -D SIGNATORE <br />1 NEBRASKA DEPAF <br />Printed with say ink an recycled paper <br />TITLE <br />TITLE. <br />[TMENT OF REVENUE — White and Canary Copies <br />6(7/ / � <br />D A T E / T E L EPH't 13 N CE <br />D k <br />ATE <br />TAXPAYER — Pink Copy <br />7-145-1979 Rev, 2-2000 Supersedes 7-145-1979 Rev. 101995 <br />It <br />