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D4/15/2003 14:55 FAX 14024714429 NEBRASxd I'CC IA002/003 <br />K 6rt e1 eul.. uo' rR <br />I011 1111IIIIi�ll1111 l <br />gow 7 Pee: r <br />LRICPSTER KEN <br />r1Ltl: U1151nort 01:35 PR <br />200304615 <br />' NOTICE OF STATE TAX LIEN <br />PLEASE DO NOT WRITE IN THIS $PACE <br />This Notice of State Tax Lien is issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the stale I <br />Nebraska. Notice is hereby given that taxes including penalties and <br />Interest, which are shown below, are due from the taxpayer specked <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />34420347 <br />Uft1IAa11f <br />Gee& <br />uCOUmy Cisr <br />505 -78 -6730 <br />505 -70 -1326 <br />Jel5e1NI Number <br />Date of <br />LNn Typs <br />Parity <br />Gak of Lien <br />Count' <br />Nwnba <br />022530073 <br />AaD.1 <br />[X7,Orylnal QC.,nuaLim <br />❑Omrealatl <br />04 /1 072 0 03 <br />Assessrrlerlt DYe <br />HALL <br />BUSINESS NAME AND LOCATION ADDnE66 <br />TASPAYER NAME AND MMLING ADDRESS <br />sue'resv Name <br />Name <br />KEN 8 KAREN J L4NCAfiTER <br />a1reN Adtlreea <br />$trest N GtMr M1iNlrg Atldreee <br />411 NSHADY REND RD <br />city <br />Stals 21p Code <br />City Slate <br />Zip Code <br />GRAND ISIlAND NIP <br />AAAAJ <br />Tax <br />Category <br />I <br />Ta. Period <br />Date of <br />Amount of Tax <br />Parity <br />Interest <br />Adetions balance of <br />Nwnba <br />AaD.1 <br />Assessrrlerlt DYe <br />22 1 2001 1 07103/2002 6,194.91 1 658.70 1 498.98 1 1 7352.49 <br />_ I I I I TOTAL I$ 7352.49 <br />1 hereby certify Ihal the Nebraska DePSIMA 1 n' Revenue has mmplled w1vl the menus laws of the State of Nebraska n tae <br />doaminatlon oftheammnlan. to be due, andthetaapayer has What. p,theamount dusanerd.rr d. ifthlr NO:ke of State n <br />—m Liar is,arn /�x�tansl'aan nelfeNVe eserve�to ronnnua lhs priody of MS Cbte'a irderesi in the ffecfed property d the tazpe, 11K, <br />S !lYl( /, ¢ 1 A//A.. Revenue Anent �^'�("! �C2471 -5835 <br />sign P prekateis SpnaNrS Tle Dais' T.I. Newer <br />here 7 �! {', .��,r j� Revenue Supervisor <br />4 'h sized $i9�lura 'tae .��.��. vim.. exaoza. Date - r.rw.vwa. <br />