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07/21/2003 11:48 FAX 14024714429 NEBRASKA UCC Q003/003 NE Sat of f1N• - UCC STL V 20030042' 9863285217 -6 Poe! t LUCA6 KYLE W Filed: 07!16!2003 03:36 PM Or NOTICE OF STATE TAX LIEN e� PLEASE DO NOT WRITE IN THIS SPACE This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the revenue laws of the state of Nebraska. Notice Is hereby given that taxes including penalties and interest, which are shown below, are due from the taxpayer specified below and remain unpaid after demand. These taxes constitute a lien in the county for real and personal property belonging to the taxpayer or hereafter acquired. Nebraska Identlflcation Number Lien Filed With Social Security Number Spouse's Social Security Number 19131755 L^_� Register of Deeds ❑ County .Clerk 507 -74 -5711 Lien Serial Number Lien Type Date of Lien County 020460221 ]original E] Continuation Corrected 1 07/15/2003 Hall BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name Kyle W Lucas Street Address Street or Other Mailing Address PO Box 38 City State Zip Code City State Zip Code Alda Nehmska 68Rifl Tax Category Tax Period Date of Amount of Tax Penalty Interest Additions Balance of Number Assessment Assessment Due 22 2000 11121/2001 1,775.00 172.25 321.42 2,268.67 -1 I I TOTAL IS 2,268.67 I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determination of the amount shown to be due, and the taxpayer has 'ailed to pay the amount due after demand. If this Notice of State Tax Lien is extension of an a lien, It serves to continue the priority of the state's interest In the affected property of the taxpayer. ff7 ! , Revenue Agent 7—/6-0 ? 402 471 - 583.1 r 1 sign Prep s n Title Date Tele r er' Li here Revenue Senior Agent �: Authdfized Signature Title Date �.P