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04/09/2002 16:26 FAX 14024714429 NEBRASKA UCC <br />r <br />O <br />200203887 <br />003'003 <br />Or Notice of State Tax Lien <br />nab acre <br />vl <br />W ravnn.nu. <br />PLEASE DO NOT WRITE IN THIS SPACE <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 state of <br />Nebraska. Notice is hereby given that taxes including penalties and <br />interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a lien in <br />the county for real and personal property belonging to the taxpayer or <br />hereafter acaaired. <br />Nebraska ldeneenadon Number <br />33968306 <br />lien Rled Ydth r� <br />[2RaglnerofDeads �Coumyca <br />Sodal Sea^ w Federal l-D. Number <br />505 -82 -5679 <br />Spouse's Seeial Security Number <br />507 -84 -2743 <br />tan serial NJnher <br />001470060 <br />Uen Type <br />[ZOr4inal [>Minualiw []Corrected <br />Dateof Ueo <br />03 -24 -02 <br />County <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />JOHN A & KATHRYN M SAUTTER <br />WWI Address <br />Stag or Door Melling Address <br />PO BOX 207 <br />City Stare Z* Coda <br />Gty - State Zip Woe <br />GRAND ISLAND NE 68802 <br />category <br />r <br />Tax Pried An�srnnt <br />Atnount of Tat <br />Prlafty <br />Inter"! <br />Addltiom <br />Aat�earnies f <br />22 <br />1996 09 -26 -99 <br />1199.78 <br />119.99 <br />888.87 <br />2208.64 <br />Pism radon b: <br />STATE OF NEBRASKA <br />— DEPARThMNT OF REVENUE <br />1811 WEST 2Nu ST STE 460 <br />— GRAND ISLAND NE 68803 <br />— "- <br />TOTAL <br />$ 2208.64 <br />I hereby certify that to Nebrsaea Depenrnent of Revenue has mmplied with the revenue laws of the State o' Nebraska in the determi nation <br />WthearrmrlshGwntobe di e. and lhetaxpayer has failed to pay the amoW d ua after demand, H this Ncaes of State Tax Lim is an extension of <br />an etfardve lien, P, sarvaa 6 -ipntln o the pdwdy of the state's lrrerxtin the affected property of the taxpayer . <br />n <br />sign / ��� �� v ��- JE <br />herePreparers n <br />A e rNe Exalts Tele191615 neNo <br />lxle r `` <br />NEBRASKA EPARTME ENUE• Whigand Goldenrod Copies TAXPAYER -Pink Copy COUNTY OFFICE -Canary Copy Yf f <br />0p W m p 64e 74 .am aupar.atl.a "!W74 R.r 5 <br />