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05"03/2002 16 :47 FAX 14024 71.14429 <br />"b <br />rewaeke <br />d.Qarb,wrtt <br />at rweWe <br />NEBRASKA UCC <br />2002/003 <br />in <br />Vag: , <br />0:96 fait <br />Notice of State Tax Lien <br />PLEASE 00 NM WRITE IN THIS SPACE <br />This Notice of State Tax Den is issued by the Nebraska Department of I <br />Revenue for unpaid taxes purs'JAnt to the revenue laws of the stag of o O ®� 5 <br />Nebraska. Notice ;x hereby given that taxes Includiw naltiea and <br />interest, which are sho-m below, are due from the taxpayer spezlW <br />below and remain unpaid after demand Tbeset� to notate taxpayer or <br />the county for real and personll property <br />hereafter acqutred. <br />r4aorasua laal ncmon Nun:m Llef FUed With Soaal rieaXty or Fed4,rm I.D. Numbs Spouxti SoCid Boo^ Nuftsber <br />7389728 [ notorofDoode ❑C�:*a 506 -84 -202; <br />l.wn Soria Nwnba Lien Type Deta of uan Ctxrrlty <br />02/05/320 <br />C$ orirw ❑ �na^ue1b^ ❑ C rreaw 5/3/02 HALL <br />BUSINESS NRME AND 44CAT10H ADDRESS TAXPAYER NtE AND ►IAa IN4 ADDfiE$S <br />Buaness Name N" <br />TIMOTHY GARRISON <br />5rraet AA3ross street or Omar McAm Address <br />4339 W STOLLEY PARK RD <br />ciry <br />6eme zip code ony • Stale Tp Coda <br />,GRAND ISLAND NE 68801 <br />ax Ca2° of Amount of Tex Penalty interest AddWons Belanceot <br />Cat ory Tax Period Asaesnnarrt Asomment Due <br />21 13/31/01 W 2/12/02 416.52 51.29 16.48 1 484.24 <br />I <br />i <br />Fleatz rrtutd lo: <br />STATE OF N1= BR.ASKA <br />D1`PA'RTNtENT OF REVENUE <br />1811 WEST 2H° ST STE 460 <br />GRAND ISLAM] NE 68$03 <br />TOVAL $ 484.24 <br />.ter ---- <br />I raeby Cenry trial ma Nabraska napxrtnant of Fevenue has eomptad with the rawM I&V9 of the State of Nebrsska In the datmnination <br />d the amp�rt shown to be due, and me ta>payar nae fated to pay Ina amount d ua net denwret, if tie Nmoe of State tax •Lien is an extension of <br />an effe " n en, h Serves to oontlrtue the pdorfy of the stale's kaef in the effocted prone of Vo taxpay or. <br />sign c ,L_d% aaz, --p ►3 oZ <br />Il��e <br />Pr rd o gnnkrre dto Date TolOpnonaNO, <br />nzad �' Tip • ` to 1• <br />�rt NrM 0CPARTI� Ni F REVENU hrte arid Goldenrod Copies TAXPAYER • PInk Copy - COUNT/ OFFICE • Canary Copy <br />4494474 Rw, 10.0 Stroentedee 449474 Rev 1.95 <br />