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06/26/2002 16:25 FAX 14024714429 NEBRASKA UCC <br />M? <br />Social Security Number <br />Spouse's social Security Number <br />33968306 <br />Q Register of Deeds [:] County Clerk <br />505-82 -5679 <br />M�e <br />Lien Serial Number zz Lien Type Date of Lien <br />County <br />.210YI JGg <br />; ❑Oritimal QContinuirJon QCorrected 0612512002 <br />HALL <br />G <br />AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />O7 <br />CID <br />Street Address <br />1 <br />X <br />PO BOX 207 <br />City <br />rl) <br />On <br />State Zip Code <br />cc <br />< <br />Tax <br />C <br />CD <br />q <br />:rj <br />CT <br />Gtagory <br />Number <br />CV <br />_ m <br />-. <br />-' <br />Amount of Tax <br />Interest <br />y <br />Balance of <br />Assessment <br />all <br />N <br />Assessment Due <br />CD <br />�Ll <br />W F- <br />Z <br />?qtr <br />09126/1999 <br />599.78 <br />CV <br />Q <br />� <br />Sw <br />O <br />f— O <br />-� <br />0.00 <br />CV <br />p!tas+rclnm to: <br />NEBRASKA <br />0.00 <br />.Ir -. <br />0.00 <br />STATE OF <br />OF RE T" <br />raarpke <br />dtaaamtnr <br />D0lARTh1ENC <br />ST STE 460 <br />w.ertnm <br />0.00 <br />Ji 2 U <br />0 Q T <br />� U U <br />LL <br />W <br />Ct <br />U 002:'002 <br />2- 00206775 <br />NOTICE OF STATE TAX LIEN <br />ea raYt <br />`? This Notice of State Tax Lien is issued by the Nebraska Department of <br />t� 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 duo from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a Ilan <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />Nebraska ideatificabon Number Uen Filed With <br />Social Security Number <br />Spouse's social Security Number <br />33968306 <br />Q Register of Deeds [:] County Clerk <br />505-82 -5679 <br />Lien Serial Number zz Lien Type Date of Lien <br />County <br />.210YI JGg <br />; ❑Oritimal QContinuirJon QCorrected 0612512002 <br />HALL <br />BUSINESS NAME <br />AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />JOHN A SAUTTER <br />Street Address <br />Sleet or Other Mailing Address <br />PO BOX 207 <br />City <br />State Zip Code <br />City <br />State Zip Code <br />GRAND ISLAND <br />NE 68802 <br />Tax <br />Gtagory <br />Number <br />.lax Period <br />Data of <br />Amount of Tax <br />Penalty <br />Interest <br />Additions <br />Balance of <br />Assessment <br />Assessment Due <br />22 <br />1996 <br />09126/1999 <br />599.78 <br />119.99 <br />912.54 <br />1,632.31 <br />0.00 <br />p!tas+rclnm to: <br />NEBRASKA <br />0.00 <br />0.00 <br />STATE OF <br />OF RE T" <br />D0lARTh1ENC <br />ST STE 460 <br />0.00 <br />1811 WEST 2ND <br />ISLAND NE 68803 <br />GRAND <br />TOTAL <br />0.00 <br />$ 1,632.31 <br />.. • -• - -4 -- . •r .. �.. ........a . Fw.. ucm ui IN �vcl ue i as wr ipneu wlM WE revenue laws 0r me Jima 01 Nebraska in the <br />determination of the am I shown to he due, and the taxpayer has fared to pay the amount due after demand. 1` this Notcs of State <br />Tax Lien Is an ex sl an a ctive lien, it serves to mntinae the prol6y of the state's interest" the ad tec property of the taxpayw, <br />Revenue Ageni � -i� o Z 308 385 -6072 <br />SIgI7 Pre es Signature j Title Dale Telephone Nuri fqy <br />here _ Revenue Supervisor 1` <br />I Orl2ed n re 71118 Date <br />4 -094 -1974 Rev. 2.4002 Suersctla14 494 -1274 Ra+.'0-1955 <br />