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07/17/2002 16:19 FAX 14024714429 6� NEBRASKA UCC 200207620 U002 ITIL III I' Ili Paz I AM �r NOTICE OF STATE TAX LIEN nMroSW Aepino-inl MIOVMUI PLEASE DO NOT WRITE IN TNIS 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 remaln.unpaid after demand. These taxes constitute a lien in the county for real and personal property belonging to the taxpayer Nebraska IdentMfraflon Number Lien Fled With I Social Security Number Spouse's Social Security Number 8726043 1X RegiaterofDeeds []CountyClerk Len Se"lal Number Lien Type Date of Lien County p( a'7 Aq 5aOriglnal QContinuation Dorrecte0 07/05/2002 Hali BUSINESS NAME AND LOCATION ADDRESS TAxPAVrR NAME Aran Mee lmC nnnneec Business Name Name Midwest Transfer Inc. Street Address Street or Other Mailing Address - 618 3 Monroe city State Zip Code City State Zip Code Grand Island NE 68801. Tax — Category L Tax Period Date of Amount of Tax Penalty Interest Additions Balance of Number Assessment Assessment Due 21 07/01/2001 09/30/2001 07/05/2002 100.00 25.00 6.10 131.10 21 10/01/2001 12131/2001 07/05/2002 100.00 25.00 3.82 128.82 01/01/2002 21 03131/2002 C7/0512002 100.00 25.D0 1.63 126.63 - Picot rer"M to: STATE OF NEBRASKA DEPARTMENT OF REVENUE 1811 WEST tun ST STE 460 — GRAND ISLAND NE 68803 TOTAL $ 388.65 „a' euy ceru,y 1101 Me rveorasna ueparvnem or nevenue nas compuea wltn we revenue laws 01 the State of Nebraska In the determination of the amount shown to be due, and the taxpayer has failed to pay the amount dua after demand. If this Notice of Slate Tax Lien is an ex msio fan "active lien, it serves to continue the priority of the state's interest in the affected property of the taxpayer. sign reparers Ig a re Tide— St, 7// Te 08e3N mb.r here Revenue Supervisor f _ �y Au[hpriz IqP re /j Til'.e Da f 4-411e -I W < Rea, 220C2 SuDSrssOes i49 <-1 Y14 Rua 10-199S f!