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08/02/2002 14:53 FAY 14024714429 NEBRASKA DCC <br />Or <br />�w <br />eos.snem <br />Q 002/01 <br />I s <br />9 Rh <br />I Y <br />= U <br />a s <br />z U u <br />re 200208155 <br />NOTICE OF STATE TAX LIEN <br />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 specif led <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 />Nebraska kterefication Number Lien Filed With Social Security Number Spouse's Social Security Number <br />14020394 Z Register of Deeds C1 county Clerk 507 -50 -9232 508 - 62.0044 <br />Lien Serial Number - Lien Type Date of Lien County <br />020460201 OX Cdginal Continuation []Corrected 1 07/31/2002 HALL <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Susloess Name Name <br />DENNIS R & NANCY L MILLER <br />Street Address Street or Other Malting Address <br />3308 CENTER LAKE DR <br />City State Zip Code City State Zip Code <br />SPIRIT LAKE IA 51360 <br />Tax <br />N <br />� <br />Tax Period <br />Date of <br />Amount of Tax <br />Penalty <br />Iraerest <br />Additions <br />Balance of <br />Number <br />Assessment <br />Y <br />00 <br />Q <br />to <br />S <br />N <br />Q J <br />� J <br />E-- <br />C <br />L C) <br />w <br />o <br />O r <br />•t 7 <br />LU <br />C'7 <br />W <br />Y <br />Z3 <br />Z3 <br />< <br />a <br />Or <br />�w <br />eos.snem <br />Q 002/01 <br />I s <br />9 Rh <br />I Y <br />= U <br />a s <br />z U u <br />re 200208155 <br />NOTICE OF STATE TAX LIEN <br />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 specif led <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 />Nebraska kterefication Number Lien Filed With Social Security Number Spouse's Social Security Number <br />14020394 Z Register of Deeds C1 county Clerk 507 -50 -9232 508 - 62.0044 <br />Lien Serial Number - Lien Type Date of Lien County <br />020460201 OX Cdginal Continuation []Corrected 1 07/31/2002 HALL <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Susloess Name Name <br />DENNIS R & NANCY L MILLER <br />Street Address Street or Other Malting Address <br />3308 CENTER LAKE DR <br />City State Zip Code City State Zip Code <br />SPIRIT LAKE IA 51360 <br />Tax <br />Category <br />Tax Period <br />Date of <br />Amount of Tax <br />Penalty <br />Iraerest <br />Additions <br />Balance of <br />Number <br />Assessment <br />Assessment Due <br />22 I 2000 1 11/2112001 j 3,270.00 52.00 1 386.28 I I 3,708.29 <br />Plane r4unt to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2" ST STE 460 <br />GRAND ISLAND NE 68803 <br />0.00 <br />Ie <br />e er <br />e rr <br />'e I, <br />TOTAL 1$ 3,70828 <br />I hereby Certly that the Nab25k3 ueparbnent or Revenue nae complied wen the revenue la'Ne of the Stare of Neoraeka In the <br />determination of the amount shown to be due, and the taxpayer has failed to pay the amount die after demand. If this Notice of State <br />Tax Len is an xt Ion of effective Ilan, it serves to continue the priority of the state's inte st in the affected property of the taxpayer. <br />Revenue Agent -7 /-/—o 2— 308 385.60721 <br />sign p rers SlWaturillo, Tie Date Telephone Number <br />here Revenue Supervisor / �v <br />Au or¢ Si a Title P <br />4J9< -1976 Rey ].]M] SupaneEes tlJ94.1973 Fief. t0 -197= <br />