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08/28/2002 15:48 FAX 14024714429 NEBRASKA UCC O G l M �Ir 'i d4gnnenl a nwn W 2 t�U Z U v w w Im 2002!004 200208918 NOTICE OF STATE TAX LIEN 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 remain unpaid after demand. These taxes constitute a lien In the county for real and personal property belonging to the taxpayer or hereafter scoured. Nebraska Identification Number Lien Filed With I Social Security Number Spouse's Social Security Number 16925351 K Register of Deeds ElCounty Clark 505 -22 -8266 Lien Serial Number I Lien Tv°a I Dataofi Ian r..,,ni1 010540039 ©Original [—]Continuador. Corrected 1 08/0112002 1 HALL BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name ERMA E THAGARD Street Address Street or Other Mailing Address 1419 W LOUISE C ty State Zip Code City State Zip Code GRAND ISLAND NF FRA01 Tax � r ° 492.00 123.00 360.58 975.58 C7) Tax Period N r Amount of Tax te 4 Atldltlons Balance of Number 1995 v w 420.00 ti N z �7 Assessment Due o "- ° y BitASKA 248.00 � w F OF RE2YD Ll 405.95 22 1998 ST STE 331_00 100.75 Cn ID AND N 68803 y O G l M �Ir 'i d4gnnenl a nwn W 2 t�U Z U v w w Im 2002!004 200208918 NOTICE OF STATE TAX LIEN 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 remain unpaid after demand. These taxes constitute a lien In the county for real and personal property belonging to the taxpayer or hereafter scoured. Nebraska Identification Number Lien Filed With I Social Security Number Spouse's Social Security Number 16925351 K Register of Deeds ElCounty Clark 505 -22 -8266 Lien Serial Number I Lien Tv°a I Dataofi Ian r..,,ni1 010540039 ©Original [—]Continuador. Corrected 1 08/0112002 1 HALL BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name ERMA E THAGARD Street Address Street or Other Mailing Address 1419 W LOUISE C ty State Zip Code City State Zip Code GRAND ISLAND NF FRA01 Tax 1993 11/2212000 492.00 123.00 360.58 975.58 CategTI Tax Period Date Date of r Amount of Tax Penalty Interest Atldltlons Balance of Number 1995 As 420.00 105.00 238.09 Assessment Due 22 1993 11/2212000 492.00 123.00 360.58 975.58 22 1994 12/07/2000 428.00 107.00 281.25 816.25 22 1995 11/1512000 420.00 105.00 238.09 763.09 22 1997 1210 &12000 248.00 62.00 95.95 405.95 22 1998 12/06/2000 331_00 100.75 98.27 530.02 22 1999 12/0612000 362.00 1.10.50 74.80 547.30 TOTAL IS 4,038.19 1 hereby cerefy that the Nebraska Department of Revenue has complied with the revenue laws of the State Of Nebraska in the determination of the am t shovm to be due, and the taxpayer has failed to pay the amount due ater demand. If this Notice of State Tax Lien Is an a nsl fan Clive len, it serves to continue the Priority of the state'a inter st in ale affected property of the taxpaye'. Revenue Agent �� — 308 385 -6072 sign pre s Ignature Title care Telephone Number here Revenue Supervisor Authorized i t Title Data 44944974 F4c 2 -2002 suyereedee IA94.1974 Rev. 10.1935 6 c,