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11/06!2002 10:28 FAX 14024714429 NEBRASKA UCC - 1a002r "002 <br />mv <br />200212206 <br />Please forward to: <br />Nebraska Department of Revenue <br />4500 Ave I -PO Box 1500 <br />Scottsbluff, NE 69363 -1500 <br />Or <br />nebraska <br />department <br />_. of revenue <br />POs: l <br />1:41 AM <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE IN TENS SPACE <br />TER14I149TMN (IF STATE TAX ALIEN <br />INDrVIMAL INCOME TA( <br />If It 'ENQUIRE ABi7Lif:° YOUR <br />ACCOUNT a kr:" —R TIO THESE O ERS: <br />smia . SECS Has 4:$x.376? <br />NEBR WENT• ?me 343682 <br />SPOUSE' S-ac. SEC. Now <br />TAXABLE YEAR jq ff 4; 1990 SCM L SCRENSEN <br />LIEN" X113' 912560034 . 228 522ND' S7 <br />LIEN-RELEASE We 02Z8802T4 NEST IDES moms IA 5065 <br />CST AaIL AW <br />DATE ,CAF NOTICE �` 200,2 <br />I14STRUREPT !NO— �� 0 1% 0891100 da� <br />INSTRtMENT We CTY <br />PLIRsUANtT To THE REVENUE LAWS OF THE STATE OF. <br />ttFR€ GIVEN '!f - NEBRASKA DEPARTMENT OF <br />STATE TAX LIEN HI HAS BEEN €rtOLY .1FILED <br />TAXPAYER F ©R INDIVTDOAL 1"CO ME TAKS IS TERJIU 1AT1~M -�' ; <br />I ` HEREBY: CERTIFY THAT THE "NFA1RASKA <br />WITH- SHE REVEWE CAVS OF THE STATE OF NESRASKA ' I14 'l''1� Ik�TER�A'1.IO OF <br />THIS RRINATIGIRo <br />.a 4r • ♦ •• a woo* aft a' #f as <br />PREPARE S TTL <br />0 41 .•aa- <br />.• «r.• • • <br />UTH+rr'rr s • a r'• <br />�t D SIGNATURE LE A <br />PLEASE RETAIN THIS NOTICE iCETH YOUR: PEARkNENT" RECOR13S• <br />NEBRASKA DEPARTMENT OF REVENUE - White and Canary Copies TAXPAYER - Pink Copy <br />Printed w8h soy Mk art racyo;od paper 7- 146.1979 Rev, a2600 Supereeaes 7- 146 -1979 Rev. 10 -1906 <br />