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12/13'2002 LS:50 PAT 14024714429 NEBRASKA IICC ®003;'003 <br />V� <br />or <br />wee" <br />4 w: <br />R+saa <br />200214025 <br />NOTICE OF STATE TAX LIEN <br />PLEASE DD NOT WRITE 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 specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />In the county for real and personal property belonging to the taxpayer <br />or hereafter <br />ac ulfe0. <br />Nebrosb ldeelMation Number <br />22880632 <br />Llm Fiktl WIM <br />�Rrylaa or Deetls County Clark <br />Sorlal Seourlly NUmbar <br />505.19 -8004 <br />Spouee'a Sackl Seoudy Number <br />Lien S.nal Number <br />022490os5 <br />[xL Odalnal �cm +inuatien �cenaaetl <br />I <br />Dale of Cnn <br />12/72!2002 <br />county <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAfUNO ADDRESS <br />ewiness Nema <br />Neme <br />JENIFER A SWEET <br />Street Andress <br />Street or caner Maine Ahlrese <br />506 H AVENUE <br />city Slag Zip code <br />city State ➢pcork <br />CENTRAL CITY NE 68826 <br />Tax <br />category <br />Number <br />Tax Perkd <br />Date of <br />gssesament <br />Amount of Tex <br />Penalty <br />Interest <br />gdaltlons <br />eaknee W <br />Aspsemxq Due <br />22 <br />2004 <br />06121/2602 <br />1,868.00 <br />83.40 <br />99.12 <br />1,850.52 <br />i berabV <br />eardly flat Me <br />Nebmaka Dmedmnnl <br />of R.- w <br />.. <br />TOTAL <br />$ 1,850.52 <br />namrminaeun cite amount Shown to ha tlue, and the tWayer Me laded to pay the amount due alter dasend. If into Notice of Stare A+� <br />Tax Len ka��nUUpptQenebn O! cqe ilelim t eenvea 0 COMInle the pdelty or the states InNeed In the ofected propelyofthe teepeyer. 1�r <br />Revenue Agent %� 402471 -5835 <br />S19r4 plQperx'y6'drel Tai e oed Tdepho. `I <br />here F F Revenue Supervisor aa, (7col — <br />A ureed.'e,xe Tlik Date <br />LG61BL Rw Z.ZYIZSYpeM1e]e. Me¢la /aXev.'f -1B9i <br />