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<br />02/01/2006 15:53 FAX 140~4714429 <br /> <br />NEBRASKA Dee <br /> <br />~004 <br /> <br />.~ <br /> <br />200600908 <br /> <br />:~:1~~4~/~~\~& 12:03 pM / <br />fU.d: 01 ' <br /> <br />IJ" "" <br />, r <br /> <br /> <br />. ~IGE-OE.,STATE TAX LIEN <br />Uc D~::1J.9\ $&7) , <br />, -'lofS'~ <br /> <br />~~l;$\l;~ <br />d~Ii'..c1Qmil <br />~!''''i"1I~<\1l1l <br /> <br /> PLEASE DO 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 acquired. <br />Nebraska Identification Number Federal Identification Number <br /> 36014532 <br />Lien Serial Number Lien Filed With Social Security Number Spouse's Social Security Number <br /> 702340 [RJ Register of Deeds D County Clerk 126-38-1500 084-38-7303 <br />Date of Lien Lien Type County <br /> 03/05/1997 D Original ~ Continuation D Corrected HALL <br />I BUSINESS NAME AND LOCATION ADDRESS, TAXPAYER NAME AND MAILING ADDRESS I <br />Business Name Name <br /> ALFRED C & CONNIE M BENNITT <br />Street Address Street or Other Mailing Address <br /> PO BOX 58 <br />City State Zip Code City State Zip Code <br /> KANONA NY 14856 <br />I Tax I <br />Category Tax period Date of Amount of Tax Penalty Interest Additions Balance of , <br />Number ' Assessment Assessment Due <br />22 1991 02/13/1995 72.00 12.35 76.18 160.53 <br />22 1992 OS/25/1993 33.81 2.05 12.74 48.60 <br />22 1995 05/30/1996 138.00 6.90 11.02 155.92 <br /> TOTAL $ 365.05 <br /> <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws, of the State of Nebraska in the <br />determination of the amount shown to be due, and the taxpayer has failed to pay the amount due after demand. If this Notice of State <br />Tax Lien is an extension of an effective lien, it serves to continue the priority of the state's interest in the affected property of the taxpayer. <br /> <br />402 471-5928 <br /> <br /> <br />REVENUE AGENT <br />Title <br /> <br />1- n-D~ <br />Date <br /> <br />sign ... <br />here .. <br /> <br />REVENUE SENIOR AGENT <br />Title <br /> <br />/ . <br />Date <br />4-49...1974 R"v. 2-2002 Supersed~' 4-494-1974 Rev. 10-1995 " <br /> <br />Telephone Number <br />-CJ6 <br />