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200600911
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Last modified
2/1/2006 4:38:35 PM
Creation date
2/1/2006 4:29:48 PM
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DEEDS
Inst Number
200600911
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<br />02/01f~006 15:54 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />l4J007 <br /> <br />.. <br /> <br />o1J <br /> <br />200600911 <br /> <br />\111""1\1 ; <br /> <br />9906434944-3 <br />FISHER ~L1F1/R2~~i0i. 12:m3 pM <br />Fll.d: III <br /> <br />=r <br /> <br /> <br /> <br />n~J;t~ii <br /><l.~'l"'t.<i' <br />'ll'rll'o'~~,~~ <br /> <br />This Notice of State'TaxLlen 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 u,npaid after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter ac uired. <br />Nebraska Identification Number Federal Identification Number <br />11534850 <br /> <br />Lien Serial Number <br /> <br />Lien Filed With <br />[R] Register of Deeds D County Clerk <br />Lien Type <br />03/03/1997 D Original [8] Continuation <br />BUSINESS,NAME AND LOCATION ADDRESS <br /> <br />County <br /> <br />963480030 <br /> <br />Social Security Number <br />505p48-5844 <br /> <br />Spouse's Social Security Number <br /> <br />Date of Lien ' <br /> <br />D Corrected HALL <br />TAXPAYER NAME AND MAILING ADDRESS <br /> <br />Business Name Name <br /> CLARENCE E FISHER <br />Street Address Street or Other Mailing Address <br /> 1404 W LOUISE <br />City State Zip Code City State Zip Code <br /> GRAND ISLAND NE 68801 <br />Tax <br />Category Tax Period Dale of Amount of Tax Penalty , Interest Additions Balance of <br />Number Assessment Assessment Due" <br />22 1993 08/19/1994 119.00 5.95 29.20 154.15 <br />22 1995 09/25/1996 7,420.00 742.00 589.13 8,751.13 <br /> <br />TOTAL <br /> <br />$ <br /> <br />8,905.28 <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 a 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- 'l-o~ <br /> <br />Date ' <br /> <br />sign ... <br />here .. <br /> <br />REVENUE SENIOR AGENT <br />Title <br /> <br />Telephone Number <br />-0," <br /> <br />Date <br />4-494-1974 Rev, 2-2002 Supersedes 4-494-1974 Rev_ 10"1995 <br />
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