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<br />02/01/2006 15:54 FAX 14024714429 <br /> <br />.. <br /> <br /> <br /> <br />DC{) <br /> <br />IIr <br /> <br />~ebrasKa <br />department <br />of reVIilIlU" <br /> <br />NEBRASKA Dee <br /> <br />., <br /> <br />," <br /> <br />200600912 <br /> <br /> <br />~OOB <br /> <br />1l1'1!m1110lll <br /> <br /> <br /> <br />9906434994-0 Pas' 1 <br />METZLER DRRREL 5 ' <br />Fil.~, 0112612006 12:42 PM <br /> <br />Notice of State Tax Lien <br /> <br />PLEASE DO NOT WRITE IN THIS SPACE <br /> <br />INDIVIDUAL INCOME TAX <br /> <br />SOC. SEC. NO. <br />NEBR. IDENT. NO. <br />SPOUSE SOC. SEC. NO. <br />TAXABLE YEAR <br />LIEN NO. <br />COUNTY <br />DATE OF NOTICE <br />DATE OF ASSESSMENT <br /> <br />514745592 <br />36699829 <br />568029276 <br />2004 <br />052241336 <br />HALL <br />08/12/2005 <br />04/26/2005 <br /> <br />DARREL S & JACI L METZLER <br />921 W CHARLES ST <br />GRAND ISLAND NE 68801 <br /> <br />THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF <br />REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE <br />STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME <br />TAXES INCLUDING PENALTIES AND INTEREST, WHICH ARE SHOWN BELOW ARE DUE <br />FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. <br />THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING TO <br />THE TAXPAYER OR HEREAFTER ACQUIRED. <br />AMOUNT OF TAX. . . . . . . . . 317.00 <br />PENALTY . . . . . . . . . . . . 48.45 <br />INTEREST (COMPUTED TO 08/12/2005) 6.20 <br />TOTAL AMOUNT DUE . . . . . . . . 371.65 <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE 'HAS COMPLIED <br />WITH THE REVENUE,LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THE AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER HAS FAILED TO PAY THE <br />AMOUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN <br />EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF <br />THE STATE'S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. <br /> <br />~~~NAT" E T~JJw.l..~. - -. -- <br />. ..--<~ ~+,(q,<.d~....... <br />UTHORI~~iGNATURE TITLE " <br />I <br /> <br /> <br />[lf02-) <br />f.-JH.-Q 'P. / . ..-f) I-:~' ~~ <br />DATE/TELEPHONE <br />/~ X?,,-tJr4> <br />II> ill II . II .. . . " 1II . . " .. . . .. . <br />DATE <:(\) <br />/tT1. 70104 <br />