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<br />02/01/2006 15:54 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />j6' <br /> <br />200600913 <br /> <br />IIr <br /> <br />"ebr#~~ <br />dl)Pl'n",en.i <br />oj' ra,\'(l<11Ul <br /> <br />~009 <br /> <br /> <br />9906434995-0 PU5: <br />JUETT OOUGLAS H <br />Fil~d: 01/26/2006 12:42 PM i <br /> <br />NOTICE OF STATE TAX LIEN <br /> <br /> PLEASE 00 NOT WRITE IN THIS SPACE <br />This Notice of State Tax Lien is issued by the Nebrask~ 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 />inte~est, which are shown below, are due from ~he 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 aCCluired. <br />Nebraska Identification Number Federal Identification Number <br /> 23282436 <br />Lien Serial Number Lien Filed With Social Security Number Spouse's Social Security Number <br /> 32690088 129 Register of Deeds. D County Clerk 505- 70-9934 505-04-5691 <br />Date of Lien Lien Type County <br /> 01/24/2006 [K] Original 0 Continuation o Corrected HALL. <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER:NAME AND MAILING ADDRESS I <br />Business Name Name <br /> DOUGLAS H & RITA M JUETT <br />Street Address Street or Other Mailing Address <br /> 33610 ALTON PHILIPS RD <br />City State Zip Code City State Zip Code <br /> KINSTON NC 28504 <br />I Tax I <br />Category Tax Period Date of Amount of TalC Penalty Interest Additions Balance of <br />Number Assessment Assessment DUG <br />22 2002 07/10/2003 382.00 57.30 63.74 503.04 <br /> TOTAL $ 503.04 <br /> <br />. I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Ne.braska 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' Uen is a 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 />sign .. <br />here ... <br /> <br /> <br />REVENUE AGENT <br />Title <br /> <br />REVENUE SENIOR AGENT <br />Title <br /> <br />1:~4 --oG <br />Date <br /> <br />Telephone Number <br /> <br />/- 2_'/"'':' ~ <br />Date <br />4-494-1974 Rev. 2.2002 Supersede. 4-494-1974 ReV. ,1)- 9 <br />