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<br />02/01/2006 15:55 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />!OJ 012 <br /> <br />, <br /> <br />Ill! s.c Df !u... JDhn A Gal. - lICe !lTL <br /> <br />\J~ <br /> <br /> <br />9906435897-3 <br />IiRITO NEFTALI <br />Filed. m1/31/2006 02:48 ~" <br /> <br />200600916 <br /> <br />Please Return Original Copy to the <br />Nebraska Dept. of Revenue at 200 <br />South Silber, North Plattf~, NE <br />. 6910 1 <br /> <br />IIr <br /> <br /> <br />Notice of.State Tax Lien <br /> <br />nebraska <br />departmanl <br />of revenUe <br /> <br />PLEASE DO NOT WRITE IN THIS SPACE <br /> <br />INDIVIDUAL INta~~E TAX <br /> <br />SOt. SEC. NO. <br />NEBR. I DENT .UO. <br />SPOUSE SOC.. SEe. NO. <br />TAXABLE YEAR <br />LIEN.ItO. <br />COUNTY <br />D,Als'. Of. NOTICE <br />DATE OF ASS.ESSMENT <br /> <br />57363~00'9 <br />99707896 <br />z~ <br />040650ct54 <br />. . HAL,l' <br />03/tlS/2(:io4 <br />01/15/200:4 <br /> <br />NEFTALI .BRITO <br />8IZ W JDHN.' S1 <br />GRAND ISLAND' ME <br /> <br />6BB('~1 <br /> <br />TflIS NOTICE OF STAlE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT.Of <br />REVENUE FOR INDIV.IDUAl INCOME TAX PURSUANT TO l'HE REVENUE. LAWS. OF THE <br />. STATE Of NEBRASKA'. .. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL IHCOHE <br />TAXES INCLUDING' PENAlTIF;S AND INTEREST, . WHICH ARE SHOlliOt: BELO.if ARE DUE <br />fROH THE.TAXPAYER SPECIFIED. ABOVE' AND'REMAINUNPAID .AfTER:DEMAHD. <br />THESE TAXES CONSTITUTE AUlIENIH THE. COUNTY FOR PROPERTY BELt:mSING TO <br />THE TAXPAYER OR .REREAfTER ACQUIRED. <br />AMOUNT OF TAX'. ... . .... ~ . . . ... . .. . .. 311..00 <br />PEtiALTY';' ...... ...... .:...... ......... 18.55 <br />INTEREST (CClfi4PtJ.T;tED . TO' 03/05/2004)... .'. ~ . . . . . B3.39 <br />TOTAL AMOUNT'. DOE .. . . . . . . ~ . '. ..,.. .. .. ... 472.94 <br />I HERE.BY CERTIFY THAT THE. NEBRASKA DEPARTM~t.It'T .Of RE.VENUE HAS (uMPlIED <br />. WlTH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE ,.DETE~MINATION Of <br />TH,E AMOUNT SHOWN. 'TO' BE OOE, A."ID THE TAX;:tAYER HAS FAILED TO PAY 'THE <br />AMou"'r DUE AfTER DEMAND. If THIS MOlICE OF STATE TAX UEN IS AN <br />EXTENSION Of AN EFFECTIVE LIEN IT SERVES TO COh'TINUE THE PRIORIi'! m= <br />THE STATE'S INTEREST IN THE AFfECTED PRCPtRTY Uf THE TAXPAYER. <br /> <br /> <br />~~.w.....a~...~.. /;2.5.-A~/~Jf5.~~;f2q'1 <br />:s:T ~ DATE/TELEPHONE <br />~ . /--0; ;Lob <br />. ~................*.. .~...~...........~~ <br /> <br />TItLE DATE ',. . <br /> <br />NEBRASKA DEPARTMENT OF REVENUE - White and Canary Copies TAXPAYER - Pink Copy , <br />Prlnt9d wilh lIey ink CIJ'I 'lICycl"d pIIP'" 7-14S.1!:179 Rav_ 2.-2000 Supersedes 7-14S-197!:1 Rev, 11l-199S . <br /> <br />