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<br />02/24/2006 15:33 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />IgJ 003/006 <br /> <br />200601.664 <br /> <br /> <br />$TL <br /> <br />~... <br /> <br />Please Return Original Copy to the <br />Nebraska Dept. of Revenue at 200 <br />South Silber, North Platte, NE <br />69101 ' <br /> <br />If- <br /> <br /> <br />NOTICE OF STATE TAX LIEN <br /> <br />lleblf4i1Oo <br />.,.iIli'Mlll <br />~,~ <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,speclfied <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belongln,9 to the taxpayer <br />or hereafter acquired. <br />Nebraska Identification Number Federalldenlification Number <br /> 15,541118 ' , -. ~. . . . ..-.' .,.,., <br />Lien Serial Number Lien Filed With Social Security Number ' Spouse's Social Security Number <br /> "3~270709 [g] Register of Deeds D County Clerk ' 508-68:'0058 . ...., ',., " '. ".'" <br /> " ;'" <br /> ,- <br />Date of Lien .. ' ,) .. " Lien Type County, ' <br /> .. . - ~ O~ig"in~1 0 Continuation - - 0 co~rected ." ,..' ' .. ...\.. <br /> 02/18/2006 HALL- " -, " <br /> ','.r <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS 1 <br />Business Name Name <br /> 'WILLIAM E. REHER <br />Street Address Street or Other Mailing Address <br /> 224 W STOLLEY PARK RD <br />City State Zip Code City State Zip Code <br /> GRAND ISLAND NE 68801 <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 2002 OS/23/2003 478.00 45.90 81.72 605.62 <br /> , <br /> TOTAL $ 605.62 <br /> <br />sign .. <br />here .. <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 oflhe 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 I n extension of an effective lIen,il serves to continue the priority of the state's interest In the affected property of the taxpayer. <br /> <br />evenue Agentd;./I!:...{Jip , ' ' 308 535-82€l4- <br />Title Date Telephone Number <br /> <br />. ,J'/F-()(:.. ,,.. <br /> <br />......"" .... ,.,." ..=. ......,,,, Rd. ,~'''' \2).. <br /> <br /> <br />Revenue Supervisor <br />Title <br />