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<br />03/22/2006 10:00 FAX 14024714429 <br /> <br />..1ft <br /> <br />,. <br /> <br />IIr <br /> <br />nebraska <br />dlipiutment <br />of revenue <br /> <br />NEBRASKA Dee <br /> <br />..) <br /> <br />.. 'I:.... <br /> <br />200602424 <br /> <br />~003 <br /> <br />II((III'JI <br /> <br /> <br />TORREZ JOSE 0 Pg, ; 1 <br />Fiied: 03/21/2006 02;16 PH <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 /> <br />Notice of State Tax Lien <br /> <br />PL.EASE 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 />562732110 <br />99240815 <br /> <br />2002 <br />052940083 <br />HALL <br />10/21/2005 <br />09/06/2005 <br /> <br />JOSE ,0 TQRREZ <br />615 N SYCAMORE <br />GRAND ISLAND NE <br /> <br />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 S~ECIFIED 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. . . . . . . . . 1 ,000 . 00 <br />PENALTY . . . . . . . . . . '. . 50.00 <br />INTEREST (COMPUTED TO 10/21/2005) . 151.23 <br />TOTAL AMOUNT DUE . . . . . . . . . 1,201.23 <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 /> <br />. .J~t cJ~. <br />V,2-~~~~~ <br /> <br />AUTHORIZED SIGNATURE <br /> <br />~..~..... <br />. . . o/~0'~r:- .'. . . . . . . . . . <br />TITLE <br /> <br />r3-/~ -:0 ~. / (jOB )5~ 5.-!7-- C!j ') <br />DATE/TELEPHONE <br />. . . .-!.--!~ ~ c:. ~-. C.1- <br />DATE ~ ~ <br />, ;'Tf5~' <br />