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<br />NEBRASKA. nee <br /> <br />~ 011/012 <br /> <br />04/20/2006 15:57 FAX 14024714429 <br /> <br />.. <br /> <br />& <br /> <br />200603551 <br /> <br />Illllllllll'l <br /> <br />9906449351-3 PSI: 1 <br />VANOSOALL DENNIS G <br />Flled: 04/19/2006 02:19 PM <br /> <br />IIr <br /> <br />NOTICE OF STATE TAX LIEN <br /> <br />i1l~l>ra.p;~ <br />dO[).'lflIillO," <br />'Ql'rc\l~ll,u,; <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 specified <br />below and r~main unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />Nebraska Identification Number F~deralldentlflcation Number <br /> 14106477 <br />Lien Serial Number Lien Filed With Social Security Number Spouse's Social Security Number <br /> 33180041 [8] Register of Deeds o Cou~ty Clerk 507-56-0992 505-84-0819 <br />Date of Lien Lien Type County <br /> 04/13/2006 ~ Original 0 Continuation, o Corrected HALL <br />[, BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS I <br />Business Name Name <br /> DENNIS G VANOSDALL <br />Street Address Street or Other Mailing Address <br /> 9716 FIONA 'LANE 103 <br />City State Zip Code CitY State Zip Code <br /> LAS VEGAS NV 89129 <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 1999 09/30/2003 4,753.95 237.70 2,095.12 1,086.77 <br />22 2000 09/30/2003 12,024.73 601.24 4,218.22 16,844.19 <br /> TOTAL $ 23,930.96 <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 ill 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 Lien is an extension of an effective lien, it serves to tontinue the priority of the state's interest in the affected property of the taxpayer. <br /> <br />EVENUE AGENT ~/13Io(p 402 471-5928 <br /> <br />Title Dat~ ' Telephone Number <br /> <br />REVENUE SENIOR AGENT" ~"'/J-tJb ,--- <br /> <br />Title 4-494-1974 R~V, 2-2002 su~e::des 4-494-1974 Rev. 10-1995 ~ [ <br /> <br />