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<br />05/10/2006 13:29 FAX 14024714429
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<br />NEBRASKA Dee
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<br />141007
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<br />200604144
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<br />9906452020-7 pgs: 1
<br />ALVAREZ MICHAEL A.
<br />Filed: 05105/2006 10:13 AM
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<br />Please Return Original Copy to the
<br />Nebraska Dept. of Revenue at 200
<br />South Silber, North Platte, NE
<br />69101 '
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<br />NOTICE OF STATE TAX LIEN
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<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 remain unpaid after demand. These taxes constitute a lien
<br />in the county for real and personal property ~elonging to the taxpayer
<br />or hereafter acquired.
<br />Nebraska Identification Number Federal Identification Number
<br /> 99272814
<br />Lien Serial Number Lien Filed With Social Security Number - .... . Spouse's Social Security N.,:,mber '
<br /> 5224022,8" \. .,' , " , ,[2g Register of. Deeds D County Clerk 4~9-6.9;~,656 , '
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<br />Date ofUen' .' :.' ~ =J : ;. :: ~, ',LienType,;, ,". County',-,;"" . "\'. :," " . :',,, " .
<br /> . ,', " ;<;','
<br /> ';05/03/2000"':' :';,:: ?<':~ ' , ' , ,
<br /> , :' IE] ortgi~al D Conti~uatlo~ o C~rrecled "':HALL> .:',.,' ".:
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<br />1--- ,- BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADQRESS ,.1
<br />Business Name Name
<br /> ,
<br /> MICHAEL A, ALVAREZ
<br />Street Address Street or Other Mailing Address
<br /> 328 PINE 5T
<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 06/16/2005 2,151".00 107.55 393.90 2,652.45
<br /> 22 2003 03/16/2006 '1,929.00 96.45 237.19 2,262.64
<br /> --, ,.,
<br /> , , . TOTAl".- -- -- $ ..4,915.09
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<br />I hereby certify that the Nebraska Department of Revenue has complied 'with the ravenue laws of the Slate of Nebraska in the
<br />determination of the amount shown io l:le-due, and the taxpayer has failed to pay the amount due after demand. If this Notice of Slate
<br />" Tax Lien' . an extension"of an effective lien, 11 serve's to 'continue the 'priority of the state's intere'st"jn the 'ii1ffecledpropertY of the taxpayer.
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<br />., '~PJ Revemie Age~t . , 5-3--tJt, 308 53~-82~1
<br />Title' Date Telephone Number'
<br />Revenue Supervisor 'o"3-t:h ' ,
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