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<br />08/21/2006 16:55 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />~ 005/005 <br /> <br />u <br />. "'\ r.., <br />U"'" <br /> <br />1lllll1rrll rn <br /> <br /> <br />991&4158845-7 PIS: 1 <br />RUSTIN WADE R <br />Filed: 01/21/2006 11:22 AK <br /> <br />200607484 <br /> <br />I <br />Ir <br /> <br />NOTICE OF STATE TAX LIEN <br /> <br />,,~ <br />d.~, <br />of JMaIllIt <br /> <br /> PLEASE DO NOT WRITE IN THIS SPACE <br />This Notice of State Tax Lien Is issued by the Nebraska Department of <br />Rev,enue 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 belonging to the taxpayer <br />or hereafter acquired. <br />Nebraska Identification Number Federal Identification Number <br /> 99600624 <br />Lien Serial Number Uen Filed With Social Security Number Spouse's Social Security Number <br /> 52030035 ~ Register of D~ds o CO':Jnty Clerk 236-02-3312 520-04~5449 <br />Date of Uen Uen Type County <br />, 06/17/2006 ~ Original D Continuatlon o Correc~d HALL <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS . I <br />Business Name Name <br /> WADE A & ANNETTE A AUSTIN <br />Street Address Street or Other Mailing Address <br /> 220 ROBERTSON <br />City Slate Zip Code City State Zip Code <br /> WORLAND Wy 62401 <br />I Tax I <br />Category Tax Period .Date of Amount of Tax Penalty Interest AddlUons Balance of <br />Number Assessment Assessment Due <br />22 2001 06/07/2005 907.00 226.75 255.70 1 ,389.45 <br /> TOTAL $ 1,389.45 <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 />detennination 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 an effective lien, it serves to continue the priority of the stale's Interest in the affected property of the taxpayer. <br /> <br />· I EVENU,E AGENT ~ II.., , ,.., in 402 471-5928 <br />sign .... nUe ~ Telephone Number <br /> <br />here .... REVENUE SENIOR AGENT '8 -/X-.o~ r{"'-- <br />~ ~ ~ <br />4-4~1974 Rev. 2-2002 !,upel1'edes 4-4~1974 Rev. 10-1995 '\ ..- <br /> <br /> <br />