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<br />08/30/2006 14:55 FAX 14024714429 <br /> <br />LA, , <br />D <br /> <br />IIr <br /> <br />nebnt$ka <br />department <br />t>f revenue <br /> <br />NEBRASKA uee <br /> <br />~ 002/002 <br /> <br /> <br />99~IZI-B PIS; 1 <br />DUOL. DAVID <br />Filed: 0B130120e8 09:22 Aft <br />Please Return Original Copy to the <br />Nebraska Dept. of Revenue at 200 <br />South Silber, North Platte, NE ' <br />69101 <br /> <br />200607812 <br /> <br /> <br />Notice of State Tax Lien <br /> <br />PLEASE DO NOT WRITE IN THIS SPACE <br /> <br />INDIVIDUAL INCOME TAX <br /> <br />504238928' <br />99894858 <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 />2004 <br />061040027 <br />HALL <br />04/14/2006 <br />02/21/2006 <br /> <br />DAVID DUOL <br />. 415 S CHERRY ST APT H43 ' <br />GRAND ISLAND NE 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 SPECIF~ED' ABOVE AND RENA,IN 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 _ . . . . . . .. ...... 248.00 <br />PENALTY . .' ',' . . . . . . .. ...... 12.40 <br />INTEREST (COMPUTED TO 04/14/2006) , 14.80 <br />TOTAL AMOUNT DUE . . . . . . . . . 275.20 <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 F,AILED TO P~Y THE - <br />AMOUNT DUE AFTE~ 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 />ImeLd:, - <br /> <br />P PARER'S :. ~ <br /> <br />G~~ <br /> <br /> <br />. ~. .~ . . . . tZ/-t!~.Ji"};:1H.2'i~ <br />~~~.iJr! ...~~;~r.~~~~. <br /> <br />TITLE , DATE <br /> <br />1ff1~ 1w04(]5 <br />