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<br />11/02/2006 16:47 FAX 14024714429
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<br />NEBRASKA Dee
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<br />IaJ 003/003
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<br />200609872
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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 />IIr
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<br />
<br />NOTICE OF STAlE TAX LIEN
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<br />~~~~
<br />lilII,..lt~
<br />oI'~
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<br />PLEASE D NOT WRITE IN THIS SPACE
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<br />This Notice of State Tax l.Ien Is issued by the Nebraska Department of
<br />Revenue for unpaid taxeifpursuant'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 ' i
<br />or hereafter ac uired. f
<br />Nebraska Identification Number Federal Identification Number
<br />44078102,
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<br />Lien-Serial Number -- Lien Filed With _. ,Social Security Numbet . -- " Spouse's Social'Se(lurit~_Number'
<br />5~?4o.5.sl '_.' _, ~,Reg!~tf!r ofpee~s. .0 County Clerk ',_ 505-?8~1,1~1. .. F,. . _ - .' ,... .'
<br />
<br />DateofLi~n.\. "::", ,.' "__, - . ;::-~i~~,,:yr;.,-.:'>'..,"',::',::.',:',,:.-:>"'-:-~, '_, :;..:...,co:~-~~!,."-_ f:.-:'~~';>",:',::',_: ~:~". ,:~c<
<br />.:' .'<'>:10/3012006-:: _,0.- ~Onginal ,Dcontlnuabon. .' DCorrected -,:' ; ,:, HAYl,;. .''', ;~' ::-.."" :': :'.-';-,; :... "..-
<br />BUSINESS NAME AND U;>.CATION A[lDRESS . TAXPAYER NAME ANQ MAILING ADDRESS'"
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<br />Street Address
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<br />Name
<br />LINDA K. LECHLEITN ' R
<br />Street or Other Mailing Address
<br />2609 W 2ND 5T
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<br />Business Name
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<br />Tax
<br />, Category
<br />Number
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<br />Tax Period
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<br />State Zip Code City ! State Zip Code
<br /> GRAND, ISLAND NE 68803
<br />Date of Amount of Tax Penalty. Interest ! Additions Balance of
<br />Assessment i Assessment Due
<br />OS/25/2005 3,920.00 212.80 370.63 I' . 4,503.43
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<br />City,
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<br />22
<br />
<br />2004
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<br />'_Tb,~AL. "'-"-'~
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<br />"'"-,, '- i"';::"';:-:4 5Q3 43 .'
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<br />I hereby certify that the Nebraska ~partm-ent of Revehue-has'complied with the revenue laws of the St~te of Nebraska in the
<br />. . determina' n of the amount shown to bl? due,' and the taxpayer has failed to pay the amount due'after f1emand. If this Notice of State-
<br />".. Tax'Lien' an extension of an- effective lien, it serves to-conli,nue the priority of the state's interest in the affected property of the taxpayer: - -
<br />
<br />" _.'.. '.r," ;t.' . . Revenue Agent' IO'~3o:ii(; . '.......... 308 53q-8294
<br />-sign:.' __ Title Date' - Telephone Number
<br />
<br />here ... Revenue supervisor J()-, :p;,,"&>~ ,
<br />ure Title i Date . (\ '\':
<br />4'194-1974 Re~. 2-2002 SuperndN+49-4-1974 Rev. 10-1995,~
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