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11/17/2006 17:54 FAX 14024714429 NEBRASKA Dee ~ 0021003 ~ 09) IIr nebraska department Qf revenuII 2'00610318 I Tll~lllllfl 911648 1 Pal: 1 LlJCAi KYLE .. Fl1.d: 11/17/2801 04;06 PM Please Return Original Copy to the Nebraska Dept. of Revenue at 200 South Silber, North Platte, NE 69101 Notice of State Tax Lien PLEASE DO NOT WRITE IN THIS SPACE INDIVIDUAL INCOME TAX SOC. SEC. NO. NEBR. IDENT. NO. SPOUSE soc. SEC. NO. TAXABLE YEAR LIEN NO. COUN'+'Y :. DATE OF NOTICE DATE OF ASSESSMENT 507745711 19131755 2001 052030250 .HALL. 07/22/2005 06/07/2005 KYLE. W LUCAS PO BOX 38 ALDA NE 68810 THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME TAXES INCLUDING PENALTIES AND INTEREST, WHICH ARE SHOWN BELOW ARE DUE FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN. UNPAID AFTER DEMAND. THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING TO THE TAXPAYER OR HEREAFTER ACQUIRED. AMOuNT OF TAX. . .- .'. . . . .. .... 837.00 PENALTY . . .,. . . . . . . . . . . 209.25 INTEREST (~OMPUTED TO 07/22/2005) . 182.17 TOTAL AMOUNT DUE . . . . . . . . . 1,228.42 I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA I~ THE 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 TAX LIEN IS AN EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF ~ STATE'S ~NTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. .~ .~.OJ.~. _ J !1~-Q~/6oV?3;5.-f7-9' RARER'S S GNAT DATE/TELEPHONE .. .. . . ((-:-(5': -;tlf?. . . . .~ ~ ; DATE tii-". .: . "" . uT" '.