<br />12/19/2006 17:26 FAX 14024714429
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<br />NEBRASKA Dee
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<br />Please return to:
<br />STATE OF NEBRASKA
<br />DEPARTMENT OF REVENUE
<br />1811 WEST 2ND ST STE 460
<br />GRAND ISLAND NE 68803
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<br />200611245
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<br />!Ill.
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<br />990&485807-'4
<br />PRRRELLA JOSEPH L III
<br />Filed: 12/19/2~06 12:07 PM
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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 pUl'&ua'nt 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 /> 8680562
<br />Lien Serial Number' -, . -, .....,. \" "Lien"Filed With' ,- Social Security Number Spouse:s Social Security Number
<br />- , , o~\olhl6oSLt" ' r!1,~~~~~tOf ~dS: D,~tiun;~- c~.~ ," .;,' ,.;.;;, ,,"'j'. L . I', " ..
<br />, ' 508 64 328,5
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<br />Date of Lien Li~n !ype ' County, '. '- . . '
<br />, - - ~ .'. .. 12714/2006 .-- -- - -, '.. . -- , ,[~Jciri9In'aj' DContiiiuation ." . 0 coniicied Hall -- - .. ..... - .
<br />,"' , , -- , ,BUSINESS 'NAME ,AND LOCATION.APDRESS _ , TA~PAYER ""AME ANI;) ~AILlNG ADDRESS' - I
<br />Business Name Name
<br /> Joseph ~ Parrella III
<br />Street Address Street or Other Mailing Address .
<br /> 3017 W Stoliey Park Road, No 97
<br />City State Zip Code City State Zip Code
<br /> Grand I,sland NE- 688-03
<br />I Tax 'I
<br />Category Tax Period Date of Amount of Tax Penalty Interest Additions Balance of
<br />' Number Assessment Assessment Due
<br /> 01 01/01/2002~ 12/13/2006 5,015.11 2,277.55 926.13 8,218.79
<br /> 06/11/2005
<br /> 21 07/01/2004- 12/13/2006 104.15 41.73 15.77 161.45
<br /> 12/31/2004
<br /> 21 01/01/2005- 12/13/2006 260.11 21.00 ~3.81 304.92
<br /> 06/30/2005
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<br /> : TOTAL $ 8,685.16
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<br />sign ~ Preparer. Sign.. re &
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<br />r uthoriz . n ture
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<br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the
<br />determination of the amount shown to be due, and t~e taxpayer has failed to pey the amourit due after demand. If this Notice of State
<br />Tax Lien is a extension 0 n effective' lien ;"it SefVEls to continue the priority of the state's interest in the affected property of the taxpayer.
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<br />Revenue'Senior Agent J=:l.))tJ } JIJlJb 308 385-6073
<br />Title Date Telephone Number
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<br />Revenue Supervisor /~~~
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<br />4-494-1974 R"y. 2-2002 S_..d.... +494-1974 R"y, 10-1995.--\\
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