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<br />12/19/2006 17:26 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />Igj 002/002 <br /> <br />oCO <br /> <br />Please return to: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST 2ND ST STE 460 <br />GRAND ISLAND NE 68803 <br /> <br />200611245 <br /> <br /> <br />!Ill. <br /> <br />990&485807-'4 <br />PRRRELLA JOSEPH L III <br />Filed: 12/19/2~06 12:07 PM <br /> <br />j <br /> <br />IIr <br /> <br /> <br />/ <br /> <br />~1CIo <br />dO~ <br />lI(~... <br /> <br />NOTICE OF STATE TAX LIEN <br /> <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 <br />- .- '." , ,,- " .. , . ,. - <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 <br /> .- <br />.. , '- '. - .- <br /> . , . . .... -' <br />'" , .. " . . J'._ " ..' <br /> ," ."... , ' " <br /> - . " <br /> : TOTAL $ 8,685.16 <br />u, .. -, ' . .t.. . 'n'. , - - -.. ' , , - , , <br /> <br />sign ~ Preparer. Sign.. re & <br />here . ~,~c")( . <br />r uthoriz . n ture <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 />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. <br /> <br />Revenue'Senior Agent J=:l.))tJ } JIJlJb 308 385-6073 <br />Title Date Telephone Number <br /> <br />Revenue Supervisor /~~~ <br />T~ ~ ' <br /> <br /> <br />4-494-1974 R"y. 2-2002 S_..d.... +494-1974 R"y, 10-1995.--\\ <br /> <br />, ( ~ <br />