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02/12/2007 17:42 FAX 14024714429 ~ IIr nebraska departm.nt otrevellue NEBRASKA Dee 19] 002 20..070.1139 11111111111 9907495464-2 Pas, 1 GANNON YVONNE R Flled: 0211212007 03:47 ~ Please Return Original Copy to the Nebraska Dept. of Revenue at 200 South Silber, North Platte, NE . 69101 . Notice of State Tax Lien PlEASE 00 NOT WRITE IN THIS SPACE SOC. SEC. NO. NEBR. IDENT. NO. SPOUSE.SOC. SEC. NO. TAXABLE YEAR LIEN NO. COUNTY DATE OF NOTICE DATE OF ASSESSMENT INDIVIDUAL INCOME TAX 508049358 31160115 507941294 2003 060620148 . HALL 03/03/2006 01/16/2006 YVONNE R & DANIEL H GANNON YVONNE GANNON 1219 E WHITE CLOUD RD GRAND ISLAND NE 68801 THIS NO~ICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OFTBE 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, 'T~ TAXPAYER OR HEREAFTER ACQUIRED. AMOUNT OF TAX . . . . . .' . . . . 393.00 PENALTY. . . . . . . . . . . . . . . . . . . .. 19.65 INTEREST (COMPUTED TO 03/03/2006) . . . . . . .. 44.38 ' TOTAL AMOUNT DUE . . . . . . . . . . . . . . .. 457.03 I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN 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 THE STATE'S INTEREST IN. THE AFFECTED PROPERTY OF THE TAXPAYER. ~~.a~....... i?T~~~':-:' . " . . . . . . . . . 2 -Ji -:0.7. 6oiJ53S~J;11L DATE/TEL!!PHONE . . Pl..fj".C?7. . . . . . . DATE ~ 1/T16 ,n. AUT