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02/20/2007 17:30 FAX 14024714429 NEBRASJ{A ,Dee ~ 003/003 20070'1327 I1lfl '!Iur ... - '" .~ _7_'~ .1111111 ZWEIFEL CRYSTRL !IS. 1 Filed, 02/20/2007 02:01 p~ do ~ NOTICE OF STATE TAX LIEN irIlltt1f/l:$kl dOll'Olli1\DIIl 111 "",llAollV' PLEASE DO NOT WRITE IN THIS SPACE This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuan~ to the revenue laws of the state of Nebraska. Notice is hereby given that taxes Including penalties and interest, which are shown below; are due from th,e taxpayer specified below and remain unpaid after demand. These taxes constitute a lien in the county for real and personal property belonging to the taxpayer 'or hereafter ae uired. Nebraska,ldentification Number Federal Identification Number 371'49261 Lien Serial Number Lien flied With , lZl Register of Deeds 0 Co~nty Clerk Lien Type 08/26/1997 D Original, ~ Continuation BUSINESS NAME AND LOCATION ADDRESS 971500057 Social Security Number 501~78-6004 spouse's Social Security Number 506~02-3518 Date of Lien County o Corrected, HALL TAXPAYER NAME AND MAILING ADDRESS Business Name Street' Address EXlRA State IA Zip Code 50076 City State Zip Code City Tax , Category Tax Period Number Date of Assessment Amount of Tax Penalty Interest , Additions Balance of Assessment Due 22 1993' 02/21/1997 162.00 10.40 57;76 230.16 TOTAL $' 230,16 sign ~ here ~ 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 xtension of an effective lien, it serves to continue the priority of the state's Interest in the affected property of the taxpayer. ;;;, 1S/07 402 471-5928 Date Telephone Number ./. --cJ 7 Date 4.494-1974 Rev. 2.2002 Supersedes 4.494-1974 Rev. 10.1995 REVENUE SENIOR AGENT Title