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<br />04/06/2007 15:42 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />IaI 0021004 <br /> <br />t)!b <br /> <br />200702800 <br /> <br />Please Return Original Copy to the <br />Nebraska Dept. of Revenue at 200 <br />South Silber; North Platte, NE <br />69101 - <br /> <br />ar <br />~. <br />"'"~ <br />0("'" <br /> <br /> <br />N.OTICE OF STATE TAX LIEN <br /> <br />PLEA' -- ."._u_ --"""""'--- <br />Ni s~~. of $~.'. Jon.. II 1I0lo - IICC $Tl. <br /> <br /> <br />This Notice of 'State Tax Lien is Issued ~y the Nebraska Departm~mt of <br />Revenue for unpaid taxes pl:fSuant to the--revenue ~aws-of the..tat.e of <br />Nebraska. Notice Is hereby given that taxes inc1uding penaities and <br />interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constlt~te a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter ac ulred. <br />Nebraska Identification Number <br /> <br />9907504202-8 Pss' 1 <br />fIlCORNIEL JOSEPH . <br />!.! led: 1J)4!!~~~007 _01 ,09 PM <br /> <br />Federal Identification Number <br /> <br />43762328 <br /> <br />Social Security Number <br />-0 County Clerk. 439~94-4B87 <br /> <br />Spouse's Social Security Number '. <br /> <br />Date of Lien <br /> <br />Lien Filed With <br />[g] Regist~r Of. Deeds <br />. . ':. L.isn T~pe . <br />04/0212007 . - ~ Origi~al - 0 Continuation' <br />BUSINESS NAME AND-LOCATION ADDRESS <br />BuslneS$ Name <br /> <br />. 62160021 <br /> <br />C~unty . <br />o CorrectecJ HALL- <br />TAXPAYER NAME AND MAILlNG.AODRESS <br /> <br />Lien Serial Number . <br /> <br />Tax' -. <br />Category <br />Number <br /> <br />Tax Period <br /> <br />State Zip Code City State Zip Code <br /> GRAND ISLAND NE 68B01 <br />Date of Amount of Tax Penalty Interest. ~~Itions' Balance of <br />AssessmeJlt Assessment Due. . <br />. " <br />04/18/2006 425.13 37.50 38.43 501.06 <br /> <br />Name <br />JOSEPH MCDANIEL. <br />Street or Other Mailing Address <br />1414 ST PAUL RD 39 <br /> <br />Street Address <br /> <br />City <br /> <br />22 <br /> <br />2005 <br /> <br />_ TOTAL <br /> <br />$: <br /> <br />. 501.06-+ <br /> <br />sign .... <br />here "" <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 the taxpayer has failed to pay the amount_due after demand. If this Notice of State <br />Tax Lien i n extension of effective lien, It serves to continue the priority of the slate's interest in the affected property of the taxpayer. <br /> <br />Revenue Agent '-1.2-0 '7 308 535-6294 <br /> <br />Title Date Telephone Number <br /> <br />Revenue Senior Agent f/-.::;... -fi7 <br />T~ ~~ <br />4-48.....1974 Rov. 2"2002 Sup"rsedes 4-'194-1974 Rev. 10-1995 <br /> <br /> <br />\I' <br />