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05/15/2007 TUE 15:44 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall r-J O. IIr nebraska department of revenue ~002/004 200703957 9907509635-8 Pgs: 1 BARRTTA ANTHONV M Flied: 0511512007 10,32 AM Please Return Original Copy to the Nebraska Dept. of Revenue at 200 South Silber, North Platte, NE 69101 Notice of State Tax Lien PLEASE DO NOT WRITE IN THIS SPACE INDIVIDUAL INCOME TAX SOC. SEC. NO. NEBR. IDENT. NO. SPOUSE SOC. SEC. NO. TAXABLE YEAR LIEN NO. COUNTY DATE OF NOTICE DATE OF ASSESSMENT 505153964 99892057 2004 061460080 HALL OS/26/2006 04/06/2006 ANTHONY M BARATTA 911 S SYCAMORE GRAND ISLAND NE 68801 THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE 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 THE TAXPAYER OR- HEREAFTER ACQUIRED. AMOUNT OF TAX . ~-. . . . . . . 187.00 PENALTY . . . . . . . . . . . . 9.35 INTEREST (COMPUTED TO OS/26/2006) 12.45 TOTAL AMOUNT DUE . . . . . . . . . 208.80 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. 5-9.-q 1 j; V>??:fl.'1 'f DATE/TELEPHONE . .~ 79. --:t) 7 . . . . . . . DATE 0""'- ..".................. /1115 10104 't---