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OS/25/2007 FRI 14:59 FAX 402 471 4429 UCC SECRE~ARY OF S~A~E ~~~ Hall ~ IIr. nebraska department or revenue ~003/003 NE Se.. ef S..te J.."" A Gale. uee STL 200704298 9907511170-8 Pgs, 1 WENZEL SALL V S FiJed: 0512512007 08:47 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 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 t89348777 43719~.24 2002 070750002 \\1)..\ \ 03/16/2007 l2/1..tA/200t, SALLY S WENZEL 05 NAVAJO DR GRAND ISLAND NE 68803 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. . . . . . . . . 647.00 PENAL TY . . . . . . . . . . . . . .. ..... 161. 75 INTEREST (.COMPUTED TO 03/16/2007) 154.86 TOTAL AMOUNT DUE . . . . . . . . 963.61 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 SHqWN TO BE DUE, AND THE TAXPAYER HAS FAILED TO PAY THE AMOUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE ~AX LIEN IS AN EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF THE STATEIS INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. <I1u~.~..... ~~:........... TITtE ~z.z.~.7. / 6~3S.-fl/I~ DATE/TELEl.'HONE f ;;).'2.,-'\ ...., . . . . . . . . v...<'". . . . " . . DATE ~ 1tT16 10104 SIGNATURE