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11/30/2007 FRI 15:08 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall 121002/002 Please forward to: Nebraska Dept of Revenue 4500 Ave I PO Box 1500 Scottsbluff, NE 69363~ 1500 111UIIIIl 11 I' 9907835968-1 PSIS' 1 FLORES FlI..FREDO MAGANA ' Filed, 11/30/2007 11,12 AM ~ .200710105 nebraska department of revenue 'Notice of state Tax Lien IIr PLEASE DO 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 505371~21 43040306 2005 071870194 HALL 07/06/2007 04/24/2007 ALFREDO MAGANA FLORES 234 N BOGGS AVE 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 . . . . . . . . . . 200.00 PENALTY . . . . . . . . . . . . . 10.00 INTEREST (COMPUTED TO 07/06/2007) . 16.29 TOTAL AMOUNT DUE . . . . . . . . 226.29 , 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 TATE'S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. ''/J? hr-. . /(;I)f)tB. ~-:'.2pO DATE/TELEPHONE . . . ~1~i'4>.?: . . . . . . DATgt!"". . 11T1S 10itH''/.-'