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01/11/2008 FRI 15:34 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall ~002/009 200800288 \)~ 11111111111 COROOVA I'IrCH/:lEL Pas: 1 Filed: ,01/11/2008 02:36 PM IIr Notice of State Tax Lien lIebrask;!l departmellt ' of rtI/flllUa . PLEASE DO NOT WRITE IN THIS SPACE INDIVIDUAL INCOME TAX SOC. SEC. NO. NEBR. IDENT. NO. SPOVSE SOC~ SEC. NO. TAXABLE YEAR I;.I-EN NO. COUNTY , DATE OF NOTICE, DATE OF ASSESSMENT Y\Y.'/.. -'1. X -3109 44097050 2002' , 070750020 HALL 03/16/2007 03/\<'/2007 ~;~~~~~OVA lO2J Wocdla.nA ~e. Cia~~I"I!zrp. ......--...~ ~e. Ci.fy J KS . , ~180) .: . .~Mt .CR. . . . P~PAR~~'~~ #~~AruRE THIS NOTICE OF STATE TAX LIEN IS ~SSUED 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 INDIVIDijAL 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 .' '. . . . . . . .. .... 1,154.00 PENALTY . . . . . . . . . . . .. ... 288.50 INTEREST (COMPUTED TO 03/16/2007) . . 276.21 TOTAL AMOUNT DUE . . . . . . . . .'. . .. 1,718.71 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. ~_ , ' (4oL) . . . . ~ . ~/!.t't- .' I~J.~ ./ .47t-:sr1~~. TITLE /.~O~'~. DATE/TELEPHONE J&:t!<d.~ .4~?:: . . . . . . ;:-:d';tl$. . . . . . . . . . . TITLE DATE '~' IIns 10104