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<br />01/11/2008 FRI 15: 35 FAX 402 471 4429 UCC SECRETARY OF STATE ....... 10080. 0.292 <br /> <br />121006/009 <br /> <br />~ <br /> <br />1~1111'111111 <br /> <br /> <br />9908542744-4 pgs: 1 <br />KEESHRN JAMES K <br />Filed: 01/11/2008 02:50 PM <br /> <br />Please forward to: <br />Nebraska Dept of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff, NE 69363-1500 <br /> <br />nebraska <br />department <br />of revenue <br /> <br /> <br />Notice of state Tax Lien <br /> <br />.t-. <br /> <br />PL.EASE 00 NOT WRITE IN THIS SPACE <br /> <br />INDIVIDUAL INCOME TAX <br /> <br />SOC. SEC. NO. <br />NEBR. IDENT. NO. <br />SPOUSE soc. SEC. <br />TAXABLE YEAR <br />LIEN NO. <br />COUNTY <br />DATE OF NOTICE' <br />DATE OF ASSESSMENT <br /> <br />XXX.. )0(';"1420 <br />'24895385 <br />,NO .~-)(X ",,:0592 <br />2005 <br />072150038 <br />HALL <br />'08/03/2007 ' <br />10/24/2006 <br /> <br />JAMES K KEESHAN <br />,LORI 'EDWARDSON <br />3860 W AIRPORT RD <br />GRAND ISLAND NE 68803 <br /> <br /> <br />THIS NOTICE OF STATE 'TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF <br />, REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE <br />STATE OF NEBRASKA., NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME <br />TAXES INCLUDING PENALTIES AND INTEREST, WHICH ARE SHOWN BELOW ARE DUE <br />FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. <br />THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING TO <br />.THE TAXPAYER OR HEREAFTER ACQUIR.ED. <br />AMOUNT OF TAX . . . . . . . . . . . . 197.00 <br />PENALTY . . . . . . . . . . . . . . . . . . . 94.85 <br />INTEREST (COMPUTED TO 08/03/2007) . . 17 '. 70 <br />UNDERPAYMENT OF ESTIMATED TAX PENALTY 0.00 <br />TOTAL AMOUNT DUE . . . . . . . . . . 309.55 <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF R~VE~UE HAS COMPLIED <br />WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THE AMOUNT SHOWN TO BE DUE" AND THE TAXPAYER HAS FAILED TO PAY THE ' <br />AMOUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN <br />EXTENSION OF AN EFfECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF <br />THE ATE'S NTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. <br /> <br />, __.~... ~ .~. ~. . .. . 'Idu: . ./JofJJJZ-:L2f1J <br />ER' GN RE TIJ?E ,. ., DlE/TELEPHONE . <br /> <br />Ii~~.. ~JJ'......... <br /> <br />\L <br /> <br />IITfS fOI04 <br />