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<br />07/08/2008 TUE 15:32 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />1dJ003/004 <br /> <br />oro <br /> <br /> <br />200805889 <br /> <br />9908564982-4 pgs: 1 <br />DUONG VO 0 <br />Filed: 07/08/2008 10:36 AM <br /> <br /> <br />~ <br />NleIb~,*llOk., O....""r1n-,,,,,,,'t a~' <br /> <br />REVENUE ~TATE TAX LIEN <br />'~'lolWw.~,......t'liU._'I'.a'-'lliO'" ()C ocg~ 1/0'5:08 <br /> <br />C g- HOSO~ <br />PLEASE DO NOT WRITE IN THIS SPACE <br /> <br />This Notice of State Tax Lien is issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given that taxes including penalties and <br />interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter ac uired. <br />Nebraska Identification Number Federal Identification Number <br /> <br />37173243 <br /> <br />Uen Serial Number <br /> <br />lien Filed With <br /> <br />I&J Register of Deeds <br />Lien Type <br />07/17/1998 o Original I:&IContlnuation <br /> <br />BUSINESS NAME AND LOCATION ADDRESS <br />Business Name <br /> <br />981980301 <br /> <br />Social Security Number <br />DCaunty Clerk XXX-XX-0950 <br /> <br />Spouse's Social Security Number <br /> <br />Date of Lien <br /> <br />County <br />o Corrected HALL <br /> <br />TAXPAYER NAME AND MAILING ADDRESS <br /> <br />Street Address <br /> <br />Name <br />va D DUONG <br />Street or Other Mailing Address <br />915 13TH 5T <br /> <br />ity <br /> <br />ae <br /> <br />Zip Code <br /> <br />City <br /> <br />SIOUX CITY <br /> <br />State <br />IA <br /> <br />Zip Code <br />51105 <br /> <br />Tax <br />Category Tax Period Date of <br />Number Assessment <br /> <br />Amount of Tax <br /> <br />Penalty <br /> <br />Inlarest <br /> <br />Additions <br /> <br />Balance of <br />Assessment Due <br /> <br />22 <br /> <br />1997 <br /> <br />04/28/1998 <br /> <br />794.00 <br /> <br />82.70 <br /> <br />18.21 <br /> <br />894.91 <br /> <br />TOTAL <br /> <br />$ <br /> <br />894.91 <br /> <br />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 <br />amount shown to be due, and the taxpayer has t. d to pay the amount due aller demand. If this Notice of State Tax Lien is an extension of an <br />effective lien, it serve to continue e priority of e state's Interest in the affected property of the taxpayer. <br /> <br />sign <br />here <br /> <br /> <br />1 ~~ - 8 <br />Date <br /> <br />402471-5928 <br /> <br />Tele~t9rr <br /> <br />Date <br />4-494~1974 Rev. 2-2002 SUpe1Sedes4-494-1974 Rev. 1()'1995 <br /> <br />oF <br />