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<br />07/08/2008 TUE 15:31 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121002/004 <br /> <br />rf) <br /> <br />NE S.e ..f s.... J...... R Gal, - uee seaN <br /> <br /> <br />200805890 <br /> <br />9908564981-2 pgs: 1 <br />WIL.L.IAMS MRRVIN <br />Fil_d, 07/08/2008 10,36 RM <br /> <br /> <br />~ <br />;;o.:...b.r""k<l. D*"fl..,""".m a1f <br /> <br />REVEN[UE <br /> <br />~"_.lr"""\.t'Ju..ln.._v_ <br />uc. <br />C-+y <br /> <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 />40122034 <br /> <br />Lien Serial Number <br /> <br />Lien Flied With <br /> <br />ugRegister of Deeds <br />Lien Type <br />08/14/1998 o Original r&lContlnuation <br /> <br />BUSINESS NAME AND LOCATION ADDRESS <br />Business Name <br /> <br />982260033 <br /> <br />Social Security Number <br />Dcounty Clerk XXX-XX-0268 <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 />Name <br /> <br />City <br /> <br />ae <br /> <br />Zip Code <br /> <br />MARVIN WILLIAMS <br />Street or Other Mailing Address <br />840 BARLEY COURT APT 97 <br />City State <br />TUPELO MS <br /> <br />Zip Code <br />38801 <br /> <br />Street Address <br /> <br />Tax <br />Category <br />Number <br /> <br />Tax Period <br /> <br />Date of <br />Assessment <br /> <br />Amount of Tax <br /> <br />Penalty <br /> <br />Interest <br /> <br />Additions <br /> <br />Balance of <br />Assessment Due <br /> <br />22 <br /> <br />1997 <br /> <br />OS/27/1998 <br /> <br />375.00 <br /> <br />18.75 <br /> <br />11.19 <br /> <br />404.94 <br /> <br />TOTAL <br /> <br />$ <br /> <br />404.94 <br /> <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determinaUon of the <br />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 <br />effective lien, it selVes to con' ue the priority of e state's interest in the affected property of the taxpayer. <br /> <br />sign <br />here <br /> <br />.. <br />Pre parer's <br /> <br />... <br />Authorized <br /> <br /> <br />!-;t....<b <br />Date <br /> <br />402 471-5928 <br /> <br />TelePh~~~f <br />//$/0.0 <br />Date <br />4-494-197'1 Rev. 2-2002 Supel1ledes 4-494-197'1 Rev. 10-1995 <br /> <br />o? <br />