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10/30/2008 THU 15: 20 FAX 402 471 4429 UCC SECRETARY OF STATE ...... Hall 1dJ002/003 Q({) 200809117 9908574741-6 RGUIUlR RL.ICE Filed: 10/30/2008 02:18 PM Please forward to: . Nebraska Dept of Revenue 4500 Ave I PO Box 1500 Scottsbluff, NE 69363-1500 ..~ Ne.rJl"a5ta Department uf Notice of State Tax Lien REVENUE www _ revenultll _ II~ . gay PL.EASE 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 XXXXX5842 21560048 2007 082350094 HALL /0/:;"8/;;"008 05/07/2008 ALICE AGUILAR 916 E 5TH GRAND ISLAND NE 68801 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 ORHE~AFTER ACQUIRED. AMOUNT OF TAX. . . . . . . . . . . . 322.00 PENALTY . . . . . . . . . . . . . . . 16 . 10 INTEREST (COMPUTED TO loJ1.3hOO'i ) . . 13.83 UNDERPAYMENT OF ESTIMATED TAX PENALTY . 0.00 TOTAL AMOUNT DUE . . . . . . . . . . 351.93 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 NTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. 4. . . L4,. . . . . ~. ~ . . . . . . . . . JOj2f!qfJP.~)b5l.-~f.2!J) ARER' GtiA URE TI~ DATE/T~L'PHONE /~iK~-v: ...(~/zd.4f..... TITLE ;-... DATE ~