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<br />03/13/2009 FRI 13:09 <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE 444 Hall <br /> <br />121004/006 <br /> <br />oC{ <br /> <br />200901861 <br /> <br />1111111111"'" <br /> <br /> <br /> <br />D~OEGE KRNG 5 Pes; 1 <br />FJ1.d, 03/13/2009 10:20 RM <br /> <br /> <br />,~ <br />iNiij..b,......k", Oe-p'<l'tiIJ';I;iloh'L ad' <br /> <br />iREVENiUE <br /> <br />..........,.". . ".,..'w'IIiIl.l'ilili"".''''...(lO..... <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 Federalldentiticatlon Number <br />29932076 <br /> <br />Lien Filed With <br /> <br />00 Register of Deeds <br /> <br />Lien Type <br />09/1611999 o Original ooContinuation <br /> <br />BUSINESS NAME AND LOCATION ADDRESS <br />Business Name <br /> <br />973460004 <br /> <br />Social Security Number <br />DCounty Clerk XXXMXX-1656 <br /> <br /> <br />Spouse's Social Security Number <br />XXXMXX-5673 <br /> <br />Lien Serial Number <br /> <br />Date of Lien <br /> <br />County <br />o Corrected HALL <br />TAXPAYER NAME AND MAILING ADDRESS <br /> <br />Name <br /> <br />Street Address <br /> <br />PATRICK M & KANG S DROEGE <br />Street or Other Mailing Address <br />. 1 DELAMESA WEST <br /> <br />City <br /> <br />ae <br /> <br />Zip Code <br /> <br />City <br /> <br />Tax <br />Category <br />Number <br /> <br />IRVINE <br /> <br />State <br />CA <br /> <br />Zip Code <br />92720 <br /> <br />Tax Period 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 />1995 <br /> <br />09/23/1997 <br /> <br />3,283.90 <br /> <br />878.01 <br /> <br />1,034.25 <br /> <br />5,196.16 <br /> <br />TOTAL <br /> <br />$ <br /> <br />5,196.16 <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 failed to pay the amount due after demand. If this Notice of State Tax Lien Is an extension of an <br />effective lien, it serves 0 continue t e priority of the state's interest in the affected property of the taxpayer. <br /> <br /> <br />EVENuE AGENT <br />itle <br /> <br />03/10/2009 <br />Date <br /> <br />402471-5928 <br />Telephone Number <br /> <br />sign <br />here <br /> <br />REVENUE AGENT SUPERVISOR <br />Title <br /> <br />03/10/2009 <br />Date <br />4-494.1974 Rev. 2-2002 Supersedes 4494-1974 Rev.IO'19SS <br /> <br />~' <br />