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Last modified
3/16/2009 3:36:59 PM
Creation date
3/16/2009 3:33:16 PM
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DEEDS
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200901862
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<br />03/13/2009 FRI 13:09 <br /> <br />FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />121005/006 <br /> <br />200901862 <br /> <br />101111""~/11' <br /> <br /> <br /> <br />Ff?e:~SON GLENN L Pss; 1 <br />Q : 03/13/2009 10;20 AM <br /> <br />if <br /> <br />-~.... ..-.- <br />.~ ~ .~ <br />......br,ukJII, 1l:i~"r'\.M>i.....t o~ <br /> <br />;REVEINiUE ____NeReE OF STATE TAX LIEN <br /> <br />..'V....w...'"'....~l:','lI\8.'f.._UIO.~_ lA.tc.. ' <br /> <br />'l'l I eft 0 II -Q.-r, <br /> <br /> PLEASE DO NOT WRITE IN THIS SPACE <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 acquired. <br />Nebraska Identification Number Federal Identification Number <br /> 39461114 <br />Lien Serial Number Lien Filed With Social Security Number Spouse's Social Security Number <br /> 981640127 ~ Register of Deeds DCounty Clerk XXX-XX-1425 XXX-XX~6739 <br />Date of Lien Lien Type County <br /> 09/09/1999 o Original ~Continuation o Corrected HALL <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> AMY L SPRY & GLENN L PEDE.RSON <br />Street Address Street or Other Mailing Address <br /> 1509 WEST 4TH ST <br />City State Zip Code City State Zip Code <br /> GRAND ISLAND NE 68801 <br />Tax <br />Category Tax Period Date of Amount of Tax Penalty Interest Additions Balance of <br />Number Assessment Assessment Due <br />22 1994 04/12/1998 533.00 133_25 151.67 817.92 <br /> TOTAL $ 817.92 <br /> <br />... <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 to co tinue the priority of the slate's Interest in the affected property of the taxpayer. <br /> <br />sign <br />here <br /> <br /> <br />REVENUE AGENT <br />Title <br /> <br />03/10/2009 <br />Date <br /> <br />402 471~5928 <br />Telephone Number <br /> <br />REVENUE AGENT SUPERVISOR <br />Title <br /> <br />03/10/2009 <br />Date <br />4-494-1974 Rev. 2-2002 Supersedes 4-494-1974 Rev. 10-1995 <br /> <br />, <br /> <br />v <br />
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