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<br />04/10/2009 FRI 15:19 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall
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<br />~002/006
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<br />200902692
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<br />9909592985-6 Pss: 1
<br />PHELPS CHARLES R
<br />Filed: 04/10'2009 10:43 AM
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<br />Please forward to:
<br />Nebraska Department of Revenue
<br />4500 Ave I - PO Box 1500
<br />Scottsbluff, NE 69363-1500
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<br />REveNUE"
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<br />I>LEASE,tiq'H,af~Rite IN THIS 'SPACE
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<br />S'J'QUSE:SOC'. ,SE'C,. NO.
<br />-T~_LE YEAR
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<br />THISNQTI,CEO'F' S:'1IATE TAX: LTE~ IstS$USD BY' TliE,~~~$~A lJEP;ARTMENT OF
<br />REVENUE FOR INDiVlm1AL rNct)METAXPURS:up;.~T' TO"THE t~E:VEfllUE LA~WS OF THE:
<br />STA~E OFWEBRASKA. NbTICE IS HERESY GIVEN THAT IN!lIVIDUAL lNCOME
<br />TAXES INCLUDING PENALTIES AND IN':rERE:S,T, WHICH;: A~ g},IOWN' B~OW ARE DUE
<br />FltOM THE TAXPA~Ea SPECIFIED ABOVE MI) REMAIN UNPAID AF!ER'OEMAfUL '
<br />THE$S TAXE$CQ:NS'ttTlJTE A '~I':U:N IN THE C:0UN!XY F~ PROPEI<T~ BELONGIltIG TO'
<br />THE TA~AYER ORijER;EAFTEI ACQlJHlED,
<br />:::~;J(\ ,~~ ::':: :: : : : ~ ':: ,'>-:.; :: 3:~t,g~
<br />IN~tE.$:j; '{:CC;>M?UTEP Wo tI/Io/7.00 '} 1 . , .... ~, . .. 1./;.,1)..
<br />UNPE~PA~tNTOF $S'TI-:r4AtElD TAx PENAt~' . " . , .. 19 , 04
<br />TOTAL AMOUNT DUE. '. '. .. '. . . , . , . . . .. '-/ilq,KI
<br />I HEREBY CERTIfY TliAT THENE:BRA:SI<A DEPARTMENT 'OF REVENUE HAS COMPLIED
<br />WITH THEREVENOE LAWS Ol"THE S'1'ATEOFNEBRASKA IeN Tag I;>E'lER,MINATION OF
<br />,THE AMOUNT SHOWN TO BE DUE, ANQ THE TAXPAYER HASHFAILEl> TO PAY THE
<br />AMOUNT DUE AF'TER DEMAND. l,FTHIS ',:No.'XXCE .or STA,TETAx. -LI2;N t S AN
<br />mX'rENSION OF A.N EFFECTIVE LI.EN IT SiERVESTO cONT-t1'4tJE THE PRIOlUTY OF
<br />THE. ATE'S ItEREST IN THE .AREC!/tE>>r!J"QFERTY OF _ N;xp~. .
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<br />I ,s ~U,E TITt -o.r' DATE/TELEPHONE
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