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07/13/~tl.tl9 lSON 14:50 PAX 402 471 4429 [1CC SHCRBTARY OF STATS ~»yy H~11 <br />$~ <br />Please forward to: 2 0 0 9 0 5 7 01 <br />Nebraska Department of Revenue . <br />4500 Avc I PO Box 1500 <br />Scottsbluff, NE b9363-I500 <br />~~~,~ N~ eke pepertment of <br />~~~~ <br />www.rsvsnus.n~.gov <br />~>syNC~R <br />clad: 07. <br />@IOa2/tltl7,,!: <br />10:26 RM <br />IVaTICE aF STATE TAX LIEN <br />This Notice of State Tax Lien is issued by the Nebraska DepaHment of <br />Revenue for unpald,tqutes pursuant to <br />NetKaska. Notice is hsrpby given that taxes including penaltlas and <br />interest, which an shown below, are dire from the taxpayer specified <br />below and remaM unpaid after demand. These texas wnatitute a Nen <br />in the c~ottnty far real and peraanal property bslol~ing to the taucpayer <br />or hereafter wired. <br />I <br />25049038 <br />Lien bar i <br />90720485 ®Reglafar d Deeds []County Cleric )()0(-)p(-2108 XXX-XX-9952 <br />07/09/2009 ®0' . QCanprq:atlon DCarrocted HALL .. _. <br />BiISINE9S NAAtI: AND LOCATION ADDItES3 TAXPAYER NAtNE AND MAILINA AI)OftE$S <br />DENNIS A 8: GRACE E REISINGER <br />7123 SOUTH CHERRY STREET <br />~RANp ISLANp NE 68801 <br />Category Tax Period Debe ~ Amount of Tax Pon~lty Intor~t Additions Bolanco of <br />Number Aaaeaamsnt Aisessmont Dw <br />22 2007 11/18/2008 8,403.00 627.15 531.54 7,581.89 <br />TOTAL $ 7,561.89 <br />that th® wick the revarxae in me deterrnr:agan of the <br />amo~int ahcwn to be the led ~ pay tltm arnocr4 ~ attu dernend If this Notloe of ~e6e Tax Uen fa an e~Aarreign of ad- <br />e(lediva Nan, k aerrres stalEY'a ~teia?atln the a(fedad propel6jr aF the taxpayer. <br />.Revenue Agent 07/09/2009 (30832-1208 <br />sign ~' Date a aye er <br />here ^ Revenue Su rvisor 07/09/2009 <br />Title p~ <br />ww-to» Rw. aaoai s~.rna.. aw-ta~~ Rev. ~a~o~ <br />V <br />:+,; <br />