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03/08/2010 MON 14:54 FAX 402 471 4429 DCC SECRETARY OF STATE ~~~ Ha11 <br />Please forward to: <br />Nebraska Department of Revenue <br />4500 Ave T PO Box 1500 <br />Scottsbluff, NE 69363-1500 <br />201001518 <br />N13braska Department di <br />RE1/E~L~E <br />wytvy. rev6 q,u O. na.:~ vv <br />NS She pf Sirip Jphn q 6rlw _ U[C STL <br />9910621731-8 Pas: i <br />WALKER CRAIG F <br />Fii~d: 08/08/2010 08:55 AM <br />NOTICE OF STATE TAX LIEN <br /> 5E DO NOT WRITE NTH SPA E <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 tnciudtng 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 Ilen <br />In the county for real and personal property belonging to the taxpayer <br />or hereafter ac wired. <br />Netxas entirication Numtx'r Fee denti6cadon umber <br />34254438 <br />Lien Serial Number Lien Fr e i Soa ecuriry Number Spouse's Saclal Security Number <br />11036886 ®Register of Deeds County Cledc XXX-XX-9245 XXX-XX-1072 <br />Date of Lien isn ype County <br />03/04/2010 ®Original Continuation Corrected HALL <br />BU51NE53 NAML AND LQCA TION ADDRESS TAXPAYER NAMH AND MAILING ADDRESS <br /> CRAIG E & CYNTHIA L WALKER <br /> 203 W 22ND ST <br /> GRAND ISLAND NE 68801 <br />ax <br />Category Tax PeHad Date of Amount of Tax Penalty tntorest Additlons Balance of <br />Number Assessment Assessment Dus <br />22 200fi 11/27/2007 1,622.Op 99.30 330.04 2,OS1.34 <br />22 2007 11/19/2008 1,034.00 101.41 119.55 1,254.96 <br /> <br /> <br /> <br /> TOTAL $ 3,306.30 <br />1 <br />I here v certlf v that the Nebras ka oartment of Revenue as comoli vdth the revenue laws of the State of Nebraska in the determination a t <br />amount shown to be du , apd the <br />effective lien, it serves ~ ntinue <br />sign <br />here ^ <br />aly taped to pay the amount due aRer demand. If this Notice of State Tax Lien is an extension of an <br />of state's Interest in the affected property of the taxpayer. <br />Revenue Agent 03/04/2010 (308)632-1208 <br />r ate p ne umber <br />Revenue Su ervisor 03/04/2010 <br />Title Date <br />494-1974 Rev. 7.2002 Supersedes 4-494.1971 Rev.161995 <br />f~oo7/011 <br /> <br />