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/ l./ <br /> ��� <br /> � �� _�' , , � . <br /> � CO C7 CJ'� ; �1 <br /> � C �'` .� <br /> �`` �.4`� �..� a �j �" �� � � <br /> �F» �"`" � ,l ���"`� �S '-�� � � :.Z <br /> � � <br /> � �� nt`� ' ` N �� � .7 <br /> � 1 .� '� �-�-� -y �a.' � -i�t :�!' F_.s <br /> `� ,..7 ;4. �. �4 (',� .� <br /> � �� � � �' ` `.k.�J 3=+ C7�f � C�7 <br /> \M "CI r $ <br /> �'a� \�, '� � � r�`- � W :� <br /> ��\4 :n ���� EiJ 7� � '-�r[� <br /> �� p � � � <br /> O � `'i p <br /> Cr's . <br /> � Notice of State Tax Lien <br /> �Ir <br /> �. _ <br /> � o� <br /> a� � <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 /> Nebreslca. NoNce is heceby given tLat taxes including penalties and <br /> intecest, which are s6own below, are due from the taxpayer speci6ed <br /> below and remain unpaid after demand. These taxes constitute a lien in <br /> the county for real and personal property belonging to the taxpayer or <br /> herestter acquired. <br /> Nebraska Identificatlon Number Lien Filed With Social Secxirity or Federal I.D.Number Spouse's Social Security Number <br /> 20822936 �R�'�ofD�g ��01"�'�� 505-74-3209 507-94-9424 <br /> Lien Serial Number Lien Type Date of Lien Courrty <br /> 980930023 �°n9'"� ��Ondni�10�' ���� 4-23-98 HALL <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAIUNG ADDRESS <br /> Business Name Name <br /> JACK A & DLBRA J ZIi�I1�4ER <br /> Street Address Street or Other Mailing Address <br /> 4160 WEST 1R ROAD <br /> City State Zip Code City State T�p Code <br /> GRAND ISLAND NE 68803 <br /> ax <br /> Cate�ory Tax Pariod �� Amount of Tax Penalty IMenst AddRbns BB��t Due <br /> NumbN' <br /> 22 1 4 1-14-98 1103.00 341.50 337. 29 1781.79 <br /> 22 1 1-2 — 185 27 75 17. 01 229. 76 <br /> TOTAL $ 2011. 55 <br /> I hereby certily that tt►e Nebraska Departrnent of Revenue has complied with the revenue laws of the Sffite of Nebraska in the detertnination <br /> of the amourrt shown to be due,and the taxpayer has tailed to pay the artaurrt due after demand. If ttiis Notice of State Tax Lien is an extension of <br /> an en,it senes to oontlnue ' of the state's irnerest in t affected property of the taxpayer. <br /> sign ' �r—ld 43��)��v�'60?u� <br /> here $ - . e T� � <br /> � � <br /> Authorized Signa re ;- Date <br /> NEBRASKA DEPARTMENT OF REVENUE-White and Gddenrod Copies TAXPAYER-Pink Copy COUNTY OFFICE-Canary Copy <br /> �r►+•���s�awM a-asaaa Rev.t ae5 super.edss 4-a9aaa Rev.ss5 <br />