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�� V <br /> �� ti <br /> � � ' � � �, � � ��� <br /> : -� � � x. 1"'r'1 <br /> � � . --�� � C�° -�' z --, CL`7 � <br /> ; � ,� � -+ '�" Gp v <br /> � � �� .� � N � p ' � <br /> � �° � � ' C�o � ' c�. <br /> � «,: �' • � � t--+ � <br /> "`$� ,�� ,n <br /> � � � N <br /> �, �,, ;; � �= p ° � <br /> '� �� � � n � � <br /> 1 �o � <br /> � � � � � � <br /> � � � ....� -.� � <br /> � c� cr' cm �- <br /> r 1 � � � �,.?' <br /> � Notice of State Tax L�en <br /> �Ir <br /> � �- � <br /> d�pxa"�"t 4 <br /> ot nv�nw a <br /> PLEASE DO NOT WRITE IN THIS SPACE <br /> This Notice of State Tax I.ien is issued by the Nebraska Department of <br /> Revenue for unpatd 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 s6own below, are due from the taxpayer specified <br /> below and remain unpaid siter demand. These taxes constitute a lien in <br /> t6e county for real and personal property belonging to the taxpayer or <br /> hereatter acquired. <br /> Nebraska Identification Number Lien Fled With Social Secxirity or Federal I.D.Number Spouse's Social Security Number <br /> 3 6 6 7 3 6 7 �Reg'ster or°eeag ❑c°u"q'c�e'k <br /> Lien Serial Number Lien Type Date af Lien Courriy <br /> 8/0 4/3 31 [y��sina� ❑Corninuation ❑Gorrected 4—2 8—9 8 HALL <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br /> Business Name Name <br /> ' LEE ZIMMER & SONS INC. <br /> Street Address Street or Olher Mailing Address <br /> 416 0 6VEST ONE R RD <br /> City Shate Z�p Code Cily State T�p Code <br /> GRAND ISLAND NE 68803 <br /> ax <br /> Catapory Tau Perlod � AmouM of Tax PenaFty IM�r�st AddRions �s�irw�nt Dua <br /> Numb�r <br /> 10-01-97 - <br /> 21 12-31-97 2-12-98 129. 43 6. 47 2. 77 138. 67 <br /> TOTAL $ 138.67 <br /> I hereby certify Mat the Nebraska Departrnent of Revenue has complied with the revenue laws of the State of Nebraska in the determination <br /> of the amouM shown to be due,and the taxpayer has failed to pay the amowit due after demand. If ttiis Notic:e of State Tax Lien is an extension of <br /> an effecdve lien,it serve to corninue the priorit�r of the state's i at in the affected �roperty of ihe yer. , <br /> , , <br /> r <br /> s�gn _ ��' , i�f �J' � ��sY-��c��� <br /> here ���g S�^�fe r�e � Telephone No. <br /> � ��r,i.n;.,,r __°"„` � ��,�Ga/ `/�v� � <br /> orized ' r Title � ` � e <br /> NEBRAS DEPARTM OF REVENUE-White and Goldenrod Copies TAXPAYER-Pink Copy COUNTY OFFICE-Canary Copy <br /> �P+►+b���awM a-4s�-74 Rev.lass supersedss a-a9t-7a Rev.5-95 <br />