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A �rtlElralka <br />dl�pxtment <br />a <br />[4 <br />i <br />Notice of State Tax Lien <br />*Read instructions on re"ne side -- <br />$9-- iaa�v9 <br />Lien Serial Numbef <br />Lien Type <br />pate <br />Social Sacurih� Number <br />Uia fast <br />Additions <br />)51 Original <br />243 -89 <br />505 -56 -7074 <br />9 <br />[] Renewal <br />Tr 1 -87 thrl! <br />Newaska I.D. No. <br />Coanty <br />Lien salad With <br />�{ Register of Deers <br />Spouse's Soctat SWUM!! <br />umber <br />' . 57.88 <br />5206332 <br />Hall <br />Q County Clerk <br />191.19 <br />9.56 <br />BUSINESS NAIVE AND LOCATION ADDRESS <br />- -42.77 <br />TJt]LPAYER NANi& AND WAILING ADDRESS <br />10 -31 -87 <br />236.51 <br />11. 3 <br />Namp <br />Janet M. George <br />Business Name <br />6fi 16 <br />a k <br />r1 <br />Stroet os <br />of let- Maaing Address <br />Street Address <br />- <br />state <br />Zip Code <br />3111 <br />City <br />5tata Ztp Coda <br />acv <br />Gra <br />I tr N <br />M Notice of State Tax Lied is issues *: f;' fhe Nebraska Department o#' R4i'enue Sir uhft0j.` , es pursuant to the <br />rsnd interest, which are <br />revenue laws of the state dt-Nebrash:s,::,��i?zce is heric0y -s a that taxes iucLrr i�t pepa. 0-5 ,: ' <br />shown below, ate due from.;sire tp;tjv t., cifIed dhiive and rm-zu U0111 itIb, #r deitiarr se taxes constitute <br />a lien in the: fa71ittg for real and pdi,rdperty belonging to l�ir*.I, payer orliet+eaftrracq + d <br />Tax <br />T =a !Period <br />Data tit <br />A� .;601 <br />. ... <br />Amount of Ta .::. 13: PanattY <br />Uia fast <br />Additions <br />Balance of <br />Assessment Ow <br />.Numb+► <br />.,. <br />:. <br />Tr 1 -87 thrl! <br />21 03- 31 -81 <br />6 -30 -87 <br />fi5.15 <br />35.37, <br />' . 57.88 <br />? 21.7, !.:. fi -30 -87 <br />7 -31 = <br />