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<br /> ,�_ M�ii�� of st�te Tax Llen
<br /> �-- .�.
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<br /> r •11.d in.aueN«�s on�.w�.�a.
<br /> LMnlKNI Numf�► L n TYp� O�t• .
<br /> 0/0�1�55 �)Qrlylnal era�t ID No.
<br /> o R.�.w., 7-ta90 1�155?6�,8 n 1 � ��
<br /> lVSGrura 1.£!.t�ta. Caua�Y l.�M�iif�With s�ouN i iocW S�e�nty ��i� .Ir.�'i�� 'Z
<br /> �6�e5 �11 � lqplsht ot ONO umb�t
<br /> J� CoYnty Cl�tk
<br /> � MMM1lM MAME ANO I.00ATiON AOOIIE/� TA%►AYEA NAME ANO INAILIN(i A0011Ei�
<br /> ���� Nam�
<br /> • ; str�I►�r�t StrNt or Othe Matlin Aaar�ss
<br /> a�laZ 1
<br /> CitY Stat� Zlp Cad� Clty St�t� Zia Gad�
<br /> d 1 d NE 6ggp1
<br /> ' , Thi�Notice of State Taac Lien i�iwied by tl�e IVsbnWca iaep�rpnent of Revenue fer unpdd hxs purawnt ta the
<br /> rerewe inh of the itate of Nebr�niw.Notice i�hereby�iv�n thst t�xes inrhx!}n�re�-,�*�aaQ ialrrest,�'htch are
<br /> �hoan below►,ue due from the taupayer y�ecitled abovc and rem�in unpaid after demand. Thex taxe�corotitute
<br /> s Ikn in the caunly for real and penwesl p�operty belonE[nE to the hxp�yer or hereaftsr acqaited.
<br /> � N�� Dat�of
<br /> � Y��'� Aw�n�ns An�aunt o�T�x P�nalty IntK�st Additbti ��of
<br /> � I►�nt Ow
<br /> • - ru
<br /> 21 09-�0..89 3•27�90 0.00 170.66 33,25 203.91
<br /> - ru ,
<br /> " 21 12-31-89 3-27-90 0.00 92.11 12.3T t04.48 �
<br /> - ru
<br /> 21 03-31-90 05-30-90 O,OD _ 53_57 �.�n . �� �� �
<br /> _._ _ �, ,,,,
<br /> :-:.�
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<br /> •;_
<br /> � �`'= � TOTAL S 365.66
<br /> a f,A�tlby Nrtlfy that th�N�braska p�partm�nt ot R�y�nu� ��s tompllW WItt1 t�s I�v�nu�Isws pf tht State of N�br�Ska In tR�G�ttt-
<br /> , . min�tlon of th� moun to b�au�,ana tne taxaayer nas t�u�a to psy tn�amount du��tter aeman0. ir this Notic�ot Sac�T�x
<br /> • LIM M�t1• i�n ot�n�}f i Iltn i s�rvH to to tlnu0 the DriOrlty o1 t��ttat�'s Int�rht In tN�affactW prop�►ty of th!hxp�y�►.
<br /> ���A � Taxpayers Serv9ce Specielist �- — ,c,
<br /> . �•� M itur� Titl� �D�t� � �
<br /> �-�-� Revenue Agent Supervisor ��p �I��
<br /> AutAOrlt�d Slynatur Tltl� �� Oata •
<br /> FOR CpUNTY OFFI�,IAL'S USE
<br /> TNE � IIOTICEIS} p!' TIUC LIE�t (OR TF.RIlINATION) IS (ARE) TO BE FILED qiLY MI'lg
<br /> • 'i � G!' MS�D8. ......,..
<br /> '� AOCtJ!l�I� �S? IS tllREj PIQT Z'O SE FOP.W?4RB&D TCJ Z73B COi1N'TY CLERK.
<br /> DISTRIBtJTIOSI OF COPIES:
<br /> WHITE: TO BE VALIDATED BY THE R�GISTER OF DEEDS 11ND RETURNED TO THE
<br /> DEPARTMEIJT OF REVENUE.
<br /> GOLDENRODe TO 8E KEPT HY THE REGISTER O� D�EDS.
<br /> BILLING IS TO HE OI3CE PER MO�ITH AND T�tERE WILL HE NO PRE—PAYMFaJT UF FEES.
<br /> THANK YOU FOYt YOUR COOPERATION. ,--_ <�_--
<br /> � �8��� MhN�Ur ntv tNUE-Whito snd Go�denrod Cop�es TAXPAYER- Pink Copy COUNTV OFFICE-Cansry Copy �
<br /> 4�494•74 Rev.9•98
<br /> � SuporsetloS 4•494 74 Aev.�•81
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