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T = � � n cn � <br /> Ca � <br /> S D Z � � � z � : k <br /> � � . <br /> � � 2 N m � � � � cWi <br /> � o � S�- <br /> � � �' C�b � z 1--' ty <br /> v � �y m � � <br /> m � r � <br /> . � o r n � '-�'+- <br /> � � � � <br /> r � � <br /> n � � <br /> 99-ic�3ss� � � �' � <br /> Q <br /> . <br /> �� . . <br /> r Notice of State Tax Lien <br /> �� <br /> a rd�Wrtm�nt �j^ <br /> \ <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 /> Nebraska. Notice is hereby given that taxes including penalties and <br /> interest, which are shown below, are due from the taxpayer specified <br /> below and remain unpaid aRer demand. These taxes conslitute a lien in <br /> the county for real and personal property belonging to the taxpayer or <br /> hereaRer acquired. <br /> Nebraska Identification Number Lien Fled With Social Securily or Federal I.D.Number Spouse�s Social Security Numbe► <br /> 16956672 [�aes���a�os ❑co�►nyci�x 572-44-3279 526-46-5931 <br /> Lien Serial Number Lien Type Date of Lien ��� <br /> 9 8 3 4 5 012 5 �origina� ❑corninuation ❑corrected 0 4—O 1—9 9 HALL <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br /> Business Name Name <br /> RICHARD E & JEANETTE B GEE <br /> Street Address Street or Other Mailing Address <br /> 916 W 1ST ST <br /> ��►Y State Zip Code City State <br /> Zip Code <br /> T� GRAND ISLAND NE 68801 <br /> Nu°m°berry T�P��� �Ass�sment Amount of Tax penalty Intsrest AddRions Be�ance of <br /> Assessment Due <br /> 22 1997 09-22-9 1211. 00 339 20 12 7 1 <br /> TOTAL $ 1 � <br /> I hereby certiTy that the Nebraska Departrnent of qe�r�ue has complied with the revenue laws of the State of Nebraska in the determination <br /> of the amourrt shovm to be due,and ihe taxpayer has failed to pay the amount due after demand. If this Notice of State Tax Lien is an extension of <br /> an effective lien,it serves to corMinue the priority of the state's iMerest in the affected propeAy of the taxpayer. <br /> sign � ���� <br /> here ���g ����e ; T� ��� �Z=�— ��s3�.�(�a7Z <br /> Date Telephone No. <br /> oriz gna re � 7 < <br /> rroe �t <br /> r� NEBRA KA DEPAR NT OF REV NUE-White and Goldenrod Copies TAXPAYER-Pink Copy COUNTY OFFICE-Canary Copy <br /> w�ra o��w.x�vw•• <br /> aasa�a Rev.�ass suaeBedes aasa�a aev.s-ss <br />