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. - <br /> ��� � <br /> � � <br /> � � o � <br /> � � � <br /> 1� � rn � � � � � '"��- <br /> �� � � � � rn <br /> � ..�,� E!7 -n � � sy <br /> o � = rn v <br /> `� m � a oo G� cn <br /> r � � <br /> � a r r> 4+� <br /> cn � cn �; �. <br /> 1ea1� 1"� `-�D: � � <br /> � � �J � f""�' � <br /> cr> --�- <br /> � � <br /> � d �r Notice of State Tax Lien �' <br /> � <br /> � � <br />� a r�wwMiu.t <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 unpaid taxes pursuant ta the revenue laws of tLe 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 after demand. These taxes constitute a lien in <br /> the county for real and personal property belonging to the taxpayer or <br /> hereatter acquired. <br /> Nebraska Identification Number Lien Fled Wrth Social Security or Federal I.D.Number Spouse's Social Securily Number <br /> 33425477 �RegisterofDeeds ❑cournyc�erk 487-38-6363 503-56-0334 <br /> Lien Serial Number Lien Type Date of Lien Courriy <br /> 9/0 4/3 41 �origina� ❑Cormnuation ❑corrected 0 4-12—19 9 9 HALL <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAIUNG ADDRESS <br /> Business Name Name <br /> GEORGE R & ROSEMA.RY FAREL <br /> ����� Street or OM�er Mailing Address <br /> PO BOX 675 <br /> City State Zip Code City State Zip Code <br /> GENTRY AR 72434 <br /> T� Date of <br /> Category Tax Period Amount of Tax Penalty Irnerest AddRions Bslance of <br /> Number �S�^t Asaessment Due <br /> 22 1995 6-15-96 40.21 2.OI 10. 83 53. 05 <br /> 22 1997 11-17-9 374.00 74. 80 33. 38 482. 18 <br /> TOTAL $ 535. 23 <br /> I hereby certify that the Nebraska DepartrneM of Revenue has complied with ihe revenue laws of the State of Nebraska in the determination <br /> of the amourrt shown to be due,and the taxpayer has tailed to pay the artaurrt due after demand. If this Notice of State Tax Lien is an extension of <br /> an effecbve lien,R serves to cor�ti e e priority of the state's irrterest' the affected propeAy of the taxpayer. <br /> sign �p8�385-6��5'� <br /> h e re ��r S' natur T Dat 1 Tel e No. <br /> G <br /> Aulhoriz Signa re e Date <br /> NEBRASKA DEPARTMENT OF REVENUE-White and Golden od Copies TAXPAYER- ink Copy COUNTY OFFICE-Canary Copy <br /> ��'�'ife0°"1°'��'°''"�°' aase-�a Rev.�ass su <br /> persedea 4-49474 Rev.5-95 <br />