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T rt�� � n N � <br /> C � O --� <br /> z � _ � c a <br /> f'ml 2 � �° � � rn =� � <br /> � ��� t� o � e� c��' <br /> t <br /> � °� `n Z F�-+ Q. <br /> }� _ = m <br /> �" � rn � � a � . .� pi <br /> • O v � r— D ''G y <br /> tn � � •-� � <br /> D � ��� <br /> w'�' N fJ"1 � <br /> C� _1�4405 � `� � z <br /> ,�9 :, o <br /> . . <br /> � Notice of State Tax Lien <br /> �ir <br /> � % c <br /> �� c,, <br /> of rw�nw p <br /> PLEASE DO NOT WRITE IN THIS SPACE <br /> This Notice of State Tax I1en is issued by the Nebraslce Department of <br /> Revenue for unpaid taxes pursuant to the revenue laws of the state of <br /> Nebreska. Notice is hereby given that taxes including penalties and <br /> interest, which are shown below, are due from t6e taxpayer speci6ed <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 /> hereafter acquired. <br /> Nebraska Identification Number Lien Fled WRh Social Security or Federal I.D.Number Spouse's Social Security Number <br /> 38017431 QRegisterofDeeds ❑co�rnya� 625-68-7343 506-35-4275 <br /> Lien Se�ial Number Lien Type Date of Lien Courriy <br /> 9 8 2 61013 8 ��s�� ❑�^�^ ���ed 4-17-19 9 9 HALL <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAIUNCx ADDRESS <br /> Business Name Name <br /> RENAN F & DORA A CALLEJAS <br /> Sh'eet Address Street or Other Mailing Address <br /> 522 U] HEDDE <br /> City State Zip Code City Shate Z.ip Code <br /> GRAND ISLAND NE 68801 <br /> T� Date of Balance of <br /> Category Tax Parfod � Amount of Tax Penalty Intereat Addkfons �S�t Due <br /> Number <br /> 22 1995 06-26-98 0.00 0. 00 .22 . 22 <br /> 22 1996 06-30-98 85. 00 55.00 37. 12 177. 12 <br /> 22 1997 07—01-98 0. 00 0.00 3. 45 3. 45 <br /> TOTAL $ 180. 79 <br /> I hereby certiy that the Nebraska DeparnmeM 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 amount due after demand. If this Notice of State Tax Lien is an extension of <br /> an effective lien,it serves to continue the priority of the sKate's iMerest in the affected property of the taxpayer. <br /> si9n � � � -� -� ��os�.�s-��� <br /> here � s S� � _ T�e �� �te �,e N� <br /> , <br /> ,�m, � ed si�nan,�e �ate <br /> NEBRASKA DEPARTMENT OF REVENUE-White and Goldenrod Copies TAXPAYER-Pink Copy COUNTY OFFICE-Canary Copy <br /> �a�+�«��•�.r�vro« a-4saaa aev.iaes supersedes n-as4-�a aev.s-ss <br />