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'� �o n f� � , <br /> � ` V <br /> T = � <br /> � � D Z � s � o � <br /> � v <br /> n = N � 3 Z m � � <br /> � � � � { � o � � <br /> � Q -n � � <br /> � � o � -n Z ►--� <br /> � � � '►� w( z rn <br /> � o �� n � O v' <br /> t m � r � <br /> o s"�l r- � `� � <br /> � N � � � 2 <br /> � � ._..� � � <br /> � � 9- lo4sso -� � �' z <br /> a <br /> �r� Notice of State T x Li <br /> a en <br /> � � <br /> � � <br /> a.w.nw <br /> PLEASE DO NOT WRITE IN THIS SPACE d <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. NoNce is hereby given that taxes including penalties and <br /> interest, which are shown below, are due from t6e taxpayer specified <br /> below and remain unpaid atter 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 Vlfith Social Security or Federal I.D.Number Spouse's Social Security Number <br /> 35779756 �7R�s'���D�ds ❑°oanh'cie� 507-19-3882 <br /> Lien Se►ial Number Lien Type Date of Lien Courny <br /> 990430214 �°"9'"a� �°ortiniation � °oR�� 04-30-1999 HALL <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br /> Business Name Name <br /> DANIEL E CONTREREZ <br /> Street Address Street or Other Mailing Address <br /> 1308 1ST AVE <br /> City State Trp Code City State Zip Code <br /> KEARNEY NE 8 47 <br /> � Date of <br /> Category Tex PeNod Amount of Tax PenaHy Interest Additlons Belance of <br /> Number � Assessment Due <br /> 22 1996 12-14— <br /> TOTAL $ <br /> I hereby certi(y that the Nebraska DepartmeM of Revenue has complied with the revenue laws of the State of Nebraska in the determination <br /> of the amourK shown to be due,and the taxpayer has failed to pay the amourrt due aft�r demand. If this Notice of State Tax Lien is an extension of <br /> an effeotivve lien,it serves to coMin priority of the state's iMerest in the affec[ed property of the taxpayer. <br /> sign <br /> here ���5 5����e �'--3-�� �a��3�s-�o��s <br /> d TelepF�one No. <br /> Aulhoriz Signa roe te <br /> ,Q�, NEBRASKA DEPARTMENT OF REVENUE-White and Goldenr Copies TAXPAYER-Pink Copy COUNTY OFFICE-Canary Copy <br /> `6d�p"1d°7'Bf'n*d P�0" aasa-�a ae�.�ass su <br /> persedea 449474 Rev.5-95 <br />