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m m D <br /> �� = D Z �F - � � o ,� � <br /> � \ m N N � c n <br /> � � _ .. � � � .-z� r–�*rn � <br /> � � ` �� � Q o � � <br /> e � �� Q � T� Z H <br /> � �C,� � � 4�� 2 rn .-��w' � <br /> � J `t\�,,1 Yvrt ' � r'- � � � <br /> � � S o � r D � � <br /> � � C N C'a � � C <br /> Q� o ..�� w <br /> � � � � � <br /> � 99` ��Gr�►33� � <br /> J <br /> � Notice of State Tax Lien (� <br /> �Ir \\" <br /> n�broska � ` <br /> d�p�rtm�nt Q <br /> ot nwnw U <br /> PLEASE DO NOT WRITE IN THIS SPACE <br /> INDIVIDUAL IAJCCIM� TAX <br /> SOC. ScC. (V0. 5�5?�t3845 <br /> N�BR. ID�NT• N0. 30424d28 . <br /> SPOUSE SOC. StC. Nt7. <br /> 7AXABLc Y�AR 1994 <br /> LI�N NU. 99G430132 <br /> COUNTY HAL� i2AiVDALL S LANDEN <br /> DATE OF N�TICE 02/12/1999 3220 W 13TH APT 5 <br /> UATE 0� b5SES$M�PJ7 p,���,���9 g 9 GRA�VD ISLAND �VE 68�iO3 <br /> THIS ND�TCC 0� STA7� TAX LI�N IS TSSUE�7 �3Y THE N��RASKA D�PARTi"NENT OF <br /> REVE�IUE �pR INDYVIDUAL INCOMt TAX PURSUAMT TCl TH� REVENU� LAWS OF THE <br /> STAT� O�r NEBkASKA• NOTIC� IS H�it�:BY GIVEN TNAT INi7IYTDUAL INCGM� <br /> TAXES YNCLUDING PENALTI�S AND TiVT�R�5T� WNICN AR�c SHOWN �E1.OW ARE LUc <br /> FROM THE TAXPAYER SPtCI1�iED ABOVE AND REMAIN UNPATD AFTER D�MAND. <br /> THESE TAXES C�NSi'ITUT� A L��N 1"h TH� C�iUti7Y FCiR PRGPERTY I3�LONGTNv TO <br /> TH� TAXPAYER t7t2 HERtA�T�k ACQUIREll. <br /> AMGUNT 0� TAX . . . . . . . . . . . . . . . . . . 308•00 <br /> P�NALTY . . . . . . . . . . . . . . . . . . . . . 15•40 <br /> IIvTEREST (COMPUTtD TC� 02/1�/199`9) • • • . . . . . 106•17 <br /> T07AL AMOUPlT DU� . . . . . . . . . . . . . . . . 4z9.�7 <br /> Y N�REFsY CERTIFY THAT Tii� ivEBRASKA DEPARTM1EIdT G�= REVENWE HAS COMPLIEB <br /> WITH THE i2EVEtdi1� �AWS a� TH�t �TAT� OF NEBRASKA IN THE DETER�INA?ION GF <br /> THE AMGUNT SHOWN Tt� �i� DU�� AND TH� 7AXPAY�R, HA� �AILtD TG PAY THc <br /> AM�UNT DUE AFT�R urMAND. I� TtiIS IrOTICE CF STATE TAX LI�N IS Atv <br /> EXTtNSIt�N OF AN EFFECi°S�VE LIEN IT 5ERVE5 TG CONTINU� THE PRIfR1�i'Y OF <br /> THE AT��S TNT"" EST IiV TtiE A�F�CTED Pi�nPEkTY OF THE TAXPAYEk• <br /> ° .1 5 �30�- a=G��"_ <br /> . .. .... �.� ..�.�. ...... �:.y.� ....��.... <br /> PR�P RER� SiGNATUR� 1'I UAT�/TELtPHONE <br /> .. ..... . ��4�,:�'. . .� ...`j�.—�:'� �.( <br /> . . . ..... <br /> AUTHORIZ SIuNATU�tE T�� DAT� <br /> NEBRASKA DEPARTMENT OF REVENUE—White and Canary Copies TAXPAYER—Pink Copy COUNTY—Goldenrod Copy <br /> Printed with soy ink on recycled paper 7-145•79 Rev.10-95 Supersedes 7-1 a5-79 Rev.5•91 <br />