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�. \ m = D�--� <br /> �� � �� � � � <br /> o � <br /> � � � <br /> � � <br /> \ � m cDi� N � � —�i � � <br /> �. � � = m -c '� o � � <br /> � c� � p -*t ' c-�p <br /> c� � _ 0 tT3 "T� Z f—'` G� <br /> � <br /> -^ m <br /> O � m ?`'�, � A a, O v�i <br /> W � m� � rr' � � N <br /> � � � � � <br /> Q� D� � C <br /> „1 � � ......,..... <br /> � � �J3 � � � <br /> � o ��. 1a53'�9 � Q <br /> ..: <br /> � Notice of State Tax Lien � <br /> �Ir � <br /> � �- <br /> � �a rw.nw <br /> PLEASE DO NOT WRITE IN THIS SPACE <br /> This Notice of State Tax Lien is issued by t6e Nebraska Department of <br /> Revenue for unpaid taxes pursuant to the revenue laws of the state of <br /> Nebraska. Notice is hereby givea that taxes including penalties and <br /> interest, which are s6own below, are due from the 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 VKrth . Sociai Secxirity or Federal I.D.Number Spouse's Social Security Number <br /> 7 6 9 8 9 9 2 �Resister of�eeds ❑Courrry c�er�c <br /> Lien Serial Number Lien Type Date of Lien County <br /> 9 0 5 3 5 6 �o"9"'a� ❑�°"°n"e°°n ❑ �°Rected 0 5—2 2-19 9 9 HALL <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br /> Business Name Name <br /> UNDERWATER PET tn10RLD & SUPPLY CO INC. <br /> Street Address Street or Other Mailing Address <br /> 12 1 S S <br /> Ciry Shate Zip Code City State Z�p Code <br /> I 1 <br /> T� Date ot Belance ot <br /> Category Tax Period ��t Amount of Tax Penalty �M�� �dK��s qssessms�t Due <br /> Number <br /> O1—01-98— <br /> 21 O1-21-98 05-22-99 25.00 25.00 2. 39 52. 39 <br /> TOTAL $ 52. 39 <br /> I hereby certify that ihe Nebraska DBpartmeM of Revenue has complied with the revenue laws of the State of Nebraska in the determination <br /> af the amourn shown to be due,and ihe taxpayer has failed to pay the amourrt due after demand. If this Notice of State Tax Lien is an extension of <br /> an effecuve lien,it serv s to corrtlnue the priority of the state's im in the affected property of the yer. <br /> sign - �� ��s���s-,��-� <br /> here ���g Signatu Tide � Date Telephone No. <br /> � � <br /> orized ' e Title £' <br /> NEBRA DEPARTME OF REVE E-White and Goldenrod Copies TAXPAYER-Pink Copy COUNTY OFFICE-Canary Copy <br /> �a�«�re�r�v� a-asaaa Rev.�ass superaedes a-asaaa aev.s-ss <br />