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� <br /> � � m � � � C� <br /> � � � � � rn <br /> � � � <br /> h�. n � � cD c� cn � <br /> m cn � <br /> � Q,e � N �"� � z -� =t. <br /> (� '� � - m � '� rn � t� <br /> � -< a (� cn <br /> � o� q -n 1 � <br /> °� � ..,� �� 1J -n a �, .-r <br /> ° � b W O 2 <br /> Q � o � � r' z' vt c� <br /> �,u � �' o � .•�� r�-.. <br /> v � � � � o <br /> �.� <br /> � �. <br /> � � Notice of State Tax Lien <br /> �Ir � <br /> � � <br /> of r�inw � <br /> PLEASE DO NOT WRITE IN THIS SPACE <br /> This Notke of State Tax Ijee is issned by the Nebraska Departmeet of <br /> Revenue for unpaid taxes pursuant to the revenue laws of the state of <br /> Nebraska. Notice is hereby given that taxes including penalties and <br /> interest, which are shown below, are due from the taxpayer speci6ed <br /> below and remain unpaid atter demand. These taxes constitute a lien in <br /> the county for ceal and personal property belonging to the taxpayer or <br /> hereaBer acquired. <br /> Nebraska Identification Numbe► Lien Fled 1Krth Social Security or Federal I.D.Number Spouse's Social Security Number <br /> 4 0:i 9 7 4 91 �Register of Deeds ❑courny c�e�c 3 2 9—4 8—9 6 9 9 <br /> Lien Serial Number Lien Type Date of Lien County <br /> 9 9 0 4 3 0 0 3 2 ��s�� 0��nuatan ❑ corrected 5—2 9-19 9 9 HALL <br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br /> Business Name Name <br /> DAVID E LENGFELDER <br /> Street Address Street or OTher Mailing Address <br /> 1109 W 9TH ST <br /> Ciry State Zip Code Ciry State Zip Code <br /> GRAND ISLAND NE 68801 <br /> T� Data of Balsnca of <br /> Category Tex Period ��s�� Amount of Tax Penalty Irnenst AddRions ���t Dua <br /> Number <br /> 22 1995 11-13-98 23. 8 23. 82 <br /> 22 1996 11-13-98 481.00 120.25 91.8 693.05 <br /> TOTAL $ 716. 87 <br /> I hereby certify that the Nebraska Departrnent of Revenue has complied with the revenue laws of the State of Nebraska in the determinalion <br /> of the amourrt 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 state's irrterest in the affected property of the taxpayer. <br /> sign � - ' � � f � [�-3-�q c����s-(�o�� <br /> here �� rg �^� r e T��Na. <br /> � � <br /> �o �a s�9nan,�e e oa�e <br /> NEBRASKA DEPARTMENT OF REVENUE-White and Goldenr Copies TAXPAYER-Pink Copy COUNTY OFFICE-Canary Copy <br /> �c+���r*�aw� a-aseaa Fbv.�as5 Superaedes a-asaaa Rev.se5 <br />