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__ � _. _ <br /> �°v ' -m D <br /> � : n � i ��. � <br /> T D !k° V <br /> � m � p C.L) <br /> � i� � y � r T �R b <br /> � C "� � � �-t'r <br /> � D � —�1 �3 <br /> �� � � � � � � cD <br /> O °�`�' N �; `� � � <br /> Sp "�c ti' °- <br /> 0 <br /> � �' <br /> ) r'i F�"til � l,► � �' � v�i <br /> � � �� � � � � <br /> r�— rn <br /> \C � "' � c.fl �' rv ,�n—..' <br /> � � � �� � �� <br /> 0 99 106248 �' � � <br /> z <br /> Q <br /> � Notice of State Tax Lien �' <br /> �Ir <br /> � � <br /> � � <br /> of rw�nw � <br /> PLEASE DO NOT WRITE IN THIS SPACE <br /> This Notice of State Tax Lien is issued by the Nebraska Department of <br /> Revenue for unpaid taxes pursuant to t6e cevenue laws of the state of <br /> Nebreska. Notice is hereby given that taxes including penalties and <br /> intecest, which are shown below, are due from the taxpayer specitied <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 /> hereatter acquired. <br /> Nebraska Identification Number Lien Filed With Social Security or Federal I.D.Number Spouse's Social Security Number <br /> 7 7 2 2 3 0 3 �Register ot�eeds ❑courny c�er�c 5 0 7—9 6—313 6 <br />, Lien Serial Number Lien Type Date of Lien Courriy <br /> T 9/0 6/3 5 8 �orisina� ❑Corronuation ❑ corrected 6-15—19 9 9 HALL <br /> BUS ESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAIUNG ADDRESS <br /> Business Name Name <br /> LORI I�IVINGSTON <br /> ����� Street or Other Mailing Address <br /> 810 E 15TH ST <br /> CnY State Zap Code CitY State Trp Code <br /> GRAND ISLAND NE 68801 <br /> T� Belance of <br /> Category Tax Period �°� Amount of Tax Penalty IMerest AddRions <br /> Number �°M Asaessment Due <br /> 12-01-98— <br /> O1 12-31-98 06-04-99 124. 79 25.00 4. 38 154.17 <br /> Ol—Ol-99— <br /> O1 O1-31-99 06-04-99 93.90 25.�0 2.55 121. 45 <br /> 02-01-99— <br /> 3 02-28-99 06-04-99 0.00 25.00 1.51 26.51 <br /> 03—01-99— <br /> Ol — — — — 105 47 <br /> 01-01-98— <br /> — — — — 2 72 50 <br /> TOTAL $ 480 10 <br /> I hereby oertiiy that the Nebraska DeparbneM of Revenue has complied with the revenue laws of the State of Nebraska in the determination <br /> of the artaurrt shovm to be due,and the taxpayer has fai�ed to pay the amourrt due after demand. If Mis Notice of State Tax Lien is an extension of <br /> an effective lien,it to cor�nue the priority of the state's irner n e affected properiy f the taxpayer. <br /> sign ,� �j�� ,� {3�����5-�n� f� <br /> , <br /> here � s Signa re e Date Telephone No. <br /> b� ��� <br /> ori2ed Si re Title Date <br /> NEBRASKA DEPARTMENT REVENUE-Wh e and Goldenrod Copies TAXPAYER- ink Copy COUNTY OFFICE-Canary Copy <br /> �ar�,ra�r.�rd.d�o. <br /> a�asaaa Rev.iass superseaes a-asa-�a aev.s-ss <br />