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_TUL 29 '99 �6�47AM U.C.0 DIVISION P.3i�i <br /> �� ' �258 8 <br /> . y 1 <br /> ' 'FiIEG <br /> I�E UGSAW <br /> , ''�9 JUL'�'8 ��A�1�=t�tD <br /> 99 107637 s�ctY.s���: <br /> Notice af State Tax Lien <br /> � . <br /> � <br /> � <br /> � j PLEASg DO NO'r WRITE iN THI$SPA�E <br /> V <br /> This Notice of Stste'TAx Lien 9�issi�ed by the Nebrasks Depart�e�t op <br /> Reve�ue tbr nnpaW laxes pursaaot to the c+evenue l�ws of the stAte of <br /> Nebeasks. Natice ts he�eby given that taxes lucluding pea�ities as►d <br /> iuterest, w�Ech ara sl�d+� below, ac+� due kom t6e taxp�yer speciSed <br /> below aad rem�Sn nap�id Al�er dem�ad. ?6ese taxes constitute��len in <br /> ebe caunq� [or ra�l�wd perso�I property bdoagln�'b the taxpayer or <br /> here�lter � ui�ed. ' <br /> Naerao�ca idendAaadon Nuribar Liai WNh Sxial Seewhy or Fed9ral LD,NumDar Spar�o's�aclal B�curNy Numbor <br /> 16917456 Ae��� ❑�r��� 50�-7.p-326� <br /> uon s«tal Nun+eer uen Type oaoa af Lion counl� <br /> 972620045 ��e+ ❑� ❑�� 47-21�1999 HALL <br /> �U8INESS NAME AND LOCATION ADDREBS TAXPAYER NANtE AND MAIIJNl1 ADDRESS <br /> 9usingse Name � �e <br /> MICHAEL B CZAPLEWSKI <br /> s�vc Addr�s saeet a viner Ma�uno Addresa <br /> 16669 READ ROAD <br /> cny s1�m �p Coda : C�y state z�p Coda <br /> HONEY CREEK IA 51542 <br /> Cet�oty Tax Perbd � Amai�ne af Tax Penetly • Int�rat AddRbns �A�s�ev�Du� <br /> Num� <br /> 2� 1A9� � /�V��97 77�• �� Qv� 79 171�L!+ 1��r1�/�0Q <br /> TarA� � ioao.os <br /> !hereby oer(Yfy f!►6t If�e Ne6raska Dapartrnenl of Rev9iwa Ifes oompNed+Mq1 t118 r9v�1u61�wa of C�$tato CI Nabrasira in tha daE�ndn�qOn <br /> of fne amar�t slwwn ro be dua.sne Ina taxpayar has tailed to pay tha an�ount dw aR�demand. It thls NDdCe ot Bmte Tax Uen i�an eXOansloei of <br /> an lion�N sarvvs�o oondnu9 Vre Pria9y+o}!ha�4s's irnereet rn tha aN�ctAd prope�ty of 1he�cpayer. <br /> $Igr1 � ,� ' ��G�G'i�/l�� �"C..G��� �8,�8��72� <br /> h er� � rs S pnatur� T�e Das� TNepna�e FTo. � <br /> AtAhQn�etl 71ds ' 6 � <br /> NEB KA DEP E F REVENUE ite snd Gold�nrod Copfea T�AXPAYER-Pink Copy GOUMY OFF10E-Canary Copy <br /> �p.+.or m _ � 4se��4 Asv.�ae�supaeeed.o 4�0��+Aev.rss <br />