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_ AUG 18 '99 18�55AM U.C.0 DIVISION P.��'� <br /> � <br /> .. � .. _ ... . <br /> i � 8�40�21 ._...... <br /> 99- ��s��� <br /> � �Ii tiit <br /> hY� �/�+� aJ I 1f <br /> � �� ���.i�� �� rki'i �� �� <br /> SfC�Y ST�fG <br /> r Notic� of State Tax Lien <br /> � <br /> � <br /> d� <br /> . , <br /> � ' PLEAS�DO NOT WRRE(N TFIIS SPACE <br /> This Notice of$t�1�e Tax Lien is issued by tbe Neb�ska Department of <br /> Revepue [or unp�id tpxes puisua�t to tl�e reveoue 18ws of the state af <br /> Nebraska. Natice i� het�+eby given thae laxes iacludiag pe�naltles and <br /> U�tet�est, whtch �t�e s6owa below, at�e due fl+om t�c'taxp,yer speci8�d <br /> below and remaiu uapsid al�er demaad. These t�axes�coos�ftnte� Ik.n in <br /> the�county fbr res1�nd per�onal property beloagiag�t�o t6e taxggyer or <br /> beres[!�r�cqaired. <br /> Nvbraoka leart�mqOn Numbar UM Fl�d VVnn 5�18ocurity ar Fedara!f.0,NuntDer Spouee's Sodal Sacui9ty Numbe► <br /> �936753 R�g�earofoe�ds �Gounryc�an� ,�p�-9p-72�7 <br /> �r►s�N►�► uen rype , oare a u•n �„y <br /> -� � Orpi�l ❑cor�fnuo�tlon ❑corrected g�.�7�95 <br /> BUS�NE6S NAIYIE AlVp LOCAT1bN ADDqESB ; TAXpAYER NAME ANb MAIUNG ADDRESS <br /> Businase tVama �� <br /> 3�ioha�rd s�ott Keli <br /> gC99t Address Stree!of Off19r FAAINfg�lddresa <br /> �6].�' St P�trick 4 <br /> � �e �ip coaa Gtv s�re av codr <br /> Gra�d xslaad N <br /> Cat ory '�ax Perlod � Amaun!o�Tax Panalty krteras4 Addldens BN�nc�eat <br /> A44�N�d Dur <br /> 1-1-98 thxu , <br /> 21 6-30�98 6-27�99 600.00 85.0 � <br /> TOTAL S <br /> ��►�Y�h�at tha NaEreake Dappfp11Ar11 ef Revanue has compNod w�h Ine revenua k�vrs ol tha State of Nabraslm kn IF+�d�Eertnir�dvn <br /> of 1M srta�rrt shorm oo ba due,ana ihe ta�syar hae fsaee ao pay fha srnount due aRer eemard, If this nrolwe ot S�Tax uen Is an mmaneron d <br /> lien,it SeN6s EO oo tho priorky of Ip9 8�oe's inEBr99t b fha alt9CteG prOperly o/tlle taXpay9r. <br /> $�C�11 � Revenue Aqent <br /> here �^ � �� - � No" � <br /> �vt/i Reva�ue Sen�a� Ac�nt ��� <br /> �wnon:ed�gnanxo � � <br /> N68RASKA GEpARTMENT OF REVENUE-whne ana Goldenrod Copias TAXPAYER•Pink <br /> ���„�� C�opy COUNTY OFFIC�•C�nary Capy <br /> , �7��sv.�daa 9uaw.s�.�7�Rw.s-as <br />