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AUG 2� '99 �4���PM U.C.0 DIVISIQN P.3%5 <br /> �d � <br /> � ��i . .: r . , _._ . _... 'r+�Y���_ .. . _.., . <br /> � i �'.l l: <br /> � ,'1w �y�i� �;i�e� <br /> �9-��841 �� �,,.,,�: ;:��� ;�y�� �: o�� <br /> .�° � S€CTY Si�:T� <br /> �' Nt�tice of Sta#e T�x Lien <br /> �..�.�. <br /> �� ' <br /> PLEH�f'e bp 1�10T WRITE IN TFNS SPACE <br /> ?h4s No�ke o[Sfate Tax Lka is laaued by the Nebr�skt il�epaitment of <br /> Revenue fbr unpald bxes pursuaat to the revenue laws of t�e st�rte of <br /> Nebraske. Nolke 1s bere6y g�lven t�h�t trixes lnclud�ng penslties ond <br /> 3ntet�est, wbkh �re showo belaw, si+e dne t�oip tl�e tuxpayer specf6ed <br /> belaw�ad cem�ia unp�id alrer demaad. These taxcs constitute a lien in <br /> the connty tbr real aqd perspaAl property beloag[ng to tbe taxpaycc ar <br /> berea[rer n�qulred. <br /> �3 8 0 7 8 Z 3 "�� �on Rloa wW+M�, sooial s�curity a Faderal�,o,Numba► spouae�a Soa�secu►i�rr Numder <br /> �erotD�a ❑Caunhc�o►+� 507-98—�,629 <br /> 99��09a �� nama►.� <br /> �� ❑�+�++ ❑ca.�ed �7—�9-1999 �H�ALL <br /> Bt1SiNESS NAME AfVD LOCATION ADDRE$S T,4�iPAYER NAME/WD 1IWUN�A ADDR�SS <br /> 8u�w�ees Nama Name <br /> MARK W ROnERTB <br /> s�a�a�1 Addre�s �aeec or on,er Maiur�g,�dr�s <br /> 714 N TAFT A,V� <br /> �Y Btate ap Cade C7tY S4dte Zlp Cods <br /> GRAND ISLAND NE 68801 <br /> TeK <br /> Ce� ry Tax PArbd � An+ount of Tax Pand�y Inlw�.st Addlden. p��t!Dua <br /> 22 1995 O1-13-99 �2.08 124.75 1�9. 45 26fi.20 <br /> 2� 199G Q2y11-99 67d. 00 335.00 137.78 11.42.78 <br /> TOTAL � 1428.98 <br /> I hereby aartiyy 1Nat M+e Nabreska DepmtrnarK ot R6�venur has ocmp5ad wiln tha revern,e tAwB ol tha Smta o(Nebraska in tha dsterminatlon <br /> 01 tha amourR shoM�r1 t0 be due�and fha�xpayer h�f�1ad to pay tha amo�t due artar dant�rW, N this Notioo af S1ate Tax Lian Y��A 6octans(on M <br /> 9n 6'MBC6Va Ilerl,lt Sefvss t0 cantlnue Cfe priprlty ot ths s�a1�B's irR9feat in the aR9Ct80 p►opYrpr of th9�xpayer. <br /> ' �^�'���� <br /> h�@ °� , ra� � q <br /> , � relephone No. <br /> �� a 7"dl9 � � <br /> � NEBRASKA DEPAR7MENT OF R UE-IM�Ite and C3olclenrod CoPias TAXPAY��!-Pink CoAY CQUNTY QFFtCE-Cena�Y�oPY <br /> P�I M NpC6d p�� I <br /> 4�/�F74 fllv�10�ffi$ypp��4•qgb�4(�v-6.56 <br />