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AUG 2� '99 Q4�01PM U.C.0 DIVISION P.5i5 <br /> � ,� ' �1 ' . .. . . . , . <br /> f,7��' S�3�U�3�4 <br /> � � ����+..E.�, <br /> , �� .��� J�� ��i�� <br /> 99- ����7V ° �' r)"'� °� � <br /> �� ��,f.��,: �.��.�� ,:e�F �� '���� <br /> �Fc;�� sr,sr� <br /> r ' No#ice of Sta#e Tax Lien <br /> � <br /> � <br /> � <br /> o��w«w.,, ; <br /> � , PLEASE oo NOT WRIT6 IN nii8 SpaCE <br /> This Natic�aC staee Tsx Lkn is i�ued by t6e Nebraska Dep�rtmeat of <br /> R�eveaue tbr WapaW � puesu�nt t�o !he revepue Ipws af t�6e staEe ot <br /> Nebnska Notice ia hec+eby �ven th�Mt tAxes tecludxng pe�alties aad <br /> interest, whkh ere show�t belo�v, ane due �om !he taxpayer speoitkd <br /> below and remain nnpaid wfier dem�nd� Tlteso taxee�onstituEe a lien in <br /> the county for re�l and persane!ptirperty belong[pg to the taxpayer or <br /> bet�eytt�er a uired. <br /> N9�raske ldarltlll�ltlorl Ntislb9r Uen RI9d VVilh ' Boe:ilal$eC� Of fAtl6r91 LD.Numb9r BPOUS�'s EoCial SeCUrtly Mumb6r <br /> �096465 ��oro�a«aa �cw;nq,c� �52���-7061 <br /> 502-96—a095 <br /> t�ai,s�u�r uar, � <br /> 9 0 8 3 9 4 �O�I� ❑oontirwsuon' [�corrac�ao p$��.8—}.9 9 9 FIALL <br /> SIISINESS NAIHIE ANp LOCATION ppDRESi ' TAXpAYER NAIIIE ANp MAlLlNli ADDRESS <br /> Busineae N�rne Name <br /> DAVIp AND JODI�i r• +^ST <br /> Str�e naarass sv�st or on�ar Mswnp Address <br /> � iai� s� �nUZ Ro�� ��s� <br /> �► � aP� , �' Stata Trp Coee <br /> GRAI�D I ST�iND NE 6 a 8 O 1 <br /> � �� Bslanoa o! <br /> , � T�t Pe►lad � ArnoYrit e�Tax P�n�Fly (nl�at Add1liona <br /> Ass�asnt�nt Pue <br /> 10—I5-98-� <br /> Q1 1 — —98 � 6�99 9:0 0.00 29.66 �08.66 <br /> 01-01-99— <br /> 1 03-31-99 48-0b-99 1654.44 165. 44 4f.90 1866. 78 <br /> TOTAL S 2375. 44 � <br /> I hareDy oertlfy tl�at tne N�s p�p�r�of Rarer�has oompYaa wMh tha revenua laws od tha StOte of Nabraslca in u+e deurmM�tion <br /> of t�a amo�x�t SFiown to ba tlua,antl 1Ne taxpayAr has Talled so pay the arraunt dua aRor damsn0, If this NotiC+e of Stata Te�Llen is an axtgnsion o1 <br /> an ef�ecyhrs lian�h eervae to mmkius dte priorfyr Ot tha smEe�s IrMerast aMsc�d prop9rty of the tm�ayer, <br /> SIgr1 . � �l . �3�6'�i��`�oQ7�3 <br /> h�l'� �' '�►e , � r�r HA. <br /> r�a <br /> NEBRASKA DEP REYENUE- Re and Goldenrad Copies 1'AXPAYER•Plnk Copy Ct?UN7Y OFFICE-Ca�na�y�opy <br /> �r���� 4��f4 MV,1695 SuPeieadN 4.4B�7i Fkv,S95 <br />