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����Q� <br /> ----�� . .... . _ _....__._... .. . .._ <br /> . . ...._ . <br /> . �� �.,�L�� <br /> "r� ���'� '�'' <br /> �•�.� <br /> 9 9 10 912 3 �Q s�.� ►��. r°�.;� �= �� <br /> SECZY S?Ai� . <br /> r Notice af State Tax Li�n <br /> � <br /> � , <br /> d r�wnu� � <br /> ��se ao Nor w�iN TM�s spac� <br /> Thls N�tke o�Statc T#x Idea is issu�ed b�the Nebrasks Degart�eat oP <br /> Rrvenue [or nnpatd ta�urs pursuaot to tb� re�enue fews vf the state o� <br /> Nebcaslw. Natice is hereby gtven that taxes iuclndivg peaaldes and <br /> lnberest, whlch �re shown helow, �re due trom tbe taxpayer speci8ed <br /> beMw and�emaln nupaid aRer demand. Tbese ta�ces constitute a Rea iA <br /> fbe coanty Por c+�wl snd pers�nal proper�belom�ng to the taxp��er or <br /> he��er �c uirCd, <br /> IVObras�ca IGSnIMication NumGar I,ien pN�q yN� Soc�l Seauiry«Federsl t.D.Number Spouse'a Sacial SecuriRy Num�er <br /> 39475328 �'0'�'ofD� ❑�''�"` 464�37-25�2 <br /> �,s�ra�rn,rna� u•�,ry� ae�e a uon co� — <br /> °'�"u �]a'"nr"'a°°'�' � c°"�`�a Q 7— 7-19 9 9 HALL . <br /> $USINESS NAME AND LO�ATiON ADDRESS TAXPAYER NAME AND MAtLJNO ADDRESS <br /> ' Buelne9a Name �� <br /> PATRIC�A ROMERO � <br /> s�aese nearesa s�sa�ar ourer n�;r�addre� <br /> �Y s� i+a caao [xry► sme� Za coae <br /> � <br /> Ca�t�pory Tex Pe►lo+d � Amdunt�sf Tax PrnaRy Int.r.st Addltlons Aa�a�s�s nme�nt Dw <br /> REtUffl tQ: <br /> STATE dF NEBRASKA � <br /> AEPARTM�N7 OF REVENUE <br /> 1811 W�ST 2N0 ST S7�4Q0 <br /> GRAND ISL,AND NE 68803 TOTAL $ <br /> I hareby a�Ufy that U�e Heb►s�a Uepertr�af Re�+enue M+�s oort�pUe��with t�e ravoriw Iavrs of Ihe Slate of Nebraska in Cie datermination <br /> ot it�amount shoMm!o DY due�an0lhd ta�ayer F►ns laked to pay the a�rt+our�due R1ter AemanC. M thra Notloe c,f State Teoc Uen Is an�nension ot <br /> an elf6Ctiv91i6f1�it SANAS t0 ObMMue She prSOrHy of C1A St�t6'9 ioltedeSt in the eAle�.'ced pn�ry Of Q19 td%p�y9t'- <br /> ,71�. � ► ��J I 1 l��fL"�" "� V!. r �v )�ll��+'" 'L1' <br /> ����� erg �S�naEuy T'R(g O�Le � T616phonB No. <br /> ,�,� �s p <br /> litiv <br /> IV�BqASKq DEPA E F REVENUE-WhiSe ard Goldenrad Copfes TAXPAYER-Pink Copy COUNTY OFF1C�-Canary CepY <br /> ���� •d�� ti1f�TSInza ;�•�•n wdzi :�� bbr �� JJSa�FMr.Y98 <br /> , <br />