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� � ' '����I�Y� <br />� <br /> �'� ���l�9��3 ���"��;�;���r�,y <br /> '�� ���� �;'�.:: "��a �� D� <br /> _ . SE��'� �if�i�. <br /> r Noti�e of �tate Tax Lien <br /> � <br /> � <br /> ��� <br /> PLEASE DO N07 WRITE IN THiB BPACE <br /> This Notice of Sta�ce Tax Lieu is issuee! by t6e Nebraska Departmeat o[ <br /> Rev+eaue for unpaid taxes pursu,ut to the ctiweaue Isws oP the state'o� <br /> Neb�aska. Notice is'he�+eby �vea th�t taxes loclodiag pensltks and <br /> i�te�sf, whlch aro shown beWw, a� due trom ibe t��'er speci6ed <br /> bel�ow aad remAid au�ki a�r demand. Th�e taxes canslitnte a 1len in <br /> #�te�oanlY for real and peisoaal pruperty be{aagia=to tlee taxpayer or <br /> heresRsr acquired. � <br /> Nebratkd Ideno�a'�tion Number L1en Filetl Witl� Soolal Seariey a Federal I,D,Nu�nber spouse's Soclal Securrty Number <br /> 5757665 �Reei�e�oroe�s Cl�r� 584�82�5592 <br /> caee o�uen �v <br /> ue„s�%�3�9 ��i ❑con�r,uatlon p c«recead 0 9�17�19 9 9 HALL <br /> QU51HES5 t�iAIME AND LOCATION ADRR�SS TAi�AYER NAME ANb MAILJNG ADpFIESS <br /> 9usinesa Narrre � <br /> MXR�AM � MALDONAAO <br /> Steat Addreas 8treet or OC�er Maa'ing Ader�s <br /> 602 V'E3T 4�TH STREET <br /> r�y ar�. z�code c�i � �p c�ae <br /> GRANT� ISLAND NE 688d1 <br /> Daea ot An+ount otTax Panely Int.rwt AtldRlens p��mentDw <br /> ��ory Tax P�►Iod �� <br /> n,bk <br /> 01-01-98� 1 Ofi. 36 <br /> �1 l ���-9s o9�17- 9 saa.ao i�o ao Q6. 3 <br /> STATE OF NEBRA�KA <br /> p�PARTMENT OF REVENUE <br /> 181 t WE8T 2ND ST S'�E+16Q <br /> G�tAAiC ISLANp NE 68A03 <br /> TOTAL $ 36 <br /> Return to: <br /> I lfer�by oeA1fY tllet th@ N����arrt ot Raverwe has aornp�led wiC�t�e revefwe Iaws ot the State af Nebru9k8 in 1he dWerminaIIOn <br /> ot y�a amount sNOwn to be du�,�the�ocpayer�as tailed So pay the amount duA altar damdnd, It tMs iVe�tice of St�e Tax Llen i�an a,etenslon o� <br /> en BR4�tiva 1i6A.R es!O ODr�nue tha PrtontY Ot the stdte'e; In!he s}19Ctee AroPe�H a 1���Y�� /� L <br /> �ign ,��T�.,� �J .�0�;�3�'�'-� <br /> � � pQ � Teiev�e No. <br /> here �a�^ <br /> � <br /> NE DEPAqTM�NT QF RBVEN -Whne�r+�Gaaenrod Copies TaxPAYER-P9nk copy COU►�r/OFFICE-Canar�+��Y <br /> o..s.eb. �M1aa a�.w.w�w s�a94.74 Fw,69b <br /> �R►+ZtifE'd�� NOI5I15,IQ ��'J'fl Wy�E:ZZ 66� h� d3S <br /> t <br /> I <br />