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� ������� <br /> ���� <br /> <<�-�� <br /> ._�. <br /> 9 9 10 9 4 4 0 ,�,t' ���c �Er;ti� <br /> ✓J '", J� 1�..• I�,i�;�JV <br /> �G,' L� �.u'; t <br /> . $�C�l`f Si;��� <br /> � Notice of State Tax Lien <br /> �r <br /> � � <br /> � <br /> �� <br /> PLEASE DQ NQT WRITE IN TTi1S SPA.C� <br /> ?Etls Notice oE St�te Tax Y.len i� l�sued by f�he Nebraska Depsrt�ent of <br /> Reve�ue [or nnpaid t�xe.s pur�uant b tbe re•eoue �aws of t�e state oP <br /> Nebraska. Not�ce �s Inereby gi�ea that tsxes inct�Wing Qenalties sud <br /> interest, wblcL are sbown below, ace due �'rnm the taapsyer sp�eci�ed <br /> below and rrmaia unp�id sRer denu�ad. 7�'hese t�xes constitute s L'en ia <br /> the rnunty far�sl and persoaal property beloaging ta the taxpayer or <br /> ber�tter a ult+ed. <br /> Nebreske Id6ntlACitlofl Numbe�' Lian Fllwtl WNh Social SeClriry ar F9d9Pal I.D.Number SPouGA'S SoCI�SeCUhly Numbe+ <br /> 239�1954 �ae�steroR�s ❑ca�,n�yaenc 507-90�0959 507-82-3915 <br /> L,ien$afill Nurr�6er lJon Trp9 Date of Uen COUrnY <br /> 9 8 2 0 5 0 2 4 7 QC�na� ❑C;amn�don ❑C«recced 0 7—2 8-�19 9 9 H�1LL <br /> BUSINES3 NAAAE AN�1.Q�710N AODRESS TAXPAYER NAME AND MAILING ADGRESS <br /> eua�noss t�ame t�ame <br /> WADE E & KZ� I GRAY <br /> sreee Ader�ss su�e[or orher Maii�g Aceresa <br /> 30Z5 ZAFAY�TTE S� <br /> City St�t6 �ip C,ade Ci[y Sf�tA Z�p Cnde <br /> a�z�A rr� ��i 31 <br /> sx Bslsnn of <br /> ���y TaxPerbd �� AmountoTTlWt Panslty Ir�lerest Addltlon9 AssossmenlDua <br /> � Nu bs� <br /> 22 1997 05�06-98 714. �4 42.55 94. 91 85i,90 <br /> ,. �, . � <br /> STATE OF NEBRASKA <br /> DEP�RTM�NT OF REV�NUE <br /> 1819 WEST 2NQ ST ST�4$0 <br /> GRAND IS�AND NE 66803 <br /> TOTAL $ 351.90 <br /> Rpinrn 4 • <br /> i f�9r6by�bY'�t C1e Nebraske DB�ItT�e�of Revenue h�s GOm{Mled witf+1f1��6verwe IewG of Y1B S�4a of Alebraska in Ur�detertnu�atlon <br /> ot She amourK 9horwn to be Gue�and the�.1yer 1�s fall�d t0 PsY�+e aR�DUnt due aRSf tlem8nd. If this NotiCe o�Stata Tax Linn is an BxSenslon o} <br /> en sReedvo�.M aervea tD COMf+W e die pAOfity Ot In9 staDe'9 lr►terest in the aRecl6�property od tfie t�cp2ye►. <br /> sign ��?��G�� � �� �-�t�' ��$,3��!����.- <br /> here �����s�►� T�e � � T eNO. <br /> ,, s �., <br /> ,4un,w,Z ►e r�de <br /> NEg KR DBPA E OF REVENl1 ite and GoldenroA Capie9 TAX ER-Pink Gopy COUN7Y OFF10E-CanarY CcPy <br /> �.d9F7a Rev,,o-96 S�P�+.a.�967.frev.s86 <br /> �a'ZZ!Z�'d°'p` NOISIi�IQ �'�'fi WdEE:SS 66� b� �?'� <br /> r <br />