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��� - $'�3�5� <br /> . �� <br /> 99 109565 <br /> f�LEi� <br /> �� UCC DI�/ <br /> �9 S�� Z$ ��;'•'�i 8= �30 <br /> SECTY STAf� <br /> � Notice af Stat� Tax Lien <br /> �� <br /> � <br /> � <br /> �..r.,w„ <br /> � � PLEASE DO NQT WRfTE IN THIS SPACE <br /> This Notke oF Sfate?sx LJea Is issued by t�e Nebrnska'Dcpartment of <br /> Revenue �'pr papnid tsxes pursuant to tt�e reve�ue laws of the state of <br /> Nebrssk'. Notice 1� hereb�r gi�en that taxes inciudiQg pe�a)tTes a�d <br /> toterest, whfcb are show� be�ow, are due fYom the taarpayer speci�ed <br /> below an8 trem$;Q unpaid atter demaad. These taxes co��t�tute a ue�iA <br /> tbe coanty for real and pp�sonal property bel�onging ta the taxpayer or <br /> �ereaRer �cguired. <br /> Ne4raslw IOen111iC2iEOn Numbe� 4Qn Flleq VVhr1 Social Sedxity or Federa�I,D.NumOe► SpDUS9's SoCiat Securiry NumbQr <br /> 3 9 4 7 5 4 6$ 1�pee►�o�oeees ❑co�,cy c��n� 5 9�—3 9—�8 3 A <br /> Uen Swrial Number Uen Type Date oi Llen Courny <br /> 9 9176 017 0 ��� �]com�nuaaon ❑coaeaod Q 8—].�-19 9 9 :i.�LL <br /> BUSINSSS NA�Il�ANp LOCA710�1 AODRESS TAXPAYER NAME AND MAIUNG ADDRESS <br /> 6usineas Nama Name <br /> r��oNZO �aL ��s <br /> Street Atltl�e65 Street or OUrer Malllny pdCres� <br /> 504 S PsDArdS <br /> �Y State Tp Cade Giey SCdte Zip GaCa <br /> rRAND ISL,P,idD i��; �6 Q O 1 <br /> �� Deke of Balsnc�of <br /> epo,y Tax Perlod �t Aes�ount ot Tax f�enalty {Marest Additlons <br /> mber Assessm�nt Due <br /> 2z 1994 05-11—g9 295. 00 ��.�5 115.07 4g3. s2 <br /> 22 1995 05-3.1�99 504.00 I.26. bp I52. 2S 781.25 <br /> Return to= <br /> STATE OF NEBRASKA <br /> DEPARTMEN7 OF REVENUE <br /> 1 B11 WEST 2ND ST STE 460 <br /> GRAND ISLAND NE 68603 <br /> TOTAL $ 1265 . 07 <br /> �Rereby certify tt►at Ihe Nebrs�ska Deparunent o1 Fieve�ue has wmpl�ea+Mvi the revenuQ��s ot 1�3r�te os Nebraska i�me de�erminanon <br /> ot C16 arYiourtt t,NOVm to b9 duo.anC V1s�r�rer has failgtl Ep pay ri�A arTlowlt dve alter dsmar+tl. Ii tnis No'dCB of S�a�e Tau Llen Ls an eztenglan o! <br /> sn ef(e ' e l;en.rt serves to conunue tl�prioriey oi�he aram�s imarese in tlt�afleaad properly ot the tiaxpaysr, <br /> si�n l�' �,� G�� ��'°//�IGI.���� � -�� �� y ���1��7� <br /> h�re P �s Signauue 7it�,g Date Telephone Na. <br /> s " c���a`jL <br /> a,�no� � rroa <br /> NEBAA5KA DEPARTMENT OF REVENUE-4Vhike dnd Goidenrod COp�es TAXPA1fER-Plnk Copy COUNTY DFFICE-Canary Capy <br /> �"'"'°s""�'°d°'"' NOISIP,za �•�•n wd6�:ie�E���"����ei.5.� <br /> , <br />