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� �a�;��s,� <br /> p <br /> 99 i09G0'7 , ;;Lr.,; <br /> , `J� l��t'. a:�,,� <br /> /� ,�p,.„1 ry�� '� �i �pIt�; <br /> � �e f� ��M.�� C. �.� ..� ��7�I.W <br /> S�CT�i ST.�i.E: <br /> r Noti�e af State Tax Lien <br /> � <br /> �� <br /> a rw�u. <br /> P�EASF DO NOT WRITB IN�qS SpACE <br /> This,Notice a!$fate T�x Lien!s lssuad by the Nebraska Depit�tment of <br /> Revanue �r no{wid q�q pu�nsat to tbe revenne �r� v[the state op <br /> N¢br�ska. Nphes is hexeby giveo that t�xes iactudfpg peaalt�es aAd <br /> lnitrest, whkh are atiowQ 6elow, are dne [l�+on� the taxpayer Spe�ciBed <br /> below and re�unpald alter denwnd. These taxes ca�sdt�te a Iten i� <br /> the o�unty Ibr rea�And personal ptoperty beMpgiag to !be taxp�yer or <br /> heremlter �equie+ed. <br /> Nebraalca Ia�irBtion Numbar LJen f�lea wRh So�lal Sacuery or Federa��.�.Numher Spouse�s 8aciai 8eoumy Number <br /> 398�8303 ������e ❑�+rn�a�x �57-64-6396 573-72-6045 <br /> � <br /> ue�,senai i 6 0 0 3 5 �"9i"� ❑cona+u�on ❑corre�ed p 9 u2�,—�9 9 9 � HALL <br /> BuSINESS r�E AND LOCAroN ApDRESS TAxPAY�R�►�E ANO MauNp ADDRESS <br /> , Bua�ess Mame Nams <br /> JOH�1 T�a & LY�1DA ,7 GRT�`E <br /> ��'�d� Street or Other Maiing Ad�� <br /> �� x $ox z�sA <br /> �Y 9tate �P Cade CitY S'mte �p Coae <br /> CpHASSET R+IN �5721 <br /> Celep ry Tsx PerEed � AA40un�o}Ta�i Penalty Irtleres4 Addillons 8�lanc�oT <br /> Nufn'� Assesaeneni Cua <br /> 22 1998 05—�7-99 1488.00 74,40 58. 3� 1620. 73 <br /> �cetum o: <br /> ffiTATE QF NEBRASKA <br /> DEPARTMLNT OF R£VENUE <br /> 1811 WES'��ND ST ST�460 <br /> GfZAND 18LAND NE 68803 <br /> _ . , raTA� $ i62o. �� <br /> i harebyr�eRNy f�at ihe N�braska Oepartrnent of it�venue has oonipNed wiCt me revanue Isw9 of fhe Sta�ot Ne4raeka m t�e tleeerm�naton <br /> ot tha artqunt ohown to be dua,and fhe taxpeyer has tailed to pay tne amount due aitar�mand, II thls Notice Of State Tax Llen Is an eztension oF <br /> dn eflee0ve Ifen�M ssives to�ndnue Ihe pnorlty ot ihe slats's imarese!n tha�!leetatl prop�ly oi tha C�payar. <br /> s�gn R����r�G� ��� c�8� �S���Z <br /> h@�e : ���. � ��a T�,�No. <br /> �wa,orized . . � i� p <br /> '�e te <br /> NEBFtA DEPARTMENT OF REVE UE•YVhite end Galdenrod Copiee TAX YEq-Pink Copy GOUNTY OFFICE-Cansry Copy <br /> �vr�e a�erelwf pw - ev.5•8s <br /> zi�'d NOISIAIQ �'�'f1�WdZE:�ti��66.��6� d3S <br /> s <br />�, .s;s <br /> _.-- <br />