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�� �t�1Y��p� <br /> #�,�? FI�..� . <br /> r,. u�c �iv <br /> 99 �t�f �� ����+�.���f�� � <br /> 9 9 10 9$ 10 S€C i Y SXAr� ; <br /> � <br /> � <br /> , <br /> � Notice of State Tax Lien � <br /> �r 4 <br /> � <br /> � <br /> a� <br /> PLEASE DO NOT WRR�IN THIS SPA�E <br /> ?hE�Nottce of State Taz�,�iaa!.g issaed by tbe Nebtaska Department oi <br /> Rerenue lbr unpaid taxes pursuant Eo t6e nveAue lsw� oE tbte state of <br /> Nebrasla, Notice is hereb� given ihst taxes including penalties snd � <br /> inberest, whlch �re shown 6elow, a� due firow the t�urpa�er speci$ed ', <br /> bebw sad iemaiA uaps�d�tter demand. Thcse taxes constitute a Ifien in ' <br /> the coanty for resl and personal pc�operty belonging to the taxpares or <br /> hereslker ac ulred. <br /> NebraSka ldontlAptlan Numbar L.ian Fkd WM� 3qc�ai Sea,�� a Feoeral�,D.HumCer Spouse�s Social Saa,rity Numbar <br /> 29932076 R�a�a ❑c�nyc��x 358—�8-1656 35g-64-56?� r <br /> t;er,ser�at Nun,eer uen ryvo cate a�en co�.ny , <br /> 973460004 �a� ❑�� (] �e�ed Q9-16-1999 I3ALL <br /> BUSIN�SS N/UNE AMp LpCq1'1pN ADDRE55 TAXPAYER MAME AND MAILlNG ADQR�$S ' <br /> 9uainess lusme N� <br /> PATRICR �� & �NG S DROEGE <br /> SL'eAt Add�9ea Str9et of QIhY�Mailing ACtlteSs <br /> ' 1 D�LA."�5A [4EST <br /> C�ty state Zb Coae . Crty State z,p coa� � <br /> IRVYNE CA 92720 <br /> � D�ata of <br /> Gts�ory Tax Parlod �� Amount of Tax Penaky lnt�rast AdtlRlons Balanc*M <br /> Numbar Asseesm�tt�3ue <br /> 22 1995 09-23-97 3233.90 878. 01 ].034.25 519� .16E <br /> �r <br /> Return ta <br /> 5TATE OF NEBRASKA <br /> DEPARTMENT OF REVENUE <br /> �811 WEST 2N0 ST STE 480 <br /> r <br /> GR1�1N0 tSLAND NE 68803 TOTAL $ 5�g6.16 r <br /> I he«by cArtfy tl12t C1A NAbtdSka DspefCrl9�'1t Of RAV6ffuA hds o0mplled with 1he revenue Isvvs of tl7�State 4F N9br'dsk9 in 1he detemtinA00n <br /> • Of ine 9mquM 9rwwm to be due,and thA t�tpayat h9a failed to pay Ino aRqu�t C1�e elft�tleme�+p. it ih�8 Notce ot Smte Tax lien 16 a+�ax�e�eion of <br /> an effecUve Nen,k servas to oorNnue U�e priori,y M Ine staDa's Irttarest m the affectee property oi tne t�ucDaye�. <br /> sign � �ISIVl�iu�1� r���C�9� �R� ���385�d� <br /> here ���9� � T��,:NO. � <br /> �r ✓ � ,o .� <br /> AuC�oriz�tl re Title <br /> NEBRaS D�PAATIuSEN pF AENE •Whke and Goldenrod Capies TAXPAYER-Rink Copv COUNTY QFFIQ�-Canary Ccpy ' <br /> ,���,9(S:d,� NOISI1tiIQ �'v�'n Wd�.�:90 , 66. 9�1 l�0aev.s-� <br />