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��11 ,� . r � �����r� <br /> i`� � <br /> i�1..;.., <br /> �9 ����'�'g ''''` U��, u;'� <br /> � <br /> ''�" � � �. co <br /> P�e� i� � � , �, ;`� , <br /> ,:i.J ��.a�r <br /> se forward to: <br /> Nebraska Departznent of Revenue Sf:C i't �T,�';t <br /> 45Q0 Ave I p0 Bo� Z500 <br /> Scottsb�uff NE 69363-150� <br /> � �Noti <br /> � ce af St�te �`ax L�en <br /> � <br /> � <br /> a�wrrr,. <br /> PLEASE DO hOT WRIT6IN Yli1S SPACE <br /> '1'bis Notke of State Tax L,ka is lasned by the Nebcaslr,� Depsrtment of <br /> Reveaue tor uapaid t�xes pursoaat to the rsvesue laws ot'the stete o[ <br /> Nebrasks. Not�ce �S hereb� �iven thst raxes lacfuding peosjtjes aad <br /> interest, whlcb are shawn below, A[L �Il! h+O1� thC t8xpayeT S�1lCIAkd <br /> bebw and remsln unpaid aRer demand. These ta�es coastttate e lien'iu <br /> tlae county Par e+e�1 aod persana!property bdoa�qiog to the ta��pa�e�r or <br /> hereafter Acquired. <br /> NADtaefca IdentiflraNqn Nu1rW9f Li9n Filed 4ylm Socc:iaal SeGUrlt�r pr Fedefal 1.D.Nurt�er 3pqyg�'S SoCi21 S9curty Numher <br /> 3 9 2 9 3 2�F �I Reet�e�ot oeeds ❑co�c�an� 2 8 0—6 4-17 7 6 <br /> �Je�,se�lsl roumae► uer+Type aata a uar, counry <br /> ��a3400i� �� ❑�,��, a�«*�� ,-31-�$ xALL <br /> BUSiNESS W�ME AND l(K;Ai'iON ADDRE55 TA?(PAYER NAAAE qNR AAAIUMD ADDRESS <br /> Bus�ness Plartw � <br /> DEENO PARLAFIANQ <br /> �ar9at Addesa St'aot or Other Malling AdOrYSs <br /> � 351 ST <br /> ChY syate Tp CoOe Cfiy S'tate 7JP CoCO <br /> � R ER K <br /> Catpory Tax PeHod � Amour�t of Tax penal4y Iritorest Addttlone Baianee af <br /> Nua�bar Assa4smant Du� <br /> _ 22 1996 6-04-�97 4 7 2 4 .91 <br /> � TOTAL $ � <br /> i heraby oeruly tt�at the NeCrasKa Deparement ol Flevenue t�oomplied wlth tl�e revenu�lavrs oF v,e Sra�a bf Nabraska in trie tlacarminabon <br /> of the a�qunt srlown to b6 Gus,and Qb9 tdxpeye�has tailed Ip pay the arttotult tlUi Sft�G6►Ywvttl. If this Naqce of State Tax Lieh is dn extension ot <br /> an eMective Aen.� t,erves to oontinu9 fhe priairy of the srste'S irrierest In 1hs s}Csct�property ni thB'�xpayer, <br /> . <br /> s�gn � � c 30��.�-l�zcc <br /> h�`'� P►epa�ers Dat6 Te�9P►tpne No <br /> � ''�� c�" � <br /> �tl Signapx ..r Tttl� <br /> NEB DEPARTMENT pF��IENUE•YYhile and Go{denrod Coples TAXPAYER-Pink Copy GOUNTY OFFICE-Canary Copy <br /> �P'++�P+ P�� uoi.�a ww �rtix 4a�,war`ea a�od�e Nev.5•35 <br /> ,9!9'd NOISIr4IQ �'�'ll Wd6E:�� 66� S� !111N <br />