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�� • f'li L+•�'V��� <br /> ��� �� � 4:3..>} <br /> 9 9 �11 ��� ti.c� L�9�� <br /> � ,a"�'t r� Gk�"} �'` �� <br /> . }; �.i:.u <br /> Return to; ���°� ���j�. <br /> �TA7�dP NEBRABKA <br /> DEPARTIWENT OF R�VENUE <br /> 1811 WEST 2ND ST STE A60 <br /> ORAl�ID ISL.ANQ NE 68�03 <br /> � Notice of Stat� Tax L.ien <br /> �� <br /> � <br /> �� <br /> PLEASE DO NOT WRIT�IN TNi$SPAC£ <br /> Thi�Notice o[$tate Tex Lien is i�eued by flte Nebraske D�p�rt=nent of <br /> Reven�e ibR nnpeid,tstxes pursu�nt to f�he re�►es� laws o[the Bfate of; <br /> Neb�ska. Notice is bereby �ven that tax�s inoh�ding pea�lties a�d <br /> f�tereat, whi�b are shown below, are due fro� the taapay�r apeclfled <br /> beiaw�nd�ms�in unpsid aRer dem�nd. Theae texes constltute a li�en ia <br /> tbe �ou�ty tor re�l and peca�on�l property bdopging to the taxpayer or <br /> bereat�er ac uired. <br /> hfebr8elta Idsr�tlflcatlon Nuenber Lisrl Filb YNTh 9ocial Sec�xftY o►Fede►el I,O.Numb� Spouee's'90dat ecurfty Number <br /> 1I286695 �C'�'�"'arol0�'� O�8""h'�` 505-36—Q542 523—�4-7454 <br /> LIef136d6Y Number LJen Type DatA Of u6n ��Y <br /> 9 9119 0 Z 16 �°"�"�� ❑O0"h"`�10" d�"'��d 11—0 9-19 9 9 HALL <br /> BUSINEB$NAM�ANQ LQCATION ADDRESS TAXPAYER NAME ANO MA1uNG pbbRESS <br /> 9uainess Nartre ��m� <br /> . CHARLES A & YVONNE JANECEK <br /> sVeet Addreas sffegt or Otl�e►Ma;ting Atldresa <br /> 2112 N CUST�R AVE � <br /> Cfty 6tate YP Cotle C�tY . Stete �P�otle <br /> RAND IS D NE 68803 <br /> Cat�ry Twx Porbd �m� An�eunt of T.x Penelty Irileeaet Addnron� ���nt Du• <br /> tru <br /> 22 —1 — 1 2 le� <br /> 22 1 4 — <br /> — <br /> — <br /> TOTAL $ <br /> i hereby oertify tl�dt the Nebrsaka DaPanment of Revenu�haa oomplled wiu��e revenue laws ot ttre State af NebraoNa in 1t�eetertninatlon <br /> of the amount shown w be due,and�tre taxpaYer haa lailed to pdy the amow�t due a�e�dert►end. It mis Nafoe af Stste Tax Lien is an extenslon ol <br /> a�eft9ctive Iten�It sarves to mntlnue the Prioritlr of tl�e etate's intarest In tha a}leaed proparH of t�a taxpay�, <br /> sign � c�'s ,3�5l�� 7� <br /> h�re PI9p9l�8SI�M1�re r Tdl6 � �B , � ���� <br /> �,a� � <br /> NE�RASKA OEPA MENT QF REVEN •White and Gafdenratl Copi6s TAXPAYER-Pink Copy COUNTY OFFICE•Canary Copy <br /> 1.+{94.74 Rev.1d96 Sups�`4'A84'74 Re�r�5-96 <br /> �°r�Ef�^C'd� NOISIAIQ �'�'fl WI��S:Zti 66� c0 :�3Q <br />