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<br />
<br />Notice of State Tax Lien
<br />
<br />· Rm' :instTuctions 'on:tnersa $ide
<br />I Date S~'l~t s~uritY Number' i
<br />I !
<br />16-28-83 jl
<br />
<br />I! L!an Fff<>(j With Sp,,".e" Socia' Security 83...-f) (/3461
<br />!]j !'leglster ,,~ Oeed5 Number
<br />J rn COU<1ty ClerK
<br />NAME ANO"\"OCATION ADDResS - -r-- TAXPAYER NAME AND MAILING ADDRESS ~
<br />_.---:--"';,.....~w-,-'--..-.,...-___~,_4_,~~_,_,~,.__,__~.,...._._._____-----'--_________
<br />IName
<br />I
<br />. s.Qm.~D.Y._ln~Qrt1Qr:g teiL__.______L vjal1QIl.J~J a$_'L ComQ.QJ1~LJl1j;"Qrnora ted ___
<br />l$treet m OHIO' M.lling Address
<br />
<br />----------.-------------'-----..-...-,--.-..---------.--..-.."1-E.....Q.....-~Q2LJJJ.L-..--_..--.-.-'-..-----'--.---._'-'--
<br />City Stat.. lip Code Citv State Zip Code
<br />_G rand_l$l and. ___ NE_.._______._____.__..~lH)l_,..____, __9.rS!Iu;L.J$.I{'H1!1.1._.,'_.______ N E _,________,__.,___688QJ___
<br />
<br />This' Notice of Stare Tax lienis issued by tl)e Nebraska Departmenrof Revenue for unpaidta'l(es !)ursuartt to the
<br />i't'IVenoemw!of tbe smteof Nebraska. Notice is hereby given that taxes includil'lgpenlllties and interest, which are
<br />shown below, are due from thetllxpayer specified llbovellndremll.in unpaid after demand. These taxes constitute
<br />alien in the ,county for reallllld }lenonal property belonging to tbe taxpayer orl1ereafteracquired.
<br />
<br />
<br />Additions
<br />
<br />Balance of
<br />
<br />
<br />
<br />
<br />TOTAL
<br />
<br />$
<br />
<br />81
<br />
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<br />
<br />j n\j!l'on)!' i;:t;ntty H>rae H1tj1 Neb-r.uK,,!.l: O.~'iff'H\!rll nt ~1'.vnu?", i,; ...nlpn#d W!Ul t!~e fQV~Hv(f j,j.....'i> (It tntt ("UH* l)f NeUrbSKa 1ft thlt deter~
<br />NHfhtU<,U'l o~ r:j~tU(U \110wn 111 ~ oUQ~ dnd rt .Pq.<.Jl~o:H r,,,~ r~l\.td l'l t!~l~ i'lp\oJ'.rt1 \,~q"il .attot1r Q1JIll,jifH;l 11 PHs Notice or ~tate fax
<br />1.10(1 .. 4<\ "'!7- :.,f .'. ~"0C\". ."Co 11 2~ <"ro""", (1-. >>flunt> ,,~,., '''l.,.'t "'". .Heet"" >...'pony <;' the t......"ef
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<br />h.r~ SIIIOJil"if.tl '", / /') ;7 O~te-
<br />,,</ ,\....... i'~, "' F. 2Q 83
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<br />--.-.--.--.-....-- ....--.-'----~OR.cOUNrY.OFF,ciAi:;susE" . ..... ...... .'---m--.--."'--.-.~----.---,
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<br />
<br />NESA:ASKA DEPARTMENT OF REVENUE - WlI't$ .."d Goh:lltnr<xl Cop,,,.
<br />
<br />TAXPAY.ER - Pm" Copy
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<br />COUNTY OFFICE.. ClIi'"f,' Copy
<br />
<br />Sup:er$$'U'~$
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