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<br />Notice of State Tax Lien
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<br />UWI Serw N-Ymb<<
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<br />. Rqd il1$t'tuctions 'on reverse side
<br />Social Security Number
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<br />_ n_. I. 507-48-2829
<br />LHin F"Uod WIth IS.pOUM~ Soc-lal s.cur!ty
<br />I I ID Reqlstet- of OtedSrUmbef"
<br />i Ha 11 I on' County Cl.rk
<br />!lUSINESS N_ ANn LOCATION ADDRESS __.-r
<br />"jN;me
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<br />______..__._.._'.'J-51illl1n~_______
<br />ISt-,nt or Otner Mallh~9 Address-
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<br />.,.,.________--t.l2.llJiest 4th Street
<br />Zip Code (it)" St,fUl
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<br />NE. _____._~..___~6B8D..L_,m~_"___1~Jir~lld~lilMLd__'____.. NE
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<br />83"';" 004750
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<br />2994399
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<br />TAXPAYER NAME AND MAILING ADDRESS
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<br />sm,~n" Nan1e
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<br />Sinsel Erection
<br />St'H1 Atkfren
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<br />1211 West 4th Street
<br />City State
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<br />ZIp Code
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<br />~nd Island.
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<br />68801
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<br />This Notice of Slate Tax Lien is .....ed by tbe Nebraska Department of Revenue for unpaid taxes pursuant to the
<br />........,...... 10,.. of m.. .Ulte of Nebrasl<a. Notice i. hereby given that taxes includilll! penalties aud interest, which are
<br />siH>wn below, are due from the taxpayer ,pt'cifJed abtwe and remain unpaid after demand. Tbeoe taxes constitute
<br />alien in m.. county for real and penonaI property belonging to tbe taXpayer or hereafter acquired,
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<br />i 10-01-82
<br />[1'-31-82
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<br />i A..un~t
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<br />Amount of T aJl.
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<br />ren-any
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<br />Addition&
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<br />B.lan~ of
<br />A.......ent Ou.
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<br />thru
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<br />:>-3->\3
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<br />&5y-S8
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<br />32. '"Hi
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<br />'f7 .84
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<br />740 71
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<br />TOTAL
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<br />I n.,~)- ..._Hfy th.t t... f....vr..- o.~ft"h,nt ~,! ~.\r.n.... >'"\,n r.<3'-n;:ll~"1 NH" to. I~Y.;)\ol. I~W$ of tne ~t.t. Of N.o..s.k. in tne dole,.
<br />mm:..ttQ_"'- ""t t1l4 ,~Hn<holl-l '&liQ.~ t~ ~ <'hi.. _nd JflJt ~..;o<"",y.-f h.l f;t!;lil".l ((, P4)' tn. ot';"'oUUi\( 11i..l. .ft., (,l<;tm.nd. H tl'\ll NOtl~ Qf $I;atle Tal(
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<br />FOR CQUPlTV OfftC,AL"S USE.
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<br />NIi1lI\A$l<P. QE.p,vnW;'<TOf REveNuE. WMund "''''-.ode_
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<br />T AXPA, yEA PInK Copy
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<br />COUNTY OFFICE -- C:&nat'V Copy
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<br />4-4~4-1": Rltv, 1-11
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