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t~Q~ice of ~~~te Tex Lien <br />^etrcasRa <br />dep9ttment <br />ni revenue , .. - • REati instttteitpn w+ravE.-i~ aidE' ......-.. _ _____.~_ ..__.._.__ ._. ...,.._. <br />Liars Sartal tVUrutiar CnuntY Data -. - 5mtai Security Number'- -~ _ <br />sl~zls~~; ~ sue„ ~zto~l~a ~~~" ~~~34 <br />i Neisra w. t4. tvi,mber L.;ert -YPr: - e F~,-8 Wt`r•:_ - 50 ~ ._'s Stscltl. U ilY~ - - - - <br />E 2:C X739559 ~or~glna~ 1~ aes.:cr or D.Ga. h uer <br />~~ i2e z0v,et } (,~r,n ty Clark~__ ^_. T„_~.-l_ - .'.. <br />~_ <br />c TAxPAYEt3 NAME ANU MAt4lNG At3F5FESS ,. _-~~ <br />`^JSSMF.S.: Rt6.Rac hMt? l?e.AT:FJY Ai3nH5"..S - - <br />6USfna*yFUme ~` ~ ~,~~,.,. tea.- - - <br />S:i ~~~s ~~ _.~ ~- ~ Stt<at y~oor ~~Q....t~~h ~ Pnaital ~7~-~~ `_ _- .... ^.. -. <br />1~YU7 _..__.__.. -___ _____ ~ ,4.^~^ j'~ - 5{a3E ~c c: Inc <br />Citya~.a.r..~- e~'tStd#C Z!PCUtle 4 City _- _ _ - _ <br />J$.KiLl.+y 1'tC+ (l9WIrL ,.-_.~_,1~ ~$~~'aaafll_ _ -.____-_____. _ <br />i'utst3ani to the revenue-laws.f+f Cite State of Nthras}w, natii"e i6 hereby givett thgt taxes (mmtetudircg penalties: interest <br />anr3 addeS:ons) have been a and-are due fcant the eUave taxpayer and remain ttnpa&f after detnutft: 7'3iise t;txes <br />r ct~ftetitute a Nett tagntt fiaapevEy n?~-e tfty ~elongiag to the taxpayer of }ftaeafter acquiredt. E:iens foe-sales :trd use <br />tuxes fv#1; attach Ets the tzar orotieety of th.8 taxpayer In~ated within the connty ar hereafter acquired. <br />Fax "- pEte.pf - ~-4~.~~--^~ ~ t3~tarce of ~ <br />l Catapnrs Tax Pnriad- Riaewama rt. P.m4unt af'rES PEntity 7eatafesi ~. , Ar~ftti#sr~. i 1ASSaaarrxnt.Oue J <br />t TWmSa* ~ _ _ ___ <br />7nm t~ -+-s-~+ <br />I ------- --- <br />~- -- - --- <br />~~~~~~ <br />TOTE-~ v~_1~ -~r~e_74_._-._ <br />-_ i ha 2y~1`y ,carYrfy Ft1Ct tt1C t<eb[asKa- ~eRDrtFAC-1I-4f t1SYCr1}+6 tr-£ e:gltiOltt~3 ~'t:ti LIiC SEVe[i~a f3Wfr the State o. NGbra4!f i- !tget~r <br />rz~lrlat O /Ott'lia lmpurz# aliRwR tb ti0- . E(ad tiae [axPagCf ISdY td1!lYa 4if-p?Y the ari16ur1{tliie at3ak tlEma4tl If (his Nat~ae o} .e ~ a._ (_tCtl ,5 - <br />dl! to tt 01 ulF E}fetttae lien tt 3M Cpif ~A#l@ ttie i~iOfitj' Of RAE sutat's teitEiESt tit tt1E ds{EC#8St Q.47Serty 4' the `.]X F~Ya . <br />S~~~t ,~ <br />Ot:L 517 utE 'iTtia .- CW tc <br />_ - t=Ott CO¢NiTY OFi'tG`titt.`S'US. E __-__ __.-.-- <br />t~E3RA$pCA-t~PkR'FME33T-t3t<REVSNt#E-White zr~GEt:ESy £4tx6s'ra 7AbtPA1fER.-Pink GePY ~-. GQtHd'f l'4~FtCE-Gai~nrcd C4pV <br />_ _ <br />. - - - - q-a~naa aev. :a <br />- - - -SUFarsdQ•~s 1=7S4-Td Rtlv. 11~T7... <br />