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1~ <br />t~rati~a ~f ~~ate Tax L.~en <br />r-~~:~; ask a <br />e+e:,:-rur•.ent ~ -a Read in$trULtioeK an s#'+ar#e side - <br />aot re~enur <br />f.ren Sariai taumber^IrCauntY Datc - .. -~ 56tiar 59tur5tY taurrrbmr - <br />NsbrT~:isa t,D, .:umbar L;an TYrE t_ien DSIe6 rNiih SPause's Social 5ecttrity _- <br />`"1 ~-,~ :.,~: f'~da £ LSeeFrdSZMr3hS9at- <br />- ~~ #sx _.. ..._. ~? ._.-a.-_ -i <br />~~r.T.t~4 ~~.Rert#sv~# ~{-t ~itli[f{YC#err _~. ~ _ : _. <br />~- ~StF~~r~E?1N96QSATlR~I.A€1L}#iE -~ 'YAXttAYtsti SVAfi~t: kkD MAfiitVG-AEJDAESS _,. ~...- _- <br />Btlahi993 Name- - ,: Name `. <br />- Stt'eat Adti7'eSS - - - -_.- - -' _- Strr_t cst D#rt-s-ax[su? !LE~res; --.-._ ~~-_ -- .-,- <br />~. "{ate _ ZiP Cede ~. <br />~,ty 5iata 2fD Code Crty <br />t~ Te,~j,~gyat ova ~$~~~. _..e.~._~___.__ v - <br />#ht~tt~tl to the rzv;:nas -laws of lte Stale d€?+Felrtasha ttati~ Sa h`~eby given that taxes f itteluding peAai#ies. iTtterest - <br />iattd atigna, have 3Teest assereect t ttm dae from the shave takpayer ~d remain uultaid`after demand. ~"hes? tai es <br />-. - t-otiSiIIita°e.d lien ugini ~rirjs2iey ui ea'i"ic ~ .ia°r:j .at~TC.vn~i g^ l ll:@ ..N.F.:.~C: ~.. 6e.:.°.fw: ,~e..t;:.•°rk. t i__ c fir ~g v_rtrf {sue . . <br />taxes arty attach to the real prapertp of the taxpayer located within the county ar hereafter ariiaired. <br />--F_.._-- ------~ <br />Tsx t~# ro~ ~ ea~ttt~ ae l <br />Y - Tate Penrod ~~ - ~ AmatirdR esfTan Pmnatty tsttetzss 1 _ Actditioefs ! AUess+ne+xt'Ctve - { <br />f{tst:p~w- ~ ` --f---~ - - - - <br />! ~ j } <br />- ! - _ <br />{ 1 ~ i <br />t E I <br />- i -teerabg tertitX That- the Netrrastca Danastment a1 iteveaue has caet%Dtted with the revenue laws ct.tne State. of hehxaska in tie detar~ -- _ <br />- - mi7afi~r. t4;- x .aur.€ s#~ to br tl="<~- aaa the taxtayer nos €aL+ed ip say the amount due alter demand.. F: this NDtite_oi 5.ate Tax iren is. _ <br />- - - an exi#n oi~an ®€fettive Lien-it-sere is taniittue the prlPrity o! Tire Slate's Snierest in tRa ai3etters Proparty of the taxpayer. - <br />~+~® ~ 1 ~na~r ~2re <br />-. ~8 $~ .A:st rs' igrEture-- .. - - Title _ Date - - <br />- Fait 60ttNTY OFFlCiAt'S USE - - - - _ _f <br />-- i3EEAASKI! bE?AfrtTA6EAIT C}F REYENyE -Waite and Canary CaP;s TAXPAYER - P€nk Copy C6UNTY L7FHGG - Gatdenrod Gapyr - _.~ <br />_. 3-X194-34.Rev: «~78-. <br />- - - Suparsa des a?9~-7C Fev. 1377 <br />_~ <br />-. _ _ - _ <br />