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���. i �;� <br />� �� �- _� � , <br /> = <br /> � � <br /> � � <br /> _ � <br /> � p �ebraska ��' ta�`�1�� Notice of State Tax Lien <br /> � dePartment . . . . � <br /> ofrevenue <br /> . �Name ot Taxpayer�� � � . � . � � <br /> Roy Evans Chrysler Plymouth <br /> ` �. NombeKand Streat- � � � �. �� .. . . .. . . � . . . � � � <br /> 716 S. Elm <br /> .. City���� . � �. � � 5[at�� � Ziq Code . �� � . . � � � . <br /> 6rand Island NE 68801 <br /> � . Ooln9 6usiness As � � � . . � Lien Serial Number� Goun[y Fiied: , Date � � . � <br /> Roy Evans Chrysler Plymouth 7/7/566 Hall 7/21/77 <br /> � "!urnberan..5treet � � 5oclz�c„curi:,^umb�r Nebra;::a ificaifonNo. � . . . . <br /> 716 Se Elm 1161881 <br /> �C(ty � � � � �ta�e Zip Code Llen Llen Fiied At � � � . . <br /> Grand Island NE 68801 7c-��,.,.r_� r}RAnPw�� (f Reyister or oeeds �co.ae.k <br /> Pu:s�a»t to tLc revc;,nc :aw, uf.1:2 State c£Nebraska,rotice is hereby given ttaat taxes(including penalties,interest,and <br /> additions)liave been assessed and are due i'rom tl�e above taxpayer and remain unpaud after demand.These taxes constiti�te <br /> a lien upon property ir the county Uelonging to tlie taxpayer or hereafter acquired. l.iens for sales and use taxes oiily <br /> attach to the seal property af tlie t:�xpayer located wiihin[he county or hereafter:�cc�uired. <br /> � � INSTRUCTIONS FpR TAX CQTEGORV NUMBER AND DATE DESIGNATIONS APPEAR ON THE BACK OF FORM. � � � � � <br /> Tex <br /> Category Tax Period Date Due Amount ot Tax Penalty Interest Additions Total Far -� � � . . . � � � <br />�� . �r, ' Tax Caxegory : . <br /> 21 � 2-1-`7� �rfT:l <br /> 3-31-77 4-30-77 596077 29.84 8.94 � i 635.55 � <br />�' <br />�� � --- � <br /> Tora� 635.55 <br /> � POR USE OF RECORDING OFFfCE " � <br /> [tlereby certify ttlat the Nebrask3 i7epartment of'Revenue h.�s fully comptied with <br /> the tevenue laws of the State of Nebraska in U�e determination of the amount <br /> shown to be due,and the Yc�.Kpayer has failed to pay the amount due after demand. <br /> .-� c� cn <br /> - — J —i rn <br /> � :,-.v � � <br /> �' ' If tl�is Notice uf State Tax Lien is an extension oi an etTective lien it serves to ,,�� � � m <br /> conti�iue the prioriry uf ihe state's interesi in the af'fected praperty of the taspayei. = "'V +D <br /> '� � 4- <br /> Dated tJus 21st aAy of_ July .(� 77 - O <br /> �z <br /> . . . " . . ...;i � o' � � � .. <br /> u` . . ' __•. .... � ..� C � <br /> . . � . - " 7': �„� � . <br /> si9n � . � %. �" _ � �; � <br /> � <br />_ h�re �.u,�_.�=o� 19nature t""' . '� L <br /> . �Y� -� no�. ° <br /> . � Titla __ <<_T___ --___' � _ . _ <br /> J <br /> . . . 4-494.74 Re�.1�15�` � ..�p�� . <br /> ... . �.__.— , ... v�'nn�nc . �TAXPHYER—Pink COpy COUNTV OF1=I CE—Goldenrod Copv �� „ ) <br /> .��. <br /> .,.... . . �. > ... <br /> . . .... . . _ . �a�. . �� <br /> � � . . / .. .. .. � . . .. . .. . . . . . �.. <br /> � . . . . � � '.4 x <br />� �.� � � . � � � <br />�� <br />� , <br />:� <br />