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h F:.. <br /> � � �R'r <br /> ''w``� � . -.3?4's <br /> -�,* � '�-' � <br />��'� �'_ <br />-�,� <br />;�: <br />��� <br />��� <br /> a <br /> �'�`.� (.�C�512� � <br /> �re6raska �otice o� State Tax lien <br /> department <br /> of revenue <br /> ��Name o1 Taxpayer ' � �� <br /> Frances Perinington S�iith <br /> � Number antl 5[reet � � � - . <br /> 1104 W. 9th Street <br /> cicv stace zfp coue � � . <br /> Grand Lsland NE 68801 <br /> Ooin9 Busi�ess As Li'v-n Serial Number County Filetl: � iJdtE . � � <br /> P & S Produce Coo 7/9/614 Hall 9/6/77 <br /> Number antl Street Sociai Security Nu� Ne.braska Itler.tific�tion'No . � <br /> 1104 W. 9th Street 412-68-1727 01-2633035 <br /> �'. . C�ty State Zip Cotle liEn Llen Filed A[ . . � <br /> . CiS3IlC1 �5�.'d'Rd NE 68801' ��( p�'�y�nal �J Renewal _9 Re9isier tif Deoclti �_�CG.Cl�rk . � <br /> '��� Pursuunt to Che revenue laws oi'the Stxte of'Nebraska,notice is hereby given that taxes(including penslties,ii�teres�,and <br /> � additions)have beei��assessed and are due tiom 2t�e above tax{�ayer and remau�unp�ud aRer d�msnd.:'hese ta�es constituLe � <br /> . ..��,. ,,:::.i. '.�,i i f v 1:�r.vin nri i�cr I;�x.'.9<lnl4' . . . <br /> � . u ilen uputi pruperiy it� iitc c�iii�lty 'vciULhiug u+p:='y<<<•� ��<<� ••�=i;:�.- . .-._- ..- --- . . � <br /> attach to[he reul property oi'tl�c t�xpx}�cr lucated within Ihe county or hereufter ac<�uirecl. � � � <br /> INSTRUCTIONS FOR TAX CATEGORY NUMBER AND DATE DESIGNATIONS APPEAR ON THE BACK OF FORM. . �, <br /> � Tax —T— Total For � � � � <br /> Category Tax Period Date Due � Amount of Tax Penalty Interesx Additions Tax Category - <br /> � � Number __ ����—� � <br /> 11-01-76 thru <br /> O1 11-30-76 12-31-76 109,.48 7a63 So34 122.45 <br /> 12-01-76 thru � <br /> A1 Z2-31-76 1-31-7+ 157„17 9 _ 6,32 163.49 _ <br /> ; 1-01-77 thru <br /> O1 1-31-77 2-28-77� 93.24 5.00 3.29 101.58 <br /> ; 2-01-77 thru �-- <br /> O1 2-28-77 3-31-77� 90.79 5.00 2,.70 98.49 <br /> 7-�I-77 thru ! <br /> w O1 7-31-77 8-31-77� _ 30.55 __ 5.00 015 _ _ 35070 _ <br /> ---j- <br /> � <br /> '� — - —i--------- — — -- -- �- — <br /> � <br /> f; � _ __—_ '_—'_ __—"_ " ' . . . <br /> � _ J—�__—_—__'_'__y' _'—_ ' __' —__'___._ —'_'_ _"_' — . <br /> _ . TOTAL S2]_�]1 <br /> � FOR USE OF RECORDIfUG OFFICE � <br /> � �� I hercby certit�y ihat�the I��ebrnsk�4�apartment of Revenue I�as iiilly complied witl� � � <br /> r <br /> th� revenue laws of tl�t State ol Nebraska iu Uie deter��un�tion of'tl'ie amount <br /> � � � sttown to be due,and t}�e Y.�pa>�er lips t'eailed to pay�Ehe a�noun±d�ie:ittrr deri�and. <br /> If�dhis Notic�e of S�ate Tax Lien is an extei7sion i�f .m effective lien it serves to <br /> �� contuu��e the priority of the state's interest in ihe al Fected pmperfy uf th�taxpayer. <br /> llated this �nd �{,a}-�,�'__ September_ ��� 77 <br /> s <br /> �iltl� � �� � ir-r,i.f., i <br /> ,, ��— � - �- <br /> here�A,,,�,., Pn s�� F <br /> Sprc�a�ent <br /> - �c�n ie _ .. <br /> .. .� �. y�<;�c, <br /> — ----- <br /> ` . ,` ,,r , ,, ,: <br /> ,,a.�.a �� ��. ;.i=., � . <br /> STATE TAX GOMMI5510Nc^.Ft �l,h-t d C arv C. K+ 5 �iNXPAYER :'ink Copy COUNTY()FY'I'[�. � C �� d- 1 �C. <br /> � �� <br /> ...._� .. �......._. .,__._..__.._..___."'_"'..._..... .. ..._.." _.�;_....�__..r�__._._.._.�._.___�.�_._.__.."_'_ _""_'._._. ._.__.._____�,_._'__'"'".__.._.. ..._..,." """_c_._�e_ .. ..............__ <br />��� � �� � �� � <br />�Y�1��� � . � <br />� E� � J ■ <br />�.� <br />._� � , <br />� <br />