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r—_-. 76 001422 n'abraske Notice of State Tax Lien department revenue Name of Taxpayer Gene A. &/or Johnie R. Lyon (Each in his own right and as husband and wife) ' Number and Street 3607 Doris Drive City State Zip Code Amarillo TX Doing Business As Lien Serial Number County Filed: Date 6/03/223 Hall 3/15/76 Number and Street Social Security Number Nebraska Identification No. 460-24-9967 City State Zip Code Lien Lien Filed At Original Li Renewal Da Register o1 Deeds :7 Co.Clerk Pursuant to the revenue laws of the State of Nebraska,notice is hereby given that taxes(including penalties,interest,and • additions)have been assessed and are due from the above taxpayer and remain unpaid after demand.These taxes constitute a lien upon property in the county belonging to the taxpayer of hereafter acquired.Liens for sales and use taxes only attach to the real property of the taxpayer located within the county or hereafter acquired. INSTRUCTIONS FOR TAX CATEGORY NUMBER AND DATE DESIGNATIONS APPEAR ON THE BACK OF FORM. • Tex Total For Category Tax Period Date Due Amount of Tax Penalty i Interest Additions Tax Category Number 1-1-73 thru 22 12-31-73 4-15-74 66.00 9.42 7.58 83.00 • 01 TOTAL 83 00 r.. FOR USE OF RECORDING OFFICE I hereby certify that the Nebraska Department of Revenue has fully complied with the mvenue laws of the State of Nebraska in the determination of the amount 'Mown to be due;and ti}e taxpayer has failed to pay the amount due after demand. •f this Notice of State Tax Lien is an extension of an effective lien it serves to continue the priority oythe state's interest in the affected property of the taxpayer. • -,.Dated tlds 15th " day,of March ,14 76 sign GA v r-- 1 � r • here Autlt'ria Signature Rnve ue Enforcement Officer litre h ;;r` 4.454.74 Rey.1.75 • t< LSTATE TAX COMMISSIONER—White and Canary Copies TAXPAYER—Pink Copy COUNTY OFFICE--Goldenrod Cony • •