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� ' i: <br />� t ..�'�: <br />� ��..' (— � <br />� <br /> 76- 0053Q3 <br /> � � �e���ska �otice of State Tax Lien ( <br /> � dePartment� . . . . <br /> of revenue . � � <br /> Name ol 7axpayer � . � � � � �. � <br /> Brud hforris Enterprises Inc <br /> NumUer antl Streul . � � � � . <br /> BOX 1802 <br /> CItY � . � State ZiP Co�n � . � . . <br /> Grand Island NE 68801 <br /> Doln9 Business Ai . � . , ., . Llen Serial Nurnber County Fileq: Dale� � . ' <br /> The Shaggy Dog 6/09/336 Hall 9/14/76 <br /> Number�and Street Social Securlly Number NeOraska Itlontiflcatian No. . � �� <br /> 4th S Eddy 2346729 <br /> �,.�'� Clly . Stale Z.ip Cotle Llen Licn Filetl At � � � � <br /> Grand Island NE 68801 �o��y���i ��e�eV��� [� R�9;:�er or oeed: <br /> ❑Co.Clerk <br /> r 1 Pursuan[ to the revenue laws c>f the State of Nebraska,notice is herchy given ihat taxes(incluJing penaliies,interest,and <br /> ' additions)have becn astiessed and are duc from the above tax��aycr and remain unp:ud after demand.These taxes canstitute <br /> s ' a lien upon property in the coimty belonging to the ta�payer ur hereafter acquired.Liens for sales and use taxes only <br /> attaclt to the real property of tlie taspayer located witliin the cowity nr hereaCler acyuired. <br /> ` � INSTRUCTIONS FOR TAX CATEGORY NUMf3ER AND DATE DESIGNATIONS APPEAR�ON THE BACK OF FORM. � � � <br /> `i� Taz <br /> "s Catagory Tax Pariod Date Due Amount of Tax Ponalty Intorest Additions Total For � � � � . <br /> Num6er . Tax Cateqory . <br /> ' 10-01-75 thr <br /> �'� O1 10-31-75 11-30-75 206.12 8 10.30 � 216.42 <br /> � <br /> S <br /> g i <br /> Xj i <br /> E.' <br /> � � <br /> �, � <br /> �� <br /> 7` — <br /> j <br /> ��'� TOTAL zl(.42 <br /> FOR USE OF pECORDING OFFICE <br /> l hereby certify lhat�he Ncbraska Ucparlment ol Revenue Las fully complied with <br /> .r, the re���nue laws of the State of Nebraska u� thc deterrnin�tivn ol the arnount <br /> "' sl�own to be duc,:lflll llll'l;iX���'l'[II:1$IBIIC(I t0�)Sy the anwunt duc after denWnd. <br /> f '' <br /> � : <br /> i ' <br /> � ' If Ihis Notice uf State Tax Lien is an exlznsion uP an eflectivc lien i1 sen�es tu <br /> `' ' conlinue the priority of��hc slatc's intrrest in thc affrcted pruperty uf thc taspayc;. <br /> � <br /> Dated this 14th �ay,�� September �q 76 <br /> �_ <br /> L <br /> sign , � <br /> . . �pCp�Autho cetl 5�natura <br /> ` � evenue Enforcement Officer <br /> nue <br /> . . 4-494.74 Re�.I-75 �. <br /> STATE TFlX COMMISSIONER—Whiie anU Canary Coples TAXPAVER—Plnk Co�•/ COUNTY OFf�ICE—Goidenrotl COpy . :{� <br /> ... . . . . � .. �; <br /> � � � � � ��°, <br /> � :. <br /> t� ,: <br /> � <br />_ � <br />� - <br />� <br />� <br />'Y <br />� � � J <br />