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� i �zy: <br />�ti� � _... � <br />��� � <br />��; <br />;r�� <br />� <br />���� <br />�� <br /> } <br /> �-,-.�. . ..., � .... � _ ..�_. __ ._,,.� ,_ .. . ..,__.__.__... . .,�, .�-. , _ _ .._ . <br /> . .. . � <br /> � �eb�a�a� OU6343 Notice of State Tax lien <br /> ' �epanment � . . . . <br /> ,��,- � � of revenue � � � � � � � ' <br /> Name of Texpayer � � � � <br /> _ . . � .� T.L�TT}'. :'�C'I.f.I.. . . � <br /> Numoer ana Strret � . . . �. � � � � <br /> ?�.2b t3�at 1at �traet <br /> y �� Clty� . - . . State 2ip Cotle � � � <br /> ti Crand Yslan<i 21T? C�8fi�1 <br /> � . Ooing Business As Lien Serial Number County Fi�etl: Date� <br /> r.r�.:� r�:� clii/�e,� ����i �a1��1/��� <br /> � Numbe�antl Street. Soclal Secut(tY Numoer NeDraska Identllication No. <br /> ' ?!14 T�.est 2nd "treet s(35—�2—b125 "?C�;i1403 <br /> � City • "'`�State ZiP Cotle Lien . llen Flletl At � . <br /> {:':RA[t 'T_3Z1tA[7 _ ...:ifi �+;3)�r)Z �{ r, - . . <br /> � LJ Orlgi�al u FeneWal '�'RegiStCt of�eetl5 ❑Co.Clelk <br /> Pursuant to Ihz revenue laws of the State of Nebraska,notice is hereby given diat taxes(including pe�alties,interest,and <br /> additions)have been assessed and are due from Uie above taapayer and remain unpaid after demand.7'liese taxes constitute <br /> a lien upon properry in the county beloneing to the ta�payer or hereaf[er acquired.Liens far sales and use taxes anly <br /> - attach to ihe real proparty of the iaxpayer locatedµ�thin the county or hercalter acquired. <br /> � INSTRUCTIONS FOR TAX CATEGORV NUM6ER AND DATE DESIGNATIONS APPEAR ON THE BACK OF FORM. � <br /> Tax Total For <br /> Catepory Ta:Period Date Due Amount of Tm� Penaity interert Additions Taz Category <br /> Num6er <br /> nru <br /> �i 5-31-76 G-3(}-7( ?51.3G ?.77 G.21 ��5.�,� <br /> t:-1-7Ci t?irt: <br /> O1 b-3(l—?Ci 7-31-7ti i�l.'7! 5.'�4 3.t34 �03.69 <br /> � <br />, i <br /> % <br /> ' <br /> Tora� 4�;7.�, <br /> � FOR USE OP RECORDING OFFICE <br /> 1 hereby certify that the Nebraska Department of Revenue has Cully complied with <br /> the mvenue laws of Uie State of Nebr�sl:a in tl�e detemunation of'the amount <br /> shown lo be duc,and the uixpayer h;u(ailed lo pay the amuunt due aRcr demand. <br /> Entered on numerical <br /> index ard re�orded on <br /> I(this tiotice o(State Tax Lien is;�i extension of an efl'ectice lien it serves to <br /> wntinue the prioriry of the state's interest in the affected pruperty of thc taspayer. ��"�"' "� 19ZL <br />�:���� at ��js�h1. := i;:;t;:.r.�ient <br />�. Datedthis j`'� dayof .+;"•'�.-:ter �q 7u i <br /> � i�o�0 6;3 <br /> t i ; ; � , <br /> � �, <br /> w� �<'� <br /> � sign , � , - - .� -�- ���, � ,� u. , <br />� _ %-':Y -- ". .:�✓'� I R�gist.:r of Deeds � <br /> here'AuthorizeE SL9nature <br /> . Ff{ Hall Cour,ry, hebraska <br /> r�� :ive ue i:nfarcc.��cit 0.__rer ' <br />,X��� Tltle � . i . , . <br /> � '��.N�;.' <br /> 4�494�74 Rev.l-75 <br />=�'.� . STATE TAX COMMISSIONER—Whlle anA Cinary COCks TAXPqVER—Aink Copy COUNTY OF�ICE—GOICenrotl Copy � � � <br />��Z: � <br /> � .. .......... . 'sf' <br /> . . . . . .... . . _ .. . . . _ __._ _ .. <br /> c:� ... . . . . . _ . . . . . . . M1. , <br /> W <br />�� tn <br />_•_� <br />\`'� !��- L� � <br />_.-� <br /> `: <br /> -e <br /> i <br />