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_ . � � <br /> � �r�;;��, Notice of State Tax Lien � <br /> oT rmrenue <br /> � �Nema o1�Taxpayer � � <br /> Lewis H. Kroeger 7g-- �1(�1 n fi`�`� <br /> NumMr antl Street � . � � <br /> 244 S. Vine • <br /> � Clty � , State Zip Cotle � . � <br /> ' Grand Island NE 68801 <br /> Dolny Buslnasz As Llen Sarial Number County Filed: Date . � � �� � . � <br /> Ord BOWI. $IOI.�7H7 HSI.1 lI3OI7H <br /> � Number antl Stroet Soctal Security Number Nebraska Identlflcation No. � . � � <br /> I3Z4 N Street 507-54-4582 22-283k537 <br /> � Clty State ZIp Code Llen Llen Flletl At � . . ..� <br /> Ord NE 68862 <br /> � Orlginal ❑Renewal Register of Deetls ❑Co.Clerk - � � <br /> Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that taxes(including penalties,interest,and <br /> addi4ons)have been assessed and are due from the above taxpayer and remain unpaid after demand.These taxes constitute <br /> a lien upon properry in the county belonging to the taxpayer or hereaRer acquired.Liens for sales and use taxes only <br /> attach to the real properTy oC the taxpayer located within the county or hereafter acquired. <br /> � INSTRUCTIONS FOR TAX CATEGORY NUMBER AND DATE DESIGNATIONS APPEAR ON THE BACK OF FORM. . . <br /> � T�x Toul For � � <br /> � GLpory Taz Pariod DaM Dw Amount oi Tau Penelty Interast Additions Taz Ca � <br /> NumMr T�r1' � . . � <br /> 21 1-1-77 thru <br /> 3-31-77 4-30-77 9 1.18 .35 1 53 <br /> u 4-1-77 thru <br /> 6-30-77 7-31-77 9.94 .50 .40 10.84 <br /> i <br /> . . .. . TOTAL 52.37 . . . . .. <br /> � FOR USE OF RECORDING OFF�CE � � � � � � <br /> I heroby certify that the Nebraska Department of Revenue has fully complied with <br /> the,.mvenue laws of the State of Nebraska in the detemunation of the amount <br /> ; shown to be due,and the ta�cpayer has failed to pay the amount due aRer demand. <br /> If.this Notice of State Tax Lien is an extension of an effective lien it serves to <br /> ' continue the priority of the state's interest in the affected property of the taxpayer. <br /> � Da'ted this 27th daY of January 19 78 <br /> , . % <br /> - sign� � cT <br /> hereAuthoriza i9na ro <br /> ger <br /> Tltle <br /> + <br /> � 4-094-74 Rev.33-77 SuperseEes6-494-74 Rev.1-75 <br /> ° � ���STATE TAX COMMISStONER—White and Ganary Coplas TAXPAVER—Pink Copy COUNT`�OFFICE—6oltlanroC Copy ������� ^y � <br /> ,i, � l <br /> :';���'.� z <br /> .,... ....,....._. . <br /> . ; , ..,.... .. :�, .i <br /> ��� . - . . . � . .. �. . f �`,4 <br /> J <br /> � � � � � . .1��� <br /> . . . . . � . .ti �j. ;�� . <br /> � J <br />