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� � <br />�. �rebraska �a—U U 0�5� Notice of State Tax Lien <br /> department <br /> ofrevenue <br /> �� Name oI Taxpayer . � <br /> Lewis H. Kroeger <br /> Numbar anC Street <br /> 244 S. Vine � <br /> CItY State ZiD Coae � . <br /> Grand Island NE 68801 <br /> Doing BUSlness AS Llen Safial Number County Flletl: Date <br /> Ord Bowl 8/O1/786 Hall 1/30/78 <br /> Numbef and Street SoClal Sacutlty Number Neb/aska IOlntlflCailon No. <br /> 1314 N. Street 507-54-4582 01-2834537 <br />. C���' State Zlp Cade Llen Liel�Flletl At <br /> Ord NE 68862 <br /> Olf9lnal ❑ Renewal �Reglster of peBGs ❑Co.Clerk � � <br /> Pursuant to the revenue laws of the State of Nebraska,notice is hereby given that taxes(including penalties,intercst,and <br /> additions)have bcen assessed and are due from the above taxpayer and remain unpaid after demand.These taxes constitute <br /> a lien upon property in the county belonging to the taxpayer or hereaker acquired. Liens for sales and use taxes only <br /> attach to the real property of the taxpayer located within the county or hereafter acquired. <br />. INSTRUCTIONS FOR TAX CATEGORV NUMBER AND DATE DESIGNATIONS APPEAR ON THE BACK OF FOHM. � <br /> Tax <br />. Gtpory Taz Pariod Dab Due Amount of Tax Penairy Intarest Additions Total For <br /> NumMr Tax Catepory <br /> 1-1-77 thru <br /> 01 1-31-77 2-28-77 A 6 .66 .66 <br /> -1-77 thsu <br /> O1 2-28-77 3-31-77 107.52 5_00 5.40 117.92 <br /> - - 7 thru <br /> 01 3-31-77 4-30-77 126.85 5_00 5.67 137.52 <br /> 4-1-77 thru <br /> O1 4 30-77 5-31-77 59.69 5_00 3.60 g 2 <br /> 5-1-77 thru <br /> 01 5-31-77 6-30-77 32.45 S_00 1.12 35.57 <br /> 6-1-77 thru <br /> Q1 6-30-77 7-31-77 <br /> 9-1-77 thru <br /> 01 9-30-77 0-31-77 77.38 5.00 1.17 83.55 <br /> 10-1-77 thru <br /> O1 10-31-77 1-30-77 94.15 5.00 .94 100.09 <br /> 11-1-77 thru <br /> O1 11-30-77 2-31-77 85.76 <br /> TOTAL fi72.83 <br /> FOR USE OF RECORDING OFFICE <br /> s l hereby certify that the Nebraska Department of Revenue has fully complied with <br /> the nvenue laws of the State of Nebraska in the determination of the amount <br /> shown to be due,and the taxpayer h:is failed to pay the amount due aFter demand. <br /> 'It this Notice of State Tax Lien is an extension of an effective 6en it serves to <br /> wn�£"inue the priority of the state's interest in the affected property of the taxpayer. <br /> Dated ttus 27t�1ay of January ,19�$ , <br /> sign� � - , <br /> here A�thoriz 5,9� .e <br /> Ma ge <br /> Tltle <br /> 4494-74 Rev.11-77 SUDarsaAes 6-49p•7q Rev.1-75 <br /> STATE TAX COMMISSIONER—White anC Unary Copias TAXPAVER—Pink Copy COUNTV OFFICE—Goltlenrotl Copy <br /> . . .. . .... ... . _ ♦G` <br /> _ ��^- � <br />�. ' � J {�`� . <br /> f <br /> 'W y <br /> ' :�.. <br /> ' .. '.�+'�' <br /> � J <br />