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I � <br /> �. . � <br /> ; ��,�b�e Notice of State Tax Lien <br /> �.,��.,�.�� <br /> ur.evenoe. . <br /> �- Nama ol Tsxw9ar � � �8.� � . � � <br /> John W, Albright <br /> a. . . <br /> rvumWr ane Street� � � . � , . � <br /> 9is so. Eaay <br /> CItY . State Z{D Cotla . . . <br /> Grand Island NE 68801 <br /> Llen Serlal Number County Flletl: Oa[e <br /> Dolo9BuslnassAs 8/02/889 H$lI 2/23/78 . . . <br /> Itound Boy's Bar <br /> � Soclal Satu1ltY Numbl� NebraskH 1Esntiticatlon No. . � _ <br /> � NumEer soA Strset 506-58-7507 2581132 � �� " <br /> Old West Hwy 30 <br /> State ZID Cotle Llen Lien Flletl At . <br /> � GIIY 68801 . .. . <br /> Grand Island NE oris�na� ❑Renewa� �aegister o�oeaas ❑co.t�aru <br /> Pursuant to the rcvenue laws of the State of Nebraska,notice is hereby given that taxes(including penalties,interest,and <br /> additions)have been assessed and aze due from the above taxpayer and remain unpaid after demand.These taaces constitute <br /> a lien upon property in the county bolonging to the taxpayer or hereafter acquired.Liens for sales and use taxes only <br /> aitach to the real property of the taxpayer located within the county or hereafter acyuired. <br /> � INSTRUCTIONS FOR TAX CATEGOHV NUMBER AND DATE DESIGNATIONS APPEAR ON THE BACK OF FORM. . <br /> Taz � � Topl Fw . � . <br /> � Gipory Tuc Parfod Dau Dw Amount of T�x Ponalty Intanst Additions Tax Gtpwy . .. , <br /> � Nu'nMr � � � . . . .. <br /> 3—OI-77 thzu 3 32 <br /> � 3-31-77 4-30-77 A 2.59 .73 <br /> i S—Ol-7T thru 5_36 <br /> � pl 5-31-77 6-30-77 9 5.00 .36 <br /> 7—01-77 tfiru 1 <br /> Q1 7-31-77 8-31-77 176 40 5.46 5 29 <br /> 8-01-77 thru <br /> ; O1 9-01-77 ttuu 108 93 <br /> s 9-30-77 0-31-77 101.89 5.00 2.04 <br /> i 10—01-77 thru <br /> �,; � � � <br /> F O1 11-01-77 thsu ^ 96.80 5.00 .97 102.77 <br /> i` <br /> ;s <br /> � . . TOTAL 781.19 � � - <br /> �� . . � � � � FOR USE OF RECORDING OFFICE � � . <br /> I hereby certify that the Nebraska Department of Revenue has fully complied with <br /> tho- svenue laws of the State of Nebraska in the determination of the amount <br /> , shown to be due,and the taxpayer has failed to pay the amount due after demand. <br /> `' lf this Notice of State Tax Lien is an excension of an effective lien it serves to <br /> 1 conUnue the priority of the state's interest in the affected property oC the taxpayer. <br /> - Ddfed thls 23rd day of February ,19 �$. <br /> r <br /> SIg11 e �.1': <br /> � � � �Qre Aut rne�el=ature , . _ ... <br /> . � . � � �Tltle � . . .. . <br /> .. .- � . . � � � � �. <br /> i <br /> � a394-7a Rev.11-77 Supersatles 4-49M74 Rev.1•75 <br /> f , '�� � � .. TAXPA`/ER—PlnkCOPy COUNTVOFFICE—GottlenrotlCopy . ._ � <br /> ��� STATE TAX COMM�SSIONER—Wn1u antl Caaary Coplx� r'�� <br /> � v ,7. <br /> _ <br /> �� .. .. . . ... � �r :,- ',�, <br /> �� � .�_._ ,.. - . _ ... ...... .,�.. . . . �:. � <br /> a, <br /> . - . � � , . � . �. . ��. {`'. . <br /> . . ... . . �,r �:�:.;�".; <br /> : .. �.. ... _. .. .. .. � . ... �. . � � s..r , p�:d.%�'.. <br /> . �. . . � � � � � � � <br />