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i � _< � z8— U012�3 � ' - ,�b•�e Notice of State Tax Lien �„e.t�� ot.�� .� Name of Taxpaya�' . ' � Betty L. Elrod � �NumCar aotl Stroet . - �� . � " � 384 N Pine � city state zlo Code � � Grand Island NE 68801 Doln9 Busineu As Lian Serlal Number County Filetl: Date� � � . Bettys Lounge 8/03/936 Hall 3/03/78 � . Numbslsntl 5tsset � SOCis!SeCurlty Numba! Nebraska tCCntiNcation fYo. � �� 384 N Pine 505-54-2795 01-2582961 .. City State Zip Code Llen Llen Filetl At� � � 6rand IS�.8IIC1 �' 68801 priginal ❑Rencwa� Register o!Deetls ❑Co.Clerk Pursuant to the revenue laws of the State of Nebraska,notice is hereby given that taxes(including penalties,interest,and additions)have been assessed and are due from the above taxpayer and remain unpaid a(ter demand.These taxes constitute a lien upon property in the county belonging to the taxpayer or hereafter acquired.Liens for sales and use taxes only attach to the real property of the taxpayer located within the counry or hereafter acquired. INSTRUCTIONS FOR TAX CATEGORV NUMBER AND OATE DESIGNATIONS APPEAR ON THE BACK OF FORM. , . . T�x �� NCanpory T�z Pniod DaM Due Amourrt of Tu P�nalty Intarast Add"Kions Tau Cet For .. � �rY $—QI-�77 ttlrll - . 01 8-31-77 9-30-77 A A 2 02 9-01-77 thru 01 10-01-77 thru _ _ _ 167.75 25.00 3.36 196.11 11-01-77 thru O1 11-30-77 3-02-78 167.75 25.00 2.52 195 27 12—01-77 thru `O1 ` 12-31-77 3-02-78 167.75 25.00 1.68 194.43 1—01-78 thru f O1 1-31-78 3-02-78 143.78 25 00 72 1 j 2-01-78 thru Ol 2-28-78 — 2— � . . � .. � � � TOTAL S�OE)7.2$ . � � . . i � � � a � . � � � FOR USE OF RECORDING OPFICE � � [hereby certify that the Nebraska Depadment of Revenue has fully complied with the+.-revenue laws of the State of Nebraska in the determination of the amount shoWn to be due,and the taxpayer has failed to pay the amount due after demand. If't}i`!s Notice of Sfate Tax Lien is an extension of an effective lien it serves to continue the priority of the statds interest in the affected property of the taxpayer. „'Dated this 2nd day of March ,19 78. aign , here�Autho .d 5, .,�.e Mana r ' . Titla .. . � �� _ f ��' �� 4494-74 Rav.i1-77 SuperzaOss 4-494.74 Rev.1-75 � � ,:� STATE TAX COMMISSIONER—Whlta a�ftl Gnary CoO�es TAXPAYER—Pink Copy COUNTY OFFiCE—Gottlenrod Copy � _ ,� "� : � ..,_.-.. ._.. .... .. .. ... .. ... ' ..? F I ..... ...;...... ....... , � ..��.�.. . . . . • . . .. .._. . ...� � + � ` E�� 4 .. � � .. . � � � ':. . . . . . � . . �. � y r'�::t3�+. . . ._ . . . . _ . . . . ' � �;;i`,." 6,..,;r � � � i