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� � <br /> � � �����j�-��'�' Notice of State Tax Lien � <br /> depntme�� <br /> � of.revenue � � . <br /> Nama o/Ta�cpayer � � � � � � � � <br /> Betty L, Elrod <br /> . Numb�r antl St�eet ' ' � � - � <br /> 384 N Pine <br /> CitY State ZIP Cotle . � . . <br /> Grand Island NE 68801 <br /> Ooing Business As Lien Serlal Number County Flletl: Date � . � � � � <br /> Bettys Lounge 8/03/937 Aall 3/03/78 <br /> NumMr anQ Strae[ SOCial Sawrlty Number Nebraska Itlantlficatlon No. . � <br /> 384 N Pine 505-54-2795 2582 61 <br /> Clty State Zlp Cotle Llen Lien Filea At ' � � <br /> Grand Island NE 6880�. Onylna� ❑Renewa� Reqlster ot Deetls ❑Co.C�erk <br /> Pursuant to the revenue laws of the State of Nebraska,notice is hereby given that taxes(including penalties,interest,and <br /> additions)have been assessed and are due from the above taxpayer and remain unpaid after demand.These taxes constitute <br /> a lirn upon property in the county belonging to the taxpayer or hereafter 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 CATEGORY NUMBER AND DATE OESIGNATIONS APPEAR ON THE BACK OF FORM. � � <br /> Tex <br /> Catpory T�x Period Dab Dus Amount of Tuo Panslty Intarest Additions Total For � � . . � � <br /> Numb�r Tau Catpory � � . <br /> ,� 1—��.-�77 t�1211 . . . <br /> 3-31-77 4-31-77 9 14 2 <br /> 4-01-77 thru <br /> 21 6-30-77 7-31-77 9 .61 07 <br /> 7-01-77 thru <br /> 21 9-30-77 0-31-77 4 34 22 <br /> O-01-77 thru <br /> 21 2-31-77 <br /> ,i <br /> TOTAL 33e77 � �� � <br /> �i � <br /> --� � FOR USE OF RECORDING OFFICE � <br /> I hereby cedify that the Nebraska Department of Revenue has fully complied with <br /> .the ievenue laws of the State of Nebraska in the determination of the arnount <br /> i �sttown to be due,and the taxpayer has failed to pay the amount due after demand. <br /> ���� � � <br /> 'IQ'.�his NoGce of State Tax Lien is an exunsion of an eCfective lien it scrves to <br /> continue the priority ofihe state's interest in the affected property of the taxpayer. <br /> ' Dated this 2nd day of 1�tarch ,19 78 <br /> � -. • <br /> -J <br /> r <br /> :; sign <br /> i here� �,� y=.e �at�.. <br />'' na er <br /> ,#�...� .. Tltl� � . . .. <br /> t <br /> - 4-494J4 Rev.i1-77 Superzedes4-494-74 Rav.1-75 � ��� '} � <br /> g STATE TAX COMMISStONER—Whita antl Gnary CopieS TAXPAYER—Plnk Copy COUNTY OFFICE—Goltlanrptl COpy ,��; r <br /> 4' . <br /> 4. <br /> ...,, ..� . , , � . . <br /> ,.� . „-_.... . . . . . • .. � ....... _... � . . . � I ' , �{ � <br /> � <br /> . .. � � � i�'. <br /> . . . . . . . . . `s:. :i <br /> � � ' . , � � � , Y.�`':y"v <br /> .. . . . . . . .. . . � . . . . . A . ��. <br /> � � <br />