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� � <br /> ��,�b��e 78—�02�$g Notice of State Tax Lien � : <br /> department <br /> ot ravanue <br /> Name�eATaxRaYe� .. . . . . . . � . . <br /> Ro Evans Chrysler Plymouth <br /> Nurribsr'antl.Streel .. . . . . . . <br /> 7x6 South E1m <br /> �CIkY .. . . . .. . . . staed Zio coae . . <br /> Granci i�z�ar rrE bssoi <br /> � �� 'Llon 5er+ai rvumber County FNled: ' Oate- <br /> D01119 BY15II1e55.AS � � � � � <br /> Roy Evans Chrysler Piymouth 8/OG/086 Hall 4/14/7$ <br /> ' SOC'ial SCCurICY IV'uMbp! �NBbiaSka Ident:lYicatfon�Mo. <br /> Numbmr and 54eeat 1Y.61$$7� . <br /> 7T6 South Elm <br /> CIt.Y 5zate Zip Cqde 'Lien Llan F'iieC AS <br /> �1^SLld �$��IIl1 ��' �8���' 'O�rlyindl IJ R4n8WaI � aegister o!�esbs '�A Cb..Cle�k <br /> Pursuarlc to tHe revanue laws of t.he Stata of Nebr:rska,notiee is hereby'given [hat taxes(including penaltlies,interest,and <br /> additiansj have been assesce�i and are due from ihe above tuxpayer and remain u�ipaid aPter demand.Thesc taxes constituta <br /> a lien upon prqperty in the county hrlonging to the taxpayer or hereaftcr acq+�ired.Liens Eor sales and use taxes only <br /> attach Cu the real propetry of the taxpaycr lucat.ed within the c�unty cin c�rerfter acyuired. <br /> �� � INSTRWCTIONS FOR�TAJC CATEGORV NUM9ER AN4 DATE OESIGNATIONS APPEAB�ON THE BACIZ OF FORM. � � . � <br /> ...T� : . .. �...,�—. � � Total Fw . <br /> �hpory..� Tsx V�riqd . Dst�Du�� Amount ot taz Panalty Intsrart Addi2ie�s T���� . . <br /> Numbar '^`" . . . . <br /> 4-01-77 Chru 525.83 <br /> 21 -31-7T 480.21 24.Q1 21e61 <br /> � TOTAL 525.83 . . <br /> � FOR USE OF RECORDING OFFICE � � <br /> I heceby ceRify that the Nebraska Department of Revenue has fully complied with <br /> the tevenue laws of the State of Nebraska in the determination of the amount <br /> shown to be due,and the taxpayer has failed to pay the amount due after demand. <br /> If this NoUce of State Tax Lien is an extension of an effective lien it serves to <br /> continue the priority of the state's interest in the affected property of the taxpayer. <br /> Dated this 14th day ot April ,19�$ . <br /> sign ` ' <br /> here�Authorize Si9�a rs <br />. rranage= <br /> Tltle <br /> q<94-74 Rev-11•77 SuOersedes 4494-74 Rev.3-75 K <br /> STATE TAX COMMISSIONER—White ontl Canary COPIas TAXPAVER—Pink Copy COUNTV OFFICE—Goltlenrotl Copy . <br /> ..... . . . .. .... . �: T� <br /> � � J <br />� ` <br /> �. <br /> L �J <br />