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:�. <br /> I wl <br /> � . <br /> I <br /> Notice of State Tax Lien <br /> �nebrask a <br /> atitmcn� <br /> oi revenuc •Rud i�tt�uetlons on nrorw dd� <br /> r LI�nS�rla�NumDer L�on Typo oat• Soclal S�curlty Numda► <br /> � �C]r�9�t�af <br /> 891601 f2enpw�l � � � � r�'/� w i o 0 0 V'T <br /> : ..eara...�..C.":a. �auat� LI^:t Ftta�u;E=n enn��se't 50c1i1 S�CU�ItY `�l(1 <br /> � R�giste�af D�stlf NumGer � <br /> 136g5630 Hal l ❑ �ou�tY�►.�k <br /> BUSINESS NAME AND LOCATt0�1 ADOHESS TAXPA�'ER NAME AN�MAllINO AOQRESS <br /> Business Namn Name <br /> Gar D, Ma'or Deceased <br /> St�e�t A�Itlrtts 5tre�t or Othsr Mall(ng Adtlres� <br /> 14d7 Netvcastle Road 110 <br /> City State 21D Cod� City St�te 21p Cotle <br /> Grand Island NE 68801 <br /> This Notia of State Tax Lien is �sued by the Nebraska Department of Revenue for unpatd taxes pursuant to the <br /> reve� �K �aws of the state of Nebraska.NoNce is hereby given that taxes including penalties and interest,which are <br /> shown below,are due from the taxpayer specifled above and remain unpaid after demand.These taxes constltute <br /> a Uen ln the county for real and petsonal property belonging to the taxpayer or hereafter acqulmd. <br /> T� D�t�of Balsnq of <br /> Catpory Tax P�riad AwsvnMt Amou�t ot Tax P�nslty Intn�st Additiom q�Mt Duo <br /> NumbK <br /> -0 - 7 thru <br /> 2� 1�-3i-I; 'l-25-8� 403.92 2Q.?Q &60.75 1 ,084.8� <br /> 0 -0 -78 thru <br /> 22 12-31-78 5-16-89 5742.40 1435.60 �592.49 15 770.49 <br /> 0 -0 -79 t ru i <br /> 22 12-31-79 5-16-89 43.02 10.76 58.35 112.13 � <br /> � i <br /> I I •�: _�. <br /> i �- <br /> TOTAL � 16 967 9 'i <br /> • � �� reby certify tnat the Nebraska Department ot Revenue nas complletl wittt thE tCVe►�ut Uw5 Of tha StetC Oi Neb►iSki in th0 dEtB►- ' <br />. ':MJ�fatt n of the amount shown to be due, and the taxpayer has falled to pay the amount Eue itter Gamantl. Ii thls Notit!of State Taz <br />. �y ��?�I .�n CxtpnS� n Of 8r1 OlfEttive�ICn It serves to contlnue tne prioHty of the state's interost In the atfECt�C p►oparty of tha t0xpayer. <br /> �t � <br /> s�gn f ' Taxpavers Servi ce Speci al i st 0 I �C� �l� <br /> � her °�� �" gn�re Titis Oate <br /> « Revenue AAent Suuervi sor /- Z-`�� <br />- � Au�hoNzEtl Slgna e Title Dats � ' - <br /> �. <br /> FOR COUNTV OFFIClAL'S USE -- <br /> ��s<. <br /> �i <br /> .:� . <br /> ..�bb.��. � peoT��T QE BEVElVUE—White ar.."d,SQJ,Q�nfod Copies TAXPAYER—Pmk Copy COUNTY OFFICE—Canary Copy <br /> 11li �!'tJYpl�i iiQ�IICE(S) OF T11X LZEN (OR TERMINliITIOPi) IS (ARE) '1'o SE FILED AILY MITH _�� � _ �—,- - <br /> 'l71E�ll/GY:Tl� Ol�' DEP�S. ' <br /> THE DOCIJMEtiT (S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK. , <br /> AISTRIBUTION OF COPIES: ' <br /> WHITEs TO BE �'ALIDATEB BY THE REGISTER OF DEEDS AND RETURNED TO THE <br /> L DEPARTMENT OF REVENUE. <br /> GOLbENROD: TO BE KEPT SY TFiE REGISTER OF DEEDS. <br />� SILLING IS TO HE ONCE PER MOI3TH 11NU m}IERE 47ILL BE i70 PRE-PAYMETJT C1F FEES. ~j <br />� � T}i11NK YaU FCR YoUR COhPERATION. `� �,�i <br /> _. . -- - + <br /> �.> .. <br /> � � <br />