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- � � <br /> � . <br /> � � Notic� of State Tax L�en <br /> neUrasi�u <br /> ckpartment <br /> of revunuo •R��d imtructlont on nv�ro�fd� <br /> L��nSolai Numoer 4ian Typa I�ata SoUal Sacw�ly Nwnpor <br /> � ��Oe�y�nal - <br /> 54231231 ❑ R•�o�V�� 12-2(1-�9 507-64-9313 /� <br /> N�GrasNa 1.0. Na. CountV Li�n F�led Wlt� �Spnus�y Soc41 5acurlty �O ��0 0 0„h <br /> - �gQQ�7i3 �{u�� �(j Reqister ot p�eds Numher v v <br /> �J County Gvk <br /> BUSINESS NAME ANO LOCATION AL1DpES9 TAXPAYER NAME AND MAILINQ AODflESS <br /> Bu�ln�ss Name I�am� <br /> � Narve L Keii <br /> Straat Adtlnss St���t or Oth�►M�III�g Atld��ss <br /> �8 1' � <br /> C►ty State 21p Cod� Clty Seute 21p Cotle <br /> Grand Island NE 68803 <br /> Thls Notice of State Ta�c Lien is Issued by the Nebraska Depaztmsnt af Re��enue for unpaid taxes pursuant to the <br /> nwenue laws of the state of Nebraska.Notice is hercby given that taxes I�cluding penalties And interest,which are <br /> shown below,are due from the taxpayer speciiied above and remain unpaid after dema�d.These taxes constitute <br /> a llen in the county for real and personal property belonging to the t�xpayer or hereafter acqulred. <br /> . T�x Oat�of Balanc�of <br /> Cat�gory Tax P�riod AummMt Amount o1 T�x P�nalty lotu�st Additiom Ass�asm�nt Ou� <br /> Numba <br /> 1-01-�4 thru <br /> � 12-31-f�4 6-16-89 766.00 191 . 50 502.40 1,459.90 <br /> �-41-�� thre! <br /> 22 12-31-85 6-20-89 782.00 195 50 403.43 1 380.93 <br /> 1-01-86 thru <br /> 22 12-31-�6 5-12-89 733.00 1H3.25 275.53 1 191.78 - <br /> 1-01-87 rhru � � <br /> - - - - QO 191 25 i80 15 1 136 40 ' � <br /> 1-01-88 thru , �, <br /> 2 1 -31r38 6-07-�9 �77.00 � 23 S5 45.�1 545.�r2 � -=�� <br /> E , -. <br /> .s._— <br /> -,- TOTAL S , <br /> ;v �,• #,hereby certliy that the NeDnska D�partment of Revenue has comp0etl wlth the revertue iaws oi the State ot IV�b�aska in the deter• 7� <br /> mination of the amount shown to be tlue.3fttl thC tezpOyEr ha5 tetletl to p�y tlt9 amount du0�ttA�tlEf11if1tl. 1f thlf NOtIfA O}StitE TiX :� <br /> ;G �ler�Is�an extensio�ot an oftective iien it serves to continue the priorlty of the state's IntereSt In the affected proparty ot the taxpayer. <br /> 1' <br /> ayn � Tax�yers Service S ecialist _1 -02-�0 <br /> �rs :vraO �� �anat re� ntie �ste <br /> ;� Revenue Agent Supervisor 1-Z-2o <br /> Author zeC Slynature Title Date ' <br /> •� FOR COUNTV OFFICIAI.'S USE - •�- <br /> . z�� <br /> a {�.� <br /> ,� NEBRASKA DEPARTMENT OF F�EXENUE—Whita and C}ut todC i� �„�,�AXPAVER—Pink Copy COIiNTY OFFICE—Canary Copy <br /> TH$ ATTI�GHRD NOTICE(S) OF TAX LIEN (OR TERMIKATION�, IS (ARE) TO BE FZLEiJ CIMLk"°W$�:�•9-Be <br /> �1i� �/CIdY'1� G! DEED5. �-=-_=-_--- <br /> , THE DOCUMENT(S) IS (ARE� NOT TO BE FORWARDED TO THE COUNTY CLERK. I <br /> DISTRIBUTION OF COPIES: ` i ' <br /> WHITE: 'T6 BE VALZDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br /> DEPARTMEN'P OF REVENUE. � <br /> � GOLp�RODs 'PO BE KEPT BY THE REGISTER OF DEEDS. <br /> BILLZNG IS TO BE ONCE PER MONTH AND TfiERE WILL BE NO PRE-PAYMENT pF FEES. <br /> �f�. <br /> T}IANK YOU FOR YOUR CO�PERIITION. � <br /> c r� i's <br /> h � <br /> � � <br />