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�: <br /> � � � <br /> � . <br /> � �lotice of St�ate Tax Lien <br /> �nebraska <br /> 'aopactmert <br /> _____ 01 revenue •R�ad lnstructions on rsvars�sid� <br /> � LIenS8rla1 4Vumbar I,.lon Typo Dato Soda1 SacuvltY NumDBr <br /> � �QfIy1�01 <br /> 0�0��60� ❑ Renawal �-j 6-�0 �o�-i s-432t} 90--1 0 0 3 9 7 <br /> � N�dreska I.O.Nu. County �i�n Filed�Vith SOous�'3 SOCIaI S�turlty <br /> � RBqt:tIIr ot LZC�QS Nrrn,nw. <br /> � 3763455 Hal l �County CIOrk <br /> BUSINESS NAME AND LOCATION ApORESS TAXPAVER NAME AND MAILINO ADDRESS <br /> � Husiness Name Name <br /> Street Atldresf Straot or Otha�Mailing Adtlress <br /> � <br /> Clty Stato 21p Cods City State 2ip Code <br /> Grand I 1 nd , NE 68803 <br /> This Notice of State Ta�c Lie�is issued by tho Nebraska Department of Revenue for unpaid taxes pursuant to the <br /> revenue laws of the state of Nebraska.Nodce is hereby given that taxes including penalties and interest,whlch are <br /> shown below,are due from the taxpayer specified above and remain unpxid after de�and. These taxes constiteite <br /> =�=.� a lien in the county for real and personal property belonging to the taxpayer or hereafter acquired. <br /> . Tax Dat�oi Balana of <br /> Cst�pory Tax Pulod A�N�t Amount of Tax Panalty Inttrest Additiom <br /> , Numbe� Assessm�nt Dus <br /> , 04-01-89 thru <br /> 21 06-30-89 11-10-89 154.00 15.40 9.98 179.38 <br /> ; <br /> � - <br /> _ -�:� <br /> � . - <br /> � -- <br /> 70TAL $ <br /> �ne►eby certlfy that the Nebnska Oepartment ot Revenue has complied with the revenue iaws ot the State ot Neu►aska�n tne aeter- �� <br /> mi�atlon ot th amount sh n to be aue,and tne taxpayer has failetl to pay the amount tlus after Gemand. Ii this Notice of Stste T�x <br /> Llen Is an nslon ot an e�ct ve �len serves to eo�tinue the prioritv of tho state's interast�n the aTiecteci property of the taxpayer. _ <br /> . ' � ' <br /> .,u, s�A� -�--i`' 21�=�Zi Taxpayers Service S�ec� i�t ��•�/C� <br /> � be�e ��s tur� Titls Date <br /> Revenue Agent Supervi sor �—2K -�'O �. - <br /> �Q Authorized Signatun Titte Date <br /> �' ' FOR CaUNTV OFFICIAL'S USE "'_ � , <br /> t' �` — <br /> 'R ; ���. <br /> . � •. :,�.... , <br /> � ;r' �. <br /> � ,'� •• � <br /> �r . _ <br /> . l <br /> NEBRASKA DEPARTMENT OF REVENUE--White end Goldenrod Cop�es 1'AXPAYER- Pink Copy COUN7Y OFfICE—Canary Copy <br /> - ---- 4-494�:4 Rev.9•8B --- <br /> i'—=='_�--__- <br /> _ ~ — --- - -- -- j • <br /> THk A7'TACHED NOTICE(S) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONi.Y �1TT}j , � _ <br /> THE ROGISTER OF DFI�DS. .s � <br /> LTHE DOCUMENT(S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK. � <br /> - DISTRIFiT3TION OF COPIES: <br /> ti <br /> _ WHIT�: TO SE VALIDATED BY THE REGISTER OF DE�DS AND RETURNED TO THE �p� <br /> DEPARTMENT OF REVENUE. �� <br /> � GULDENROD: TO BE KEP'C BY THE REGISTEFt OF I�R�b5. !, � <br /> F3II,LING IS TO BE ONCE PER MONTH 1�ND THERF WILL BE NO PRF,-i'AYML•7�'t �fi F'�fiS. <br /> �� THANK YOU FOFt YOUR COOPERI►TION. <br /> ��� --- ___ l_ � <br /> �,���;��. <br /> .jj,�,- • <br /> • ,i, <br /> R <br /> �. � <br />