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<br /> Notic� of Stat� Tax Lien
<br /> � nebr�ska
<br /> ��a►tment
<br /> ot reven4e •Read instructions on revsrse s'sda
<br /> � Lien Seriat Number l�en 7ypo Datc Socia�SeCurity Numbet
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<br /> 8919255II � ; n��oWil� 3 5 90 _�505 58 24$1 9Q�.�QI,�7�
<br /> ' Ne�raska I_D.No. County 4�pCrt FiInG VJith Spouia`�5ociat Sxurtty . �
<br /> 2�a'17 7�$ H�L L :Ll ���'s4er o[Dee6s NumCer
<br /> (�' Courtty Cres:�-
<br /> BUSINESS NAME AND LOCATION ilDDRESS TAXRAYER NAME AND MAfLiNG ADDRESS
<br /> Businnss Name Name
<br /> L•arry E . Hescocl�
<br /> ' Strest aaoress ' Street or Q[hor t.l�ilmq AOtlress
<br /> 512 F+orth Lincoln
<br /> Gty STate Zlp Co9e C�ty State Zip CoGe
<br /> - G'�!'�J�� Island r�C 6�i��1
<br /> 1'ft�.fllotiee of State 7ax Li�n is iss�ied by the Nebraska Ue��m�:,��t,�J�:�svenug f�r unpaid taxes pnr,uant to the
<br /> � r�ry�le laws af the state af�ebrasSca. l�iatic�is here64�vv����I.ar 1��es.t»4-ltidltte�enalties attd interest.whicti�re
<br /> '. -i?�;;a::�;3�niv,aze aiue frnm dte taxpa}��c�a���f :�s>„�:;;t,i reinzin+u�1:i.?i�ti:�d�rsan3.T'n��r�:e�d�'�.�.=tute •
<br /> a r��.�s�S�.r.�:ccnss:{���n�l ard person�Q Ea��;.�eiss�,'h�:�,�y.*I�N tli�S:`�:;.;z?��it�.:�t�r�.�uin=i� . , .
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<br /> Fax � Qa_e:t� i Qa:an�a c`
<br /> Categoty . 'lE:c Pericd Amount of Tax Fer_&t�• Ims.�r�t Additions �,,-���IIuE
<br /> lYum�er � As,es;�na�r .
<br /> � '��,�4:�84 thru i��i�;��a� u2.51 � 3.I3 p?���I 108.45
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<br /> '0? �;'j85 thru �,
<br /> 22 12I31 85 /26/89 � 65.60 � 3.2n � 3.ri�73 ! 1fl4.61
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<br /> � 1 horoUy ccrtity tnat•tf.E ryct.ei;F'd LJCPd111'IIC:I[ of qea�:�uo na:L011lpllbd YIIfh f�l@ rnrenuo la�+i:ot tne St:�to Uf NODfaSkJ ifl�nC ACtO�•
<br /> minatmn tyf tho amouM;Y.airr�t•��o Uun,.ln<I U+r, taxp.��:r hai t,fdrd t�i pd�thu.�O�uunt q��0 dl[O�dCRlditU. I�thl3 NOtICO Uf Sf7tB '(d%
<br /> L.IQfI is an r.xtensinn uf� cllactive iicn�I SOIVCS [�+connnu�tno pnontv 1 tha Sl.tlO�S In�E:fH:t tR GpOdffo�0 p/�iparty of tf�o taxpaye�.
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<br /> q ,� 'Ayjnorii��Slgnaturo �--� T�t�o Oato ^� �
<br /> ����� _ ,_�� FOR COUNTY OPiiC1AL'S USE _ �,� ,� ,
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<br /> Tt1E ATTD�CH$D tiOTIC.T:ES) OF TiJ1X LIF•N (OR T7F�RMINATION) IS (ARE) TO BE FILED �tiLY is�TH
<br /> � T�E �t19Gx�it OF I3�5. �
<br /> THE DOCUME�3T(5) IS (AP.E) NOT TO BE FORW)1RDED TO THE (:OIJN'PY CLERK.
<br /> DISTRIStfTIOI� OF COPIE�u:
<br /> 1AHITL: TO BE V11L,IUATED I3Y TAE REGISTI:R OF DEEllS lWD FiETURNED TO 'rHE
<br /> D�PARTMENT OF' RF:VF:NUE.
<br /> � GOLDENROU: mU HE KFP'P BY T'NE ftEG2STER dF DEEbS.
<br /> BILLING IS 'Y'O g� ONCE F'EK MOt39'li 11ND mHElt� WILL BE NO F'}tE-PAYt4EPiI' UF' ��E5.
<br /> THANK YUU F'OR YOIJR COOPERATION.
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<br /> � Superscdo;4 494-/4(tov./tt7 �-'_--_�-"
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