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1 Grand Isl an a This Notice of State Tax Lien is issued by the Nebraska Mpartlnent of Revenue for unpaid taxe4 purwaof to the revenue law's of the state of Nel�W4 it. Notice is hereby Oven that taxes including- Imnaities and interest, which 111M shown below, are due from the %,gWayer specified above and remain ullpWd after dumaitd. These taxes C0114 0.1t# a lien in the county foe real attd OrAtinal property belonging to the taxpayer. QV h;t *ivoVor acquired.,. Notice of State Tax Lien _ �nehraskd department • Read imtructiuns on reverse skis Oate ......_.......�— yWosl Secutity Number Itlalanoe of Lien Set lal Numtter uan Typa Data of Amount of Tax PenattV Interest : Additions ��Ol� �; ()Flu"" ❑ Ftne\ \'al 1_16 -89 _`_._ 194.38.7690 Nebraska I.D. No. County Lien FUed W�IIt Spau3e't �pwfsf �;a—ssttTy Number �/�� 77 70362 i1j Register of Otuds 5544639 Hall NAME AND 1_7 county cleft, -- _-- -�-- -� LOCATION ADDRESS TAXPAVER NAMN AND MAILING ADORiU BUSINESS Business Name Name Jesse R. French. Jr. — Street or Otlter hta111np Addiats Street Address Box 64 _ T City state Zip code City state d 8E Zip Code 68802 Grand Isl an a This Notice of State Tax Lien is issued by the Nebraska Mpartlnent of Revenue for unpaid taxe4 purwaof to the revenue law's of the state of Nel�W4 it. Notice is hereby Oven that taxes including- Imnaities and interest, which 111M shown below, are due from the %,gWayer specified above and remain ullpWd after dumaitd. These taxes C0114 0.1t# a lien in the county foe real attd OrAtinal property belonging to the taxpayer. QV h;t *ivoVor acquired.,. 1 horedy certify that the Nebraska OeOarernont of NOV0n U0 nay lUn•y, w•, - -- - — - minatiOn of t punt shown to be due, and the taxpay0► has failed to pay the amnul1fi'durt after demand. if this Notl%Q1 State Tax Lien Is an • Ion of an o tive, lien I perves to continua the priority Of the stetn•t T li�i•ankrn the affected property a taxpayer. e :.Sign s j)P&,a 1-$t hef of's to / agyrow coninr Agent Au ixed S ynstu►e Title FOR COUNTY OFFICIAL'S USE _ NEBRASKA DEPARTMENT OF REV Ekgr: White and Goidenrod Copies- ' TAXPAY! Ft • �ntk CuF v. ..... _ COUtd3`t• -IDrf ICE - Canary CopY..••y, TmAmomd 1KXk is -s(S) OF TAX LIEN (Oil. TERMINATION) IS (EIRE) TO BE FILED ONLY WITH THil:• PodISTER OF 1ZLEDS. THE DOCUMENT(3) IS (TARE) NOT TO BE FOMgMWED TD :t•M COUNTY CLERK. DISTPJSVrION OF COPIES It WHITES TO BE VALIDATED BY THE REGISTER OF DEEDS AND RE'T'URNED TO THE DEPARTMENT nM nrvt*nv% - GOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS BILLING IS TO BE ONCE PER MONTH AND T11E:RE WILL BE 110 PRE-PAYMENT OF FEE54 THANK YOU FOR YOUR COOPERATION. '( L.. _ Itlalanoe of Tax Cater". Tax Period Data of Amount of Tax PenattV Interest : Additions 'Atssiiiii t Due Nurnw. - Aasasmant 1 horedy certify that the Nebraska OeOarernont of NOV0n U0 nay lUn•y, w•, - -- - — - minatiOn of t punt shown to be due, and the taxpay0► has failed to pay the amnul1fi'durt after demand. if this Notl%Q1 State Tax Lien Is an • Ion of an o tive, lien I perves to continua the priority Of the stetn•t T li�i•ankrn the affected property a taxpayer. e :.Sign s j)P&,a 1-$t hef of's to / agyrow coninr Agent Au ixed S ynstu►e Title FOR COUNTY OFFICIAL'S USE _ NEBRASKA DEPARTMENT OF REV Ekgr: White and Goidenrod Copies- ' TAXPAY! Ft • �ntk CuF v. ..... _ COUtd3`t• -IDrf ICE - Canary CopY..••y, TmAmomd 1KXk is -s(S) OF TAX LIEN (Oil. TERMINATION) IS (EIRE) TO BE FILED ONLY WITH THil:• PodISTER OF 1ZLEDS. THE DOCUMENT(3) IS (TARE) NOT TO BE FOMgMWED TD :t•M COUNTY CLERK. DISTPJSVrION OF COPIES It WHITES TO BE VALIDATED BY THE REGISTER OF DEEDS AND RE'T'URNED TO THE DEPARTMENT nM nrvt*nv% - GOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS BILLING IS TO BE ONCE PER MONTH AND T11E:RE WILL BE 110 PRE-PAYMENT OF FEE54 THANK YOU FOR YOUR COOPERATION. '( L..