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r L ��neflraska �partment 1 Notice of State Tex Lien *stead instructions On ravens site Lien Serial Number lien Tytto Date 1171 t, 5scurlty Number Tax Period 9/O1/684 7 Original 1 -17 -89 506 -58-9969 Renewal � Social SeWelly Q _- 10026 a Nebtifka J.D. NO. COUn1y Lien FIFiled tf /lttt SPOUSe'e _ Number ® Reyii,tor ,af no-,$I Numuer 4594037 Hall � 's � cr.nnty clerk _ BUSINESS NAME ANQ L(WATION AgORESS TAXPAYER NAME AND MAILING ADDRESS 8stftn*+a. Name Iyttite- .Janice V Mincher Street Address �� Street or Other Rlaliinq Address City State Zip Code City State Zip Coos a, NE 68827 This Notice of State Tax Lien is issued by flits NQbra*a Department of Revenue for unpaid taxes pursuant to the revenue Laws of the stYitts of Nebraska. Notice is hereby given that taxes inchtding penalties and Interest, which are shown below, are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute a lien In the county for real and personal property belonging to the taxpayer or hereafter acquired. Tax CatapeY '; Tax Period D OM of fLsf sment Amount of Tax Penalty lntarest Additions Balance of Assessment Dw Number , -1 1 heret)y,ceftify that the Nebraska Department of Revenue has compiled with the revenue laws Of the State of Nebraska in the deter- Migation Oft mount shown to be due, and the taxpayer has failed to pay tno amount due after demand. If this Notice of State Tax Ltan is an sion O effectWhIen It sere s to continue the priority of the state's Interest In the affected property of the taxpayer.. Agn jdxnay_rc Spryiep Specialist 1 -17 -89 het arer' na Title Date i Revenue Senior Agent 1 -17 -89 Au rized Sign Title Data FOR COUNTY OFFICIAL'S USE, NEBRASKA}. DEPARTMENT OF REVE,141UE - WFiteand Goldenrod.-Copies TAXPAYER` Pink Copy_ COUNTY OFFICE — Canary Copy W THE ATTACHED NOTICES) OF TAX ,Ll= (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH THE REGISTER OF..DEEDS. THE D0CUP1W(S)'' IS (ARE) NOT TO BE FOiiWARDED TO ;i M— CO1UNTT CLERK. DIST'i IWION OF COPIES: W3ZTz% TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE DEPARTMENT Or RVVRNTt". GOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS BILLf.M IS TO BE ONCE PER MONTH AND THERE WILL BE NO PRE�-PRYMENT OF FEES. THANK YOU FOR YOUR COOPERATION. - t L : s .