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F <br />Notice of State Tax Lion <br />89-00 400356 <br />of avenue eRaeiinetruetiotaaf rnvanaaida ���_� _,_,_• <br />LionSrriel Nurntnr Lien Type Data Social 54:urity Number <br />Originat <br />9/01/729 Renewal 1 -18 -89 507 -54 -6282 <br />Nebraska 1.0. No. County Lion Filed With Spuusa'r Social Security <br />I <br />5381460 Hall N Register of Deeds Number <br />[j County Clark _ <br />BUSINESS NAME AND LOCATION ADPnII iS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Namo <br />snecke <br />Strent Adgross Jig. or Other Melling Address specks <br />Rt 1 Box 136 _ <br />GIIY State Zip Code Mims- Stato Zip C�dli <br />NE - - 68824- X861.. <br />This Notice of State Tax lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the <br />revenue laws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest. which are <br />shown below. are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute <br />a lien in the county for real and personal property belonging to the taxpayer or hereafter acquired. <br />Tax <br />Categlary <br />Tax Period <br />Data of <br />Asaerscnrnt <br />Amount of Tax <br />Penalty <br />Interest <br />Additiom <br />Balance of <br />As ownsent Due <br />Number <br />I card <br />nereby f that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the deter- <br />mination oft cunt shoMin be due. and the taxpayer has failed to pay the amount due after demand. If this Notice of State Tax + <br />Lien IS an a Sion of an eKe.t6 Ilen It -Yo to continue the priority of the state's Interest In the affected property of the taxpayer. <br />Taxpayers Service Specialist <br />a 's clues Tate Date _ <br />• . here Revenue Senior Agent /- Z o <br />Rate <br />' • ,rii:;a Title <br />Ised Signature <br />FOR COUNTY OFFICIAL'S USE <br />' S . <br />NEBRASKA DEPARTMENT OF REV EC1tSE -- White and Goldenrod Copies TAXPAYER -- P..k Copy COUNT'I' OFFICE — Canary Copy i <br />THE ATTM'M NOTICE(S) OF T` LIEN OR :TERMINATION) IS (ARE) TO BE FILED ONLY WZTii 1111 , <br />'TIC REGISTER OF DEEDS. <br />%VW DOCUMENT(E) IS (ARE) NOT TO BE FORr,BARDED To THEE CMNTY CLERK. <br />DISTRIBUTION OF CJOPIES: <br />WHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br />DEPARTMENT Or r?WVrMI -. <br />GOLDENROD:" TO BE KEPT BY THE REGISTER OF DEEDS <br />BILLING IS TO BE ONCE PER MONTH AND THERE WILL BE NO PRE - PAYMENT OF FEES. <br />TiA NK YOU FOR YOUR COOPERATION. <br />