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nebra�ta <br />departnidnt <br />of revenue <br />1 <br />Notice of State "fax Lien <br />*Road Instructions on remr is sFds <br />Lien Serial Number <br />Uen Type <br />Original <br />Date <br />Social Security Number <br />i <br />• <br />- ru <br />9/01/728 <br />3.44 <br />Category <br />Tax Period <br />89-- -► <br />1 00357 <br />,Penalty <br />Renewal <br />1 -1 9 <br />507 -54 -6282, <br />Number <br />01 -31 -88 <br />Nebraska I.D. No. <br />County <br />Lien Filed With <br />spoup'e social security <br />5381460 <br />Hall <br />® couintyrCl9QeadsNumber <br />02 -29 -88 <br />10.73• <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />— <br />Nama <br />_ <br />Eugene Poessnecker <br />Street Address <br />Street or Other Melling Address <br />Rt 1, Box 136 <br />City <br />State <br />Zip Code <br />City State <br />Zip Code <br />Cairo, NE <br />68824 -9801 <br />This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the <br />avenue 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 Uen in the county fos real and personal property belonging to the taxpayer or hereafter acquired. <br />Tax <br />1 1 —V 1 —O/ troll W <br />11 -30 -87 <br />3 -18 -88 <br />66.83 <br />i <br />• <br />- ru <br />25.00 <br />3.44 <br />Category <br />Tax Period <br />Date of <br />Aerate of tt <br />Amount of lax <br />,Penalty <br />TIntlernt <br />Additions <br />Balane� of j <br />f ff <br />Number <br />01 -31 -88 <br />3 -18 -88 <br />26.97• <br />1 <br />02-01-88 ru <br />13-18-88 <br />p�,o, <br />91 <br />1 1 —V 1 —O/ troll W <br />11 -30 -87 <br />3 -18 -88 <br />66.83 <br />i <br />• <br />- ru <br />25.00 <br />3.44 <br />91 <br />12 -31 -87 <br />3 -18 -88 <br />43.97 <br />-- ru <br />91 <br />01 -31 -88 <br />3 -18 -88 <br />26.97• <br />02-01-88 ru <br />13-18-88 <br />91 <br />02 -29 -88 <br />10.73• <br />25.00 <br />10.09 <br />25.00 <br />6.11 <br />i <br />• <br />LI <br />25.00 <br />3.44 <br />25.00 <br />1.25 <br />7 <br />1 <br />TOTAL $ 269.45 <br />1 hereby certify that the Nebraska Department of Revenue has Compiled with the revenue jaws of the State of Nebraska in 'the deter <br />min t1 of th ount she to be us. and the taxpayer has failed to pay the amount due,after demand. If this Notice of State Tax <br />Lqn i8 a a 1011 Of in elf flue Ilan It continue the priority of the state's IntareS' in the affected property of the taxpayer., <br />sign / Tepayers Soe ial�sthere IS SI <br />Date <br />ReyAnLre Senior Agent Al, <br />Autho od Slgnaturo Title Date <br />FOR COUNTY OFFICIAL'S USE <br />• i _ <br />NEBRASKA DEPARTMENT OF REVENUE - Wriite and Go!denrod Copies TAXPAYER - Pink Copy <br />COUNTY QFF ICE - Canary Copy <br />4494.74 Rev. 9.88 <br />Supersedes 4.494.74 Rev. 7.81 <br />-J <br />i <br />• <br />LI <br />