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r <br />L <br />0 <br />rd" nrtmIm <br />monun <br />i <br />Notice of State Tax Lien <br />•Road Instructions an tmmr •aide <br />89--- 100600 <br />LW Serlal Number <br />Lien Type <br />Dator <br />social &ecur�ty Nilmwr <br />TI--- <br />J] Original <br />GatrY <br />Number <br />Tax P:rit <br />Data of <br />Asaeaema t <br />Amount of Yax <br />9/02/790 <br />Q Renewai <br />1 -31-89 <br />6606 -42 -8864 <br />^• A� ^^ L <br />Nebraska I.G. No. <br />-County <br />Lion Filed With <br />Spouse's Social Security <br />3629376 <br />Hall <br />[i1 Register of Creeds <br />Number <br />❑ County Clerk <br />BUSIINIESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME, AND MAILRA S ADDRESS <br />Business Nmna <br />Don L. <br />Schmitt <br />Streit lAtdiess <br />Street nr Other Mailing Address <br />612 W. <br />3rd <br />City <br />State <br />zip <br />Code <br />city <br />Stato zio Cole% <br />Grand <br />Island NE 68801 <br />ThiA Notice of State Tax Lien is Issued by the Nebraska Department of Revenuo for unpaid taxies pursuant to the <br />revenue laws of the sate of Nebraska. Notice Is hereby Riven that. taxes including ppnaltics and interest, which hire <br />shown. below. are due from the taxpayer specified above and remain unpaid after demand,-Those taxes constituk, <br />a Uen.in the county for real and personal property belonging to the taxpayer or hereafter acggited,, <br />Tax <br />TI--- <br />GatrY <br />Number <br />Tax P:rit <br />Data of <br />Asaeaema t <br />Amount of Yax <br />Penalty <br />Interest , <br />Additions <br />e.unce of J <br />^• A� ^^ L <br />Assressment Due <br />..;•r•uy ceruTy inat ine w4llraska Department of Revenue has compiled with the revenue laws of the State of NODraaka in the deter- <br />mFnetion of the tiount sho �Ilenrves to ayer has failed to pay the amount due after demand. If this Notice of State Tax <br />1.100 Is an e n of an ef c tinuo the priority of the state's Interest In the affected property of the taxpayer. <br />Sig Taxpayers Service S ec�lal i s_t - <br />a <br />ble u gnat Title Date <br />Revenue Agent Supervisor _2'g <br />Authorizep Signature Title Date <br />FOR COUNTY OFFICIAL'S USE <br />bIEEIRASKA DEPARTMENT OF REVENUE — White and Goldenrod Copies TAXPAYER — Pink Copy . COUNTY OFFICE •• Canary Copy <br />WE ATTWHED 1110TICE(S) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH <br />'•'FMB REGISTER OF DEWS. <br />THE DOCEJI"ENT(S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK. <br />DISTRIBUTION OF COPIES: <br />WHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO TIIR <br />DEPARTMENT OF REVENUE. <br />GOLDENROD: DENROD: 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 />THANK YOU FOR YOUR COOPERATION. <br />�i <br />