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F <br />- - -F-- - <br />evipi <br />..,.� � lotice of State Tax L'ren <br />skment <br />nue • Re•d inatruetlers an ravara• two <br />en 100749 <br />u4nserialNumber <br />Lien Typo <br />Date <br />ioctatSaet>�ityr.�tKt�o. <br />fCYCi'G i <br />— <br />9/02/823 <br />y� Original <br />0 Renewal <br />2 -13 —Q9 <br />Q9 <br />47- 061676 <br />Nebraska 1,0. No. <br />County <br />Lion Feted with <br />spous+'asO:iai Security <br />3558908 <br />H all <br />Cla Coeds <br />[] Register <br />Number <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Sustness Name <br />Name <br />Mar -Sol Distribution Center, Inc. <br />Street Address <br />street Of Clint, Mailing Address <br />2807 North Broadwell <br />City <br />State <br />Zip <br />Cade <br />City stile Zip Code <br />Grand Island, NE 68801 <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 front the taxpayer specified abcme- and remain unpaid aftfr demand. These taxes constitute <br />a lien in the county fa re.d and personal property beluttging to the taxpayer or hereafter acquired. <br />na, <br />j+ , <br />q <br />Tax Parsed .. t <br />Amount of Tax <br />Penalty tatrsest <br />Additions <br />_ <br />As Salan rtt Ow <br />06 -41 -86 thru <br />I <br />I <br />01=01 -87 thru <br />n'4-11-0 <br />7-1-1-A7 <br />I <br />1 <br />06 -01 -87 thru <br />_16 <br />TOTAL <br />s <br />here <br />i nareby <br />minatlon of <br />Lien IS an e <br />fy shat the Nebraska Department of Ravens iAm. ; compiled with the rover : x Gaws of Uttz rit.lo• Of Nebraska In the deter. <br />of,Unt shown o be due, and the taxpayer t L'a tailed to psf^ my amount' due after d1:,irsrl:. if this Notice of State Tax <br />on of an effect+ a Uen it a conti ie one pr+or,t j Of, ilia state's interest in the affevzod property of the taxpayer. <br />• Ta �' t -2 <br />oats <br />� e- X.,j RPpup Agent Survf -,q <br />a <br />aur• <br />Date <br />FOR COUNTY dFf:CIAL'S USE <br />r <br />r.._ <br />NEBRASKA DEPARTMENT OF REVENUE — Whita and Grlden,ad Copies TAXPAYER -- Pink Copy COUNTY OFFICE -- Canary Copy <br />4- 494.74 Rev. 9.88 <br />r."M ATTACHED NOTICE !P OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED) ONLY WITH <br />"- F. REGISTER OF DEEDS. <br />THE DOCUME WT (S) IS (ARE) NOT TO BE F'OMMRDED TO THE COUNTY CLERK. <br />DIST_RIBUTICII' QF" COPIES- + <br />WHITE: TO BE VALIDATED By THE REGISTER OF DEEDS AND RETURNED TO TILE <br />L DEPARTMENT OF REVELJUE. <br />GOLDENROD- TO BE KEPT BY TITE REGISTER OF DEEDS. <br />BILLIUG IS TO BE ONCE PER 140=11 AND THERE WILL SE NO FRF- PAYIJENT OF FEES. � <br />TitfV;K YOU FOP YOUR COOPERATION. , <br />r = <br />t <br />