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r <br />Sri, x <br />ftetttatka <br />NatlCe Of State Tax Lien <br />1_IMSerlal Number <br />Lien Type <br />Original <br />oath <br />SoctalSlCurity KU�zsr <br />lntwat <br />Additions <br />Balance of <br />5/11/571 <br />iX <br />" Renewal <br />111-13-85 <br />506 -42 -4341 <br />s <br />�aQ".�'r <br />Ntebraska I.D. um <br />County <br />Ueri F 1t I� ;th ' <br />sowtm %Soclat <br />4625897 <br />Hall <br />eau trrc are oftch <br />sacutity <br />� �r <br />19.75 <br />265.75 <br />03-01-85 thru <br />O1 i 37 -85 <br />8 -2 -85 <br />2.71..00 . 25.00 <br />BUSMESS ft"E AND LO%%TtO% ADDRESS <br />�.. 263.12 <br />TAXPAYER kAME AND HtAI LIIYAi ADDRESS <br />Business Name <br />4 <br />Name <br />8 -2 -85 <br />221,".00 25.00 <br />14.58 <br />26 <br />i <br />William D. Schmer <br />.0.58 <br />r <br />i •. <br />Streat Address <br />Street or tither Mailing Address <br />31 M, E. 70th <br />City <br />State <br />Zio'code• <br />City <br />State <br />Zip Code <br />Grand Island <br />NE <br />68801 <br />This Notice of Sta* Tax tka is kOL4 N-i NetrzAa Department of ltevensue for unard.tttes Parm ant to the <br />mierrte laws of the spate cif �i=fy1 n,. is i><t�ebv �n that taYts fad ado 4 pIr,. grim and i,ltVC­Sk. *finch are <br />Shown below,. are dw frays &e viwified zbi�v amd rmkii c unpaid afit,r 6__,WirA. These taxes constitute <br />a lien is the owrity for rent and persotra" property belonging to the iUpayer or hefeafter =q,uiZd. , <br />Tun <br />Nrat <br />risx Ps►iod <br />Date of <br />Aseata. ent <br />Amount of Tax Penalty <br />lntwat <br />Additions <br />Balance of <br />Anessmint Dual <br />- 5 ru <br />.. <br />Oi 02 -28 -85 <br />8 -2 -85 <br />1 221.00 25.00 <br />19.75 <br />265.75 <br />03-01-85 thru <br />O1 i 37 -85 <br />8 -2 -85 <br />2.71..00 . 25.00 <br />17.12 <br />�.. 263.12 <br />5 thru <br />4 <br />01 04 -30 -85 <br />8 -2 -85 <br />221,".00 25.00 <br />14.58 <br />26 <br />i <br />r <br />.0.58 <br />r <br />i •. <br />TcTaaIL . i. 799.45 <br />I hereby certify that the Nebraska Department of Revenue has compiled with the revenue laws of the State of h1 MW.ka in the deter- <br />�tiifgtlOn of the amount shown to be due, and the taxpar,f)r (aas failed to pay the amount due alter demand. if thts'y1a:•?ce of State Tax <br />,i`+t6�r ly en extension of an effective glen it serves to conti.r:ae : "i9r Arlor,tY of the state's Interest in the affected proppn i1-,if the taxpayer. <br />:tgp Revpnup Senior Agent <br />here F epare q e Title <br />• <br />sr :on :rrd5,q+atwe � ° Date <br />Supervisor <br />'l7� <br />_ FOR COUNTY OrFa�°S�;fL'S f�5e <br />NEBRASKA DMIARTMENT OF REVENUE —White and Goldenrod Cei::e. TAXPAYER — Pink Copy COUNTY OFFICE — Canary Copy <br />The attached Notice of State Tax Lien is to he filed with both the Renister of <br />Deeds and the County Clerk. . <br />The Register of iileeds is requested to forriard. this document to the County Clerk. <br />White Copy - To be validated by Register of heeds and Countv Clerk, and <br />returned to thg+ llebraska lienartment of Revenue. <br />Canary Cony - To be kept by thh Ile. <br />ister of Seeds. <br />Goldenrod Cony - To fie Print #.v t+; :. Cgtfrlty Cle_r; -_. <br />Thank you for your rryor�r►Yr1t inn, <br />;1� <br />_J_ <br />