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F <br />- - - Notice of State `fax Lien -- - <br />neDrask a <br />d�pirtment aR•ad inetuetieref on rnrffm fide <br />r <br />w4nSella$ Number <br />Lien Type <br />Date <br />social Seturity Number <br />Penatt�� <br />9 02 854 <br />Original <br />(] aenewai <br />2 -22 -89 <br />507 -70 -0544 <br />8 12 82 <br />'a <br />Nebraska I.D. No. <br />county <br />Fired WWI <br />Spouse's SOCiai Seruoty. <br />,L�i,etn <br />nal Raglster Of 0610% <br />Humber <br />4621472 <br />'}�� <br />County Ciftrk <br />r <br />_ <br />BUSINESS NAME AND LOCATION ADDRESS <br />I^XPAVER NAME AND MAILING ADDRESS <br />Business Name <br />Na:ne <br />Michael 'J. Woodward <br />Street Address <br />Streat or Other Mating Address <br />3562 West Old Hwy. 30 <br />City <br />State <br />Zip Code <br />City State Zip Code <br />Grayed Island, NE 68801 <br />This Notice of State Tax Lien is issued by the Nebra0m.Depsys alt of.Revenue for unpaid taxes pursuant to the <br />revenue laws of the state of Nebraska. Notice is hereby rx:ii >> °:.tom itrphtding penalties and interest, which are <br />shown below. are doe from the taxpayer specified abdvi dtid i� 11it •I,.upo' i airier demand. These taxes cotutitute <br />alien in the county for real and personal property beton"" t 'ti + .ta:1 {iii f t,T herea€ ter acquired. <br />I Tt*aWl <br />Ce"e r <br />Tax f'ariad <br />Oats, of <br />Assessment <br />Ampunt of Tax <br />Penatt�� <br />Mutest <br />Additions <br />Balance of <br />Assessment Dw <br />Number <br />I hereby certify that the Nebraska Depart, rent of Revenuo has Complied with the revenue laws of the State of Nebraska in u-e seta, <br />minarlon of the mount shoern o be due, er,4 the tax :m.y4r.tlas failed tot pay the amount due after demand. If this NaLce bf Sleid 'tx <br />' U40 It. an a Ion Of an efied ve lien it t:.7 C6ati a:Fr the priority of the state's interest In the affected propol*J301 -019 <br />sign ' ,� Taxpayers ,�, <br />hefe S:i a Titre Date <br />x <br />Revenue Agent Supervisor -13 <br />Authorised Siyrazua Titre Date <br />FOR CaUT4TY OFFICIALS USL <br />t <br />t_ <br />A. <br />! 1A <br />t,? <br />NEBRASKA OEPART&4EMT OF REVENUE —White and Goldenrod Copies TAXPAYER — Pink Copy COUNTY OFFICE — Canary COPY <br />THE ATTAcHzD NOTICE(S) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH <br />THE RDGISTtR Or DEEDS. _ - THE DOCUMENT(S) IS (ARE) NOT TO BE FORWARDED TO THE COUliTli CLERK. _ <br />DISTRIBUTION OF COPIES: l <br />WHTTP.: TD SP. VAT.it)ATED BY THE RF.GISTPR nF DEEDS AND RETURNED TO THE <br />DEPARTMENT OF REVENUE. <br />LGOLDENROD: 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 />h <br />THANK YOU FOR YOUR COOPERATION. <br />r. . <br />