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.t <br />L <br />t' <br />fi <br />L° 1 <br />lrva,rs- tl-Nus <br />Notice of State Tax Lien, - <br />• Read instructions an ravens side <br />LlenSerl31 Number <br />Llon Type <br />Date <br />Social Security Number <br />Penalty <br />v , <br />Qoriginal <br />Renewal <br />4 -7 -89 <br />Nwnbw <br />q <br />�s+- -+ 1.0-18 12 <br />Nebr3Ska)a�. No- <br />County <br />Lien Filed With 5powe's Social Security <br />Register of Oeedsi y tuber <br />21 <br />Co'.r -ty Clerk <br />- <br />ilA1NEALOYDLOCATTOP.W'A::rDRE&S <br />'6MA*E- ANDMAILINGA.0 t ZST- <br />Susiners Name <br />.1 763 <br />Street Address <br />Street or Other nviiiing Address <br />1427Ho ad <br />City State <br />Zip Ca+.to, <br />City <br />State Zip Code <br />21 <br />Grand <br />nd. __6 - - 03 <br />This Notice of State Tax Lien is issued by thta�Niehraska Department of Rroenite for unpaid taxes pursuant to the <br />revenue .laws of the state of Nebraska. Notice:(s hereby given that taxes inrhA.fag penalties and interest, which are <br />shown below, are due from the taxpayer specified above and regain unpai.�4 alter demand. These taxes constitute <br />a lien in the county for real and personal pmpeity belonging to the taxpayer cif 11 reafter acquired. <br />Tax <br />Category <br />Tax Period <br />pate of <br />gssassmxlt <br />Amount otrlax <br />Penalty <br />tnierest <br />Additiotrs <br />valance of <br />Assessment Due <br />Nwnbw <br />- thru <br />10 -01 -87 thru <br />21 103 <br />-31 -88 <br />12-19-881 <br />1,123.001 <br />368.78 <br />184.34 <br />1 <br />% <br />- thru <br />21 <br />06 -3{{ <br />2 -19 -88 <br />1,475.0M <br />1.1U.50 <br />141.44 <br />.1 763 <br />07 -01-88 thru <br />21 <br />09 -30 -88 <br />33-29-891 <br />334.00 <br />T58.50 <br />37 <br />579 _Rq <br />10-01-Z3 thru <br />21 <br />12 -31 -88 <br />3 -29 -89 <br />566.001 <br />i <br />56.60 <br />14.33 <br />TOTAL <br />5 <br />roereby certify that the NeN asi4a Department of Rover-or s,as complied wide <br />the 70 venue laws Of the State of Nebra'ilcn.i-t trio cz-.W- <br />W..:;tatlon Of the unt shown br• due, and tho My..paye rice l <br />to pay Ines <br />ani.;Lnt ci a0 after <br />demand. If this Nc:hcv.�f State Tax <br />- <br />Lien IS an ez on of an ofteC" 5, <br />:lon it s 10 con nor.' <br />for y of the s <br />?a?3 interest In the tested property : � Tne taxpayer. <br />/ <br />e <br />of <br />s ature <br />•e <br />hil s <br />�' --I I <br />com <br />�'. <br />4&"� <br />L/— 1-6� <br />2 <br />Authorized Slgnatur <br />I <br />V <br />'24j, <br />Title <br />, V <br />+' <br />FOR COUNTY OFFICIAL'S USE <br />NEBRASKA DEPARTMENTOF REVENUE — White and Goldenrod Copies TAXPAYER -- Pink CAr/y COUNTY OFFICE — Canary Copy <br />THE .ATTACHED NOTICES) OF TAX LIEN (OR TERMINATION) IS (ARE) TO RE ,FILED ONLY - WITIR' <br />THE REGISTER OF DEEDS. <br />T1'112' DOCUMEIMS) IS (TARE) NOT 'I: 1 rC;5fnM)1ED TO, TIDE COUNTY CLERK- <br />1il: RIBUTIM OF COPIES: <br />W11ITE: TO BE VALIDATED•BY THE REGM ER OF DEEDS ANi, -: - 71VZD ",''THE <br />DEPARTMENT OF REVENUE. <br />GOLDENROD: TO BE KEPT BY THE REGISTER: OF DEEDS. <br />HILLING IS TO RR ONCE PLR MONTH AMU THERE WILL RS 110 PRE'- - PAYMENT OF FEES. <br />THANK YOU FOP. Y0119 COOPERATION. <br />