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r f• C Notice .of State Tax Lien. rnebraska tiepar[ment o[tey2..a ARtai •instruetionsonra4arsaside Lien Serial ..Number Lien Type Date VXial SeCUrity Number X1 original 9/04/826 © Renewal 4-10-89 101942 Nebraska 1.0. No, County Lien Filed With Spause'll sGdat SiCUrity - 5598524 Hall 0 Number CountyrClerk BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS HUSlnesf Name Name -.-The R Street Address Street or other Mailing Address 9-2nd City State Zip Code City State Zip Code Grand Island NE_ 5 -6801 This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid Wgaxs.pursuant to the revenue laws of die state of Nebn[ska. Notice is hereby given that. taxes including penalties atd-Merest, which are shown below. are due from the taxpayer sp !,ified above and remain-anpaid after demand. T&,W taxes constitute a lien in the county for real and personal property belonging to the ti�oogr or hereafter acquir; �. 74x Date of Batsints of; C�Ittigory Tax Period i Amount of Tax Penalty Interest Additions Naas : Assess'ni'~t 1 Assam 1 hereby mination of Lien Is an son Nebrzska Department of Revenue has Cumplietl A -:' 'the revenue laws Of the State of Nebraska in the dotor- D,Jti' QO • i l:•E duo, and the taxpa er has failed to pay thg amount dtsia after demand. It this Notlto of State Tait If f': AC -blr4 It vos to cont l ue tho pe ority of the state's Interest In the affetted property of tha taxpayer- ? Taxpayers Service S vial igt Title Date tRg enue Agent wu rvisor ,re : Title DMO FO . COUNTY OPf[CUkL- VZq., r r, � i _ I NEBRASKA OEPAiI ' -MENT y,C ^.;REvFuue — Whiteand Goldenrod Copies TAXPAY =� -- Pink Cwy COUNTY OFFICE: -- Canary Copy .2"Lo AWACH WMICE(S) OF TAX LIEN (OR TERMINATION1 IS (ARE) TO BE FILED ONLY WITH TH$ aCGISTER OF DEEDS. THE .`lYi%!. WENT (S) IS (ARE) NOT TO BE Fol T, WE'D TO rin COUti'TT CT.M. `— sr DISTRIBUTICIt OF COPIES: WHITE:. TO BE VALIDATED By THE REGISTER OF DEEDS AND RETURNED TO THE DEPARTMENT nF nx:VRNtt°', GOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS BILLItIG IS TO BE ONCE PER MONTH A11D THERE WILL BE 110 PRE -FAYME T OF FEES. TIUUIK YOU FOR Y011R COOPERATION. f,f • tn. mentMue 1 hereby mination of Lien Is an son Nebrzska Department of Revenue has Cumplietl A -:' 'the revenue laws Of the State of Nebraska in the dotor- D,Jti' QO • i l:•E duo, and the taxpa er has failed to pay thg amount dtsia after demand. It this Notlto of State Tait If f': AC -blr4 It vos to cont l ue tho pe ority of the state's Interest In the affetted property of tha taxpayer- ? Taxpayers Service S vial igt Title Date tRg enue Agent wu rvisor ,re : Title DMO FO . COUNTY OPf[CUkL- VZq., r r, � i _ I NEBRASKA OEPAiI ' -MENT y,C ^.;REvFuue — Whiteand Goldenrod Copies TAXPAY =� -- Pink Cwy COUNTY OFFICE: -- Canary Copy .2"Lo AWACH WMICE(S) OF TAX LIEN (OR TERMINATION1 IS (ARE) TO BE FILED ONLY WITH TH$ aCGISTER OF DEEDS. THE .`lYi%!. WENT (S) IS (ARE) NOT TO BE Fol T, WE'D TO rin COUti'TT CT.M. `— sr DISTRIBUTICIt OF COPIES: WHITE:. TO BE VALIDATED By THE REGISTER OF DEEDS AND RETURNED TO THE DEPARTMENT nF nx:VRNtt°', GOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS BILLItIG IS TO BE ONCE PER MONTH A11D THERE WILL BE 110 PRE -FAYME T OF FEES. TIUUIK YOU FOR Y011R COOPERATION. f,f • tn.