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Tax <br />Category <br />Tar Period <br />Data of <br />Amount of Tar <br />Penalty <br />interest <br />Addition <br />Balance of <br />Number <br />Assessment <br />Aseecsrnant Due <br />Oct, 10. 2017 3:48PM 201706880 No, 4299 P. 4/6 <br />uuu or linage � �� � � � " Page 1 or 1 <br />Q) 25 IcrY LIS'3- <br />)q) <br />Please forward to <br />Nebraska Dept of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluif NE 69363.1500 <br />This Notice of State Tax Lien ie issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. • Notice is hereby given that taxes including penalties and <br />interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and pereonal property belonging to the taxpayer <br />or hereafter acquired. <br />Nebraska Identelcatfan Number <br />Lien edal Number <br />81440083 <br />Date o en <br />Buslneee Name <br />trees <br />Rii <br />22 <br />I hereby cart y that <br />amount shown to be <br />effective ten, it se <br />sign <br />here <br />98653008 <br />10/22/2008 <br />BUSINESS NAME AND LOCATION ADDRESS <br />2005 <br />Authorized <br />gnature <br />01/28/2008 <br />n <br />R .rke. ark <br />cowiw.►wae w. w0.Aev <br />Zip Code <br />2,78.28 <br />Revenue Agent <br />Title <br />Fedemlldentifcatloh Number <br />Lien Filed With <br />Register of Deeds 0 County Clerk <br />Pe <br />original OContinuation OCorrected <br />Social Security Number <br />xxx -Xx- <br />Name <br />William M Friedrichsen <br />reet or Misr • al ling Ad resa <br />818 W 3rd Street <br />City <br />Grand island <br />164.71 <br />NOTICE OF STATE TAX LIEN <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Hall <br />TAXPAYER NAME AND MAILING ADDRESS <br />TOTAL <br />689.79 <br />e e • ri a I partmept or Revenue hat comp a wit o revenue wi of the State of Nebraa a In the detarm nation of the <br />and he texp r hes failed to pay the amount due atter demand. if this Notice of State Tax Llen is an extension of an <br />oordin e th i f o nly of the etate'a Interest in the effected property of the taxpayer. <br />10/22/2008 <br />Data <br />https:// www. nehraska. gov /sos /ucc /uccsearch.cgi ?docnum =99085 74288 -4 <br />9983R742as -4 p <br />F ile ed d; loJ of me0 ell PM <br />Spouse's social Security Number <br />SW. <br />NE <br />p o•e <br />68801 <br />3,552.79 <br />$ 3,552.78 <br />308 832 -1200 <br />TO Phone Number <br />Revenue Supervisor 10/222008 <br />Title Date <br />4.49+5+ n.. 4, 2 ai.peraedee M94-1574 fee, to-7 sa <br />10/4/2017 <br />