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�rtebraska <br />depar•-xrtt <br />`� �` ;..«.• _ <br />w <br />Notice of Slate Thx Lies <br />Lien Serial Nurrroer <br />Lien Tyre <br />KI Ori9lnti <br />Date {SoCW SeCWtty Mrrnber <br />. <br />89020013 <br />L Renewal <br />1 -20-89 <br />469- 68-8W9 <br />�1 <br />/� � 1021 19 <br />iii i V <br />Nebraska I.D. No. <br />County <br />L�ie1n Filed With <br />Register <br />spouwYSodal S'ainwiry <br />urnber <br />22797068 <br />u _ <br />Ha 11 <br />^0 of <br />❑ County Clerk <br />ou <br />V _ <br />-� <br />BUSINESS NAME AND LOCATION ADDRESS <br />l <br />TAXPAYER NAME AND MAILING AD ORESS <br />Business Name <br />tame <br />Boyd J. Caster, III <br />Street Address <br />Street or Omer Mailing Address <br />i <br />I <br />916 East Oklahoma Street <br />City <br />State <br />_ <br />Zip <br />Cod* <br />City State Zip Coda <br />Grand Island, NE 68801 <br />This Notic- of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the <br />revenue laws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which are <br />shown below, are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute <br />z !Ten in the county for real and personal property belonging to the taxpayer or hereafter acquired. <br />Tax <br />Category <br />Number <br />Tax Period <br />Date of <br />Assessmmt <br />Amount of Tax <br />Penalty <br />Interest <br />Addition <br />Balance of <br />Assessment Due <br />22 <br />01 -01 -83 thru <br />58 <br />I <br />i <br />i <br />I <br />TOTAL I S <br />1 hereby Certify that the Nebraska Department of Rev!nue has compiled with the re'renue laws of the State of Nebraska In the deter. <br />urination of the amount shown to be due, and the taxpayer has failed to Day the arnolnt due after demand. If this Notice of State Tax <br />Lien is an extension of a effective Ilen It serves to Continue the priority of the state's interest In the affeCted property of the taxpayer. <br />-$i9t( Taxp�y��c Sarvi - ;�P Tells ��'�/f <br />.�ae �Ilr <br />pre is 'e Title Date <br />t C e Revenue Agent Supervisor D <br />If Aut .orized Signature Title Date <br />C . FOR COUNTY OFFICIAL'S USE <br />i <br />i. <br />NEBRASKA )EPARTMENT OF REVENUE — White and Goldenrod Copies TAXPAYER — Pink Copy COUNTY OFFICE — Canary Copy <br />THE ATTACHED NOTICE(S) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH <br />THE REGISTER OF DEEDS. <br />THE DOCUMENTS) IS (ARE) NOT TO BE FOMIARi)ED TO THB COUNTY CLERK. <br />DISTRIBUTION OF COPIES: <br />WHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br />DEPARTMENT nF AF<'F.NI17. <br />GOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS <br />BILLING IS TO BE ONCE PER MONTH AND THERE WILL BE NO PREPAYMENT OF FEES. <br />TiiANK YOU FOR YOUR COOPERATION. <br />w <br />M <br />