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LienSeflar Number Lien Type Dato Social Security Number & orig!nat 9/05/139 J Renewat 5 -3 -89 Ne .1. Z.D. Ne. County Lum Fffeo With spouse's Social, Security 5_549639 Hall Regtstc, ,f Drcd,t':umhdr i,, County clo'r. �- _ _ • BUSINESS NAME AND LOCATION ADDRESS Rusmcsi Name Nam Th Street Addicss ^^ `— —^ ` �^ Stye, 31 City State zip Code City 89x" 102362 TAXPAYER NAME AND MAILING ADDRESS or Other rdading Address State- This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the revenue laws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which are shown below, are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute a lien in the county for real and personal property belonging to the taxpayer of hereafter acquired. Code ` T#x Category Date of Tax rR-s ad Astessmant Amount of Tax penalty Interes: Addittorts Balance of Assessment Dun, Number Ve ' 'en it sex tJ contmt v `..e eriority of trio state's Interest in the affected property of t'-i} taApaytfr. ., ..sign Taxp avers Spryj_Snar_ialict_ I Fef. iCU%TV OFFICIAL'S USE NEDRASKADEPAVITMENTOPREVENUE VAite and Goldenrod Copws �TAXPAYEA PRr.4Copy COUNTYOFFICE - CanaryCopy THE ATTACHED NOTICES) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED UIJLY WITH tHE REGISTER OF DEEDS. THE DOCUMENT(S) IS (ARE) NOT TO BE FORT ?ARDED To 'IHE COUNTY CjLp DIS'r- RIBUTION OF COPIES: MITE: TO BE VALIDATED SY THE REGISTER OF DEEDS AND RETURNED T'O THE DEPARTI•tETiT nr Qx:VEt7117, GOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS BILLING IS TO BE ONCE PER MONTH AND •THERE WILL BE NO rRE- PAW-18NT OF FEES. Ti kIK YOU FOR YOUR C(1UF'F.HATI011. i �I i let! F Ib 1 1 i.9n-aaby Certify that the N braace Department of Reven,r; .,; compiled with the revenue iawsof the State of Nobr4faceal tledeter• ' minat iDr •af the ount shown o bs z.,e, and the taxpayer °•t,; , ;fed to pay the amount due after demand, If this Not,c cf•ItjX n Tax Lleh is a, ex' on of an effect Ve ' 'en it sex tJ contmt v `..e eriority of trio state's Interest in the affected property of t'-i} taApaytfr. ., ..sign Taxp avers Spryj_Snar_ialict_ here Sig t �to wA ReTvf ele l t Agetliv- Sipe^ � � •A:,fYt•:rlZetl Signature Title DtlLO ' I Fef. iCU%TV OFFICIAL'S USE NEDRASKADEPAVITMENTOPREVENUE VAite and Goldenrod Copws �TAXPAYEA PRr.4Copy COUNTYOFFICE - CanaryCopy THE ATTACHED NOTICES) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED UIJLY WITH tHE REGISTER OF DEEDS. THE DOCUMENT(S) IS (ARE) NOT TO BE FORT ?ARDED To 'IHE COUNTY CjLp DIS'r- RIBUTION OF COPIES: MITE: TO BE VALIDATED SY THE REGISTER OF DEEDS AND RETURNED T'O THE DEPARTI•tETiT nr Qx:VEt7117, GOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS BILLING IS TO BE ONCE PER MONTH AND •THERE WILL BE NO rRE- PAW-18NT OF FEES. Ti kIK YOU FOR YOUR C(1UF'F.HATI011. i �I i let! F Ib 1