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City 4:116 Driftwood Drive State — Zip Code City _ State _ Grand Island, Ne $8803 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 Been that taxes including penalties asid interest. which are shown below. are due front the taxpayer specified above and remain unpaid after deniattd. These taxes constitute a lien in the county for real and personat property belonging to the taxpayer or hereafter acquired. —ZIP Code - Tax. PA!Wfy Tax Pit. ,ad "bar 01 07/01,/87 thrU Data of Aat "nt of Tax Penalty Assessment i � � -.^ /9/89, 50444.82 174.19 Interest ' 1,095.46 M r Balance of Additions. 1' Assessment Due &714.47 21 1 07/01/87 thEU 89 1n086.32 107.0' 963.281 2,155.62 Notice of State Tax Lien I or nt feVBnUe sRaad ItlatrpCtlan4 On fHYafia etlta t-ian Serial Numoar ~ ��-�_Y- `��, Lmn Typo Date Saclal Security Nuinnor -.• . .,- _ • -_� IROrigma. ttonol.al 5125 $ -907-14--5532 �9! _9/05/147 NaOraaxa I -D. No. 5067200 __ rcouunty Ljmil Ffied With spouse's So, fal Sectirity e_+• pt (]eOdsNumpOr g9,_„ 102 762 BUSINESS Hall NAME AND County �J Cnunly CIOrk LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Ndme ,- T - Nama Jams L. Bxyant street Ad01n1%8 '�— Street cr Cther Ataama 4ddiess City 4:116 Driftwood Drive State — Zip Code City _ State _ Grand Island, Ne $8803 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 Been that taxes including penalties asid interest. which are shown below. are due front the taxpayer specified above and remain unpaid after deniattd. These taxes constitute a lien in the county for real and personat property belonging to the taxpayer or hereafter acquired. —ZIP Code - Tax. PA!Wfy Tax Pit. ,ad "bar 01 07/01,/87 thrU Data of Aat "nt of Tax Penalty Assessment i � � -.^ /9/89, 50444.82 174.19 Interest ' 1,095.46 M r Balance of Additions. 1' Assessment Due &714.47 21 1 07/01/87 thEU 89 1n086.32 107.0' 963.281 2,155.62 t —4 -- I TOTAL $ 8,871.09 1 nereoy certify that the fwi.: lasi.a Uopaitnienl u1 Hctav,e. rias �otnsi MCI W,th the revenue laws of the State of N(N.VhSka in the aeler- inrtiation of the ainntint s ^ot.'+.to be due, ann trio Iaxpapry ( is raced t'7 pay the amount due after demand. it tnis Notice of State.Tax an extension of an e- tective lien it -.eves I.r : unt:n..e Inc pr.U•ity. n' ino state's interlst in the affoctea properly of the ta>zp2}ef. sign ,� .,� .d evisor Bank cy Lfiit 5/9/89 . err at: ;ro o Ti ie Date hero t. �-_7q - AutRoriaea S•.,-+aa ct Title -T Date FOR COUNTV OF FICIAL'S USE } NEBRASKA DEPARTMENT OF REVENUE - Whits and Got denrod Copies TAXPAYER Pink Cool, � COUNTY JFFICE - C✓ er, Copy THE ATTACRED NOTICE(S) OF TAX LIEN (OR TERMINATION) IS (ARE) 7'0 BE FILED ONLY WITH 1719 REGISTER OF DEEDS. THE DOCUMENT(S) IS (ARE) NOT TO RE FORWARDED TO THE COUN'T'Y CLERK. DISTRIBUTION OF COPIES: L WHITE: TL? BE VALIDATED BY THE REGISTER OF DF.FDS AND RETURNED TU THE �— DEPARTMENT OF RF'VF.tllyF:. GOLDENROD- TO HE Y.EPT BY Tim. PrA;ISTER OF DEEDS. F411JIM7, IS TO FF. ONCC PFR MONTH AND THERE WILL BE NO PRE- PAYMf -JIT OF VFF.S. TIIANY Yf,!l FOP YhiIR "XWEVATT"l- 1� t' e.