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F <br />4 <br />�rtebraska <br />dapartmrint <br />orrevenua <br />1 <br />Notice of State Tax Lien <br />41 Retld Instructions on reverse side <br />LlenSerial Number <br />Llen Type <br />® Original <br />Date <br />Social Security Number <br />PenattY <br />AA <br />, 103014 <br />86311016 <br />O Renewal <br />6 -13 -89 <br />503 -74 -7127 <br />Yn� <br />YVVVV <br />Nebraska I.D. No. <br />County <br />Lien FII,p Wlih <br />SpeYSo %Social Security <br />[2 RaglSter of Deeds <br />Number <br />30976243 <br />1 Hall <br />[] County Clark <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Ouslnese Name <br />Name <br />Randy L. Drunok. .. <br />1��kat�C�'Sross <br />trMtas .Oti *gra�RS,Y »'r�tx3uV•sss <br />.. <br />Rural Route 1, Box <br />227 <br />City <br />$Ca a <br />21p <br />Coas <br />City <br />State Zip Code <br />Grand Island <br />NE 68801 <br />This Notice of State Tax Gen is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the <br />revenue laws of the state of Nebraska. Notice is hereby liven that taxes including penalties and interest, which are <br />shown below, are due from the taxpayer specified shone and remain unpaid after demand. There Imes constitute <br />a lien in the county fur real and personal property helonrJus to the taxpayer of hereafter acquired. <br />ett <br />-1 <br />s hereby certify that lve NA$raska Department of Revenue has compiled with the revenue laws of the State of Nebraska In the datat- - - <br />minatlon of the amount shcwa to be due, and the taxpayer has failed to pay trio amount due after demand. If this Notice of State Tax ' <br />Lien Is an ex n•0eaCtive lien it erves to continuo the priority of trio state's Interest In the affected property of the taxpayer. <br />,sign L Ai:yA uE Arent Supprvitnr 6 - �3 <br />.r�.�. preps a re Tttf*. Date _ <br />t R�1fSnue A��nt .SNpprvi t_or b j 3 <br />Author zed Signature •T-t1o' Date <br />FOR COUNTY OFFtEEAi3'S USE u - <br />• 1 i <br />NEBRASKA DEPARTMENT OF REVENUE — White and Goldenrod Copies TAXPAYER — Pink Copy COUNTY OFFICE — Cenary Copy <br />-- ......�....,. ,..r <br />— - -- -- - - , _ 6.tAa•74 ate.. rise <br />I= ArrAc D HWICE(S) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH <br />THE =is Or DBMS. -T - <br />ME DOCIfHFIiT(S) 'I9 1 (ARE) .TO S£ .L°DRWARB ; TO THE C`OtINTY •CLERK. <br />IriISTRIBtIZ'Iixi OF'. CClPIES -- <br />WHITE: ',TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE, <br />DEPARTMENT OF REVENUE. <br />LGOLDENRODS TO BE KEPT BY THE REGISTER OF DEEDS. <br />BILLING IS TO BE ONCE PER MONTH AND THERE WILL BE NO PRE — PAYMENT OF FEES. <br />711ANK YOU FOR YOUR COOPERATION. <br />0 <br />Tax ►er {ed y <br />AO�*ont <br />I Amount of Tae `� <br />PenattY <br />Intareet <br />_ Additinne <br />At>Mwrnent Ow <br />-1 <br />s hereby certify that lve NA$raska Department of Revenue has compiled with the revenue laws of the State of Nebraska In the datat- - - <br />minatlon of the amount shcwa to be due, and the taxpayer has failed to pay trio amount due after demand. If this Notice of State Tax ' <br />Lien Is an ex n•0eaCtive lien it erves to continuo the priority of trio state's Interest In the affected property of the taxpayer. <br />,sign L Ai:yA uE Arent Supprvitnr 6 - �3 <br />.r�.�. preps a re Tttf*. Date _ <br />t R�1fSnue A��nt .SNpprvi t_or b j 3 <br />Author zed Signature •T-t1o' Date <br />FOR COUNTY OFFtEEAi3'S USE u - <br />• 1 i <br />NEBRASKA DEPARTMENT OF REVENUE — White and Goldenrod Copies TAXPAYER — Pink Copy COUNTY OFFICE — Cenary Copy <br />-- ......�....,. ,..r <br />— - -- -- - - , _ 6.tAa•74 ate.. rise <br />I= ArrAc D HWICE(S) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH <br />THE =is Or DBMS. -T - <br />ME DOCIfHFIiT(S) 'I9 1 (ARE) .TO S£ .L°DRWARB ; TO THE C`OtINTY •CLERK. <br />IriISTRIBtIZ'Iixi OF'. CClPIES -- <br />WHITE: ',TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE, <br />DEPARTMENT OF REVENUE. <br />LGOLDENRODS TO BE KEPT BY THE REGISTER OF DEEDS. <br />BILLING IS TO BE ONCE PER MONTH AND THERE WILL BE NO PRE — PAYMENT OF FEES. <br />711ANK YOU FOR YOUR COOPERATION. <br />0 <br />