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Y <br />r <br />�Mbra►4a <br />dapartmgnt <br />01 rttvahue <br />Notice of State Tax Lien <br />411111aed Insttuttlans an revefn skle <br />Lion Serial Nurnhei <br />L�Yien Type <br />uate <br />Saclat Security Number <br />Penalty <br />interest <br />�i original <br />I <br />beir <br />88211556 <br />Renewal <br />6 -21 -89 <br />506.72 -9303 <br />8 10321 of <br />Nebraska 1•0. No, <br />County <br />Lion F11*¢ With <br />SPouM's Social Security <br />[A Register OF peed <br />Number <br />16253878 <br />I Hall <br />E] County Clark <br />BUSINESS NAME AND LOCATION ADDREU <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />Howard M. Edwardson <br />Street Address <br />Street or Other Mailing Address <br />1108•West 9th Street <br />City <br />State <br />Zip <br />Code <br />City State Zip Code <br />Grand Island, NE 68801 <br />This Notice of State Tax Lien is hued by the Nebraska Department of Revenue for unpaid taxes pursuant to the <br />revenue lags 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 />a lien in the county for real and personal property belonging to the taxpayer or hereafter acquired. <br />Tom[ <br />a"llolry <br />Tall Period <br />I <br />Date of <br />Ameasment <br />Amount of To <br />Penalty <br />interest <br />I Additions <br />I <br />beir <br />AssBesaslamnece <br />Due <br />Lle <br />sign 1 <br />Therei <br />Ir <br />TOTAL I $ 31M-94 <br />certify that the Nebraska Department of novgrue,.has compiled with the revenue laws of the State of Nebraska In the deter- <br />• amount shown to de due, and line taxpayer -1,145 failed to pay the amount due after demand. If this Notice of State Tax <br />tte Ion of an eftectlY lien It ser"A to Continue the priority of the state's Interest In the.af". Ktod property of the taxpayer, <br />Revenue Agent •Sunerviiao 6 - Z3 -&9 <br />nature Title <br />Date <br />Revenue Agent Supervisor A -23 -f <br />Signature Title <br />Date <br />NESPASKA DEPARTMENT OF REVENUE — White and Goldenrod Copies TAXPAYER -- Pink Copy COUNTY OFFICE —Canary Copy <br />I= A2111=D NOTICE(S) OF TAX LIEN (OR TE1WIUTION) IS (ARE) TO BE PILED QMY WITH <br />THE DOCUMENT(S) IS (ARE) NOT TO BE FOMARDED M MM COUJI; T a-M. <br />DISTRIBUTION OF COPIESs <br />WHITES TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br />LDEPARTMENT nv PV V, <br />GOLDEHROOs 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 />THANK YOU FOR YOUR COOPERATION. <br />L <br />