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Notice of State Tax Lion •Read inattutttdne an nw4c N 1w). 1w).0 ate Stitaz 1 y fumtlar'- - 6 -28_89 507- 72.3435 ._ r Ian FuiW Wtth — 5 ►oi.NY social SWAMP . R69111411' Of OMQ umber County Clerk ....nu aasni list I - TAXFAYEI of Other Mailing City State lip Code Icily state -- Zip Coda Grand Island, NE 68801 Thin Notice of State Tax Lien is issued by the Nebraska Departmeat of Revenue for unpaid taxes pursuant to the Ineaemw Lars of the state of Nebraska. Notice is hereby given that taxes including penalties and interest+ which are : rt' 6elasi, we due from the taxpayer specified ,bore and remain unpaid after demand. These taxes constitute a.Sw in the cmaty for real and permW property belonging to-thh'axpayer or hereafter acquired. T- Tae Ggpey Tact 1►efiod nebrask a Amount of Tax ortment ,,'revenue Interest Lien Serial Number Llen TYPO ■ M o- iginat ■ 9/07/393— Cl Rsnaa:al _ NeOraska I.D. No. County 5371157 Hall _ GUEINESS NAiNE AND_ Dullness Name street Address Notice of State Tax Lion •Read inattutttdne an nw4c N 1w). 1w).0 ate Stitaz 1 y fumtlar'- - 6 -28_89 507- 72.3435 ._ r Ian FuiW Wtth — 5 ►oi.NY social SWAMP . R69111411' Of OMQ umber County Clerk ....nu aasni list I - TAXFAYEI of Other Mailing City State lip Code Icily state -- Zip Coda Grand Island, NE 68801 Thin Notice of State Tax Lien is issued by the Nebraska Departmeat of Revenue for unpaid taxes pursuant to the Ineaemw Lars of the state of Nebraska. Notice is hereby given that taxes including penalties and interest+ which are : rt' 6elasi, we due from the taxpayer specified ,bore and remain unpaid after demand. These taxes constitute a.Sw in the cmaty for real and permW property belonging to-thh'axpayer or hereafter acquired. T- Tae Ggpey Tact 1►efiod of Date of i Amount of Tax Penaltlf _ Interest Additions Mance of Afeawnant Due Atttees I I hereby certify that the, abralka DOPaitment of Revenue MS COMP11ea wnn u.a .•.•.... ...v.........,.- .- .....__.__ -._ - -- - - -- min, of the amount snow o be tlue, .00 the taxpayer, has Called to pay the amount due after demand. If thlL Notice of Slate Tax 6.40 IS �Iop fect a Ilan t was t0 c ntinulr. the priority of the state's Interest In the affected property of the taxpayer. • O A Tampa Pre: stawire Swint �� Tills- - Date �Yis % A9 n Supervicr' utnorized Signature Title Date FOR COU..hTY OFFICIAL'S USE NEBRASKA DEPARTMENT OF REVENUE - White and Goldenrod Copies TAXPAYER - Pink Copy COUNTY OFFICE - Caria►YCOW 4.404.74 Rev. !-aa 5upersodas 4.404.74 Rlv. 7 -41 7itiM� � tv "`t*K law . ww i(arilej IS (A=) rzir, .D CMX- TM DOCLVMT (S) IS (Me) NOT TO BE FORMARDED TO TIE COUNTY CLERK. L DISTRIBMION OF COPIES: MIT& TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TU THE DEPARTMENT OF REVENUE. GOLDEttRODt TO BE KEPT BY THE REGISTER OF DEEDS. BILLING IS TO BE ONCE PER MONTH A249 THERE WILL itE iJij PRE- PAYME:."r ITe FEES. 'I'tMNK YOU FOR YOUR COOPP.RATIO!7,