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F <br />rd.,,, 0 <br />nt <br />even.:a ___ <br />I.Ianserial NUMDef i5an Type~ <br />W,'r auumal <br />r <br />Notice of State Tax Lien <br />• Read Inetruationt on reveres side <br />umt+er <br />era No. <br />9/07/398 I.1 Renewal 7 -10.89 j— <br />L56 7�_ 0668471 �i4 1 3 Li NeWatl a ID. No. County 1 leer Fil" With dueiTSOCtaI Si UTnY VVie �" ` 6 " <br />[� Reoiftet ul C4670469 Ha11 County GllrEUfINE� NAME AND LOCAtiON ADDR ~' TAXPAYER NAME AND MAILING ADDRESS <br />tiusuuss Name Name <br />Street Addrefa r 'Street or Other Mailing Addr*%% <br />City State ZIP Code <br />State <br />This Notice of State Tax Lien is issued by the Nebraska Departnttnt of Revenue for unpaid taxes pursuant to the <br />revenue bv6s of the state of Nebrmka. Notice is hereby g+ven 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 />r`*�MllOn of amount sh �9: A! ua .: un. S'!h]- tno t]sbtAlEm• •hit failed to pay the amount dW after demand. 11 tlsGt of u o Li • ax <br />Wan +S an nSIon of an gVk*e i It ServeS _fO antlpua the priority Of the statet"e Interelt in the affeCted pq*payfy of the taxpayer. <br />_ <br />Taxpayers SierOeP , Ssmel al l e_t .:t <br />her nature Tit +. .. _. � • <br />Rpyy IIP A SreRer�,i�or <br />;Aritno► +sea Slpnatm riu• Date <br />MQR CxTd1r11TY OFFICIAL'S USE • <br />NEORWA DEPARTMENT OF REVENUE — White and Goldenrod Copies TAXPAYER — Pmk CODV COUNTY OFFICE -- Cenery Copy <br />'i!ME A' 111 CR(8) tin TAX 1,I1EM (OR '1<MMTItAI) IS (ARE) TO BE FILED aY WITH <br />jW or 0f11 - .f <br />THE DOCUM Mr(S) IS (ARE) HOT TO BE FORWARDED TO THE COUNTY CLERK. <br />DISTRIBUTION OE COPIM <br />WHITE: TO SE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br />DEPARITNEHT OF REVENUE. <br />LGOLDENROD: TO BE KEPr BY THE REGISTER OF DEEDS. <br />BILLING IS TO BE ONCE PER MOM AND THERE WILL BE NO PRE - PAYMENT OF FEES. <br />THMX YOU FOR YOUR COOPERATION. <br />A.: <br />Tax Nwlod <br />nrnt <br />Amount of Tax <br />Penalty <br />littecett <br />Additions <br />ttalenoe of <br />A tsesrttent Ow <br />ND,ory <br />A+Ner <br />r`*�MllOn of amount sh �9: A! ua .: un. S'!h]- tno t]sbtAlEm• •hit failed to pay the amount dW after demand. 11 tlsGt of u o Li • ax <br />Wan +S an nSIon of an gVk*e i It ServeS _fO antlpua the priority Of the statet"e Interelt in the affeCted pq*payfy of the taxpayer. <br />_ <br />Taxpayers SierOeP , Ssmel al l e_t .:t <br />her nature Tit +. .. _. � • <br />Rpyy IIP A SreRer�,i�or <br />;Aritno► +sea Slpnatm riu• Date <br />MQR CxTd1r11TY OFFICIAL'S USE • <br />NEORWA DEPARTMENT OF REVENUE — White and Goldenrod Copies TAXPAYER — Pmk CODV COUNTY OFFICE -- Cenery Copy <br />'i!ME A' 111 CR(8) tin TAX 1,I1EM (OR '1<MMTItAI) IS (ARE) TO BE FILED aY WITH <br />jW or 0f11 - .f <br />THE DOCUM Mr(S) IS (ARE) HOT TO BE FORWARDED TO THE COUNTY CLERK. <br />DISTRIBUTION OE COPIM <br />WHITE: TO SE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br />DEPARITNEHT OF REVENUE. <br />LGOLDENROD: TO BE KEPr BY THE REGISTER OF DEEDS. <br />BILLING IS TO BE ONCE PER MOM AND THERE WILL BE NO PRE - PAYMENT OF FEES. <br />THMX YOU FOR YOUR COOPERATION. <br />A.: <br />