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t <br />mks <br />.WI <br />1hrew,001LA <br />1 <br />Notice of State Tax Lien <br />• Red irlelruatleaa ae rwarss ride <br />Lien Serial Numb*# <br />Linn 'type <br />Bate <br />lot Security Number <br />® 01194nal <br />Calgoy <br />NMIAYM <br />Tax lrar <br />IAA-1112 <br />ll <br />9/01r <br />[� Renewal <br />ply <br />7_17 -89 <br />l <br />05- 54-4504 <br />y(Vxir /y� AA{{ <br />Nebrestta I.O. No. <br />County <br />Lien FIIerWith <br />iaetre%SOC141Sttcurity <br />Ql <br />V�/ 0 <br />�AYY i <br />5382033 <br />Hall <br />® Resister of Deed <br />umber <br />-44th <br />COUnty Clerk <br />aim NAME AND LOCATION ADDRILM <br />TAXPAYER NAME AND MAItdNO ADOR=i <br />ousineu Name <br />Name <br />+' <br />Ralph Halter Eaton <br />Street Address <br />Street or Other Mallins Address <br />P.O. BOX1885 <br />City <br />State <br />M <br />Ce" <br />City <br />State ' zip Code <br />Grand Island <br />NE 68802 <br />This Notke of State Tax Lkir.'i*, taued by the Nebraska DePartment of Revenue for unpaid taxes pursuant to the <br />rtt *nw Ion of the state of Nebr"a. NUtke is hereby Siven that axes includins penalties and interest. which are <br />ahom bdow, are due from the t9Xpaye4 i;petdlied above and remain unpaid after demand. These taxes constitute <br />a Ben in the caunty far teal and penonai k4ihy belonging to the taxpayer or hereafter acquired. <br />Tart <br />Calgoy <br />NMIAYM <br />Tax lrar <br />IAA-1112 <br />Deft of <br />Aaaofllent <br />A, <br />Penalty <br />Interest <br />Additions <br />I..,:to1Tax <br />Atteesrnantiacle <br />_ee &16— <br />— <br />�� ��...� ..... a... swurasaa LMP8"rrtent Ot Revenue hits COMPIM with the revenue laws of the State of Nebraska In the dater. <br />wlktwu*n oft oust Ilho to be do*. and the taxpayer has. failed to pay the amount due after demand. If this NotiCe of State Tax <br />V I LI/f1A!>s.�► ' Of an asset ilen I r .to continue tits priority of the 'state's Interest In the aftectad property Ot the taxpayM. <br />��� sl Taxpayers Service Special i t <br />r <br />+t! -`- <br />Revenue Agent Supervisor <br />sor <br />Aut Signature Titt* Otte <br />.007a COUNTY OFFICIAL'S USE <br />~ASKA DEPARTMENT OF REVENUE - MMite and (ioidWod Copies TAXPAYER - pink Copy COUNTY OFFICE - Canary Copy <br />4. 494.74 Rev, 948 <br />2M = losses") 0W "M "a' 1! ! ) IS (Alt=) TO BE FILZD <br />THE DOG'11HM(S) IS (ARE) Nor TO BE FORWARDED TO THE COUNTY CLERIC. <br />DISTRIBUTION OF COPIES: <br />IM TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br />DEPARTMENT OF REVENUE. <br />2OLRMADD1 TO BE "n BY THE REGISTER OF DEEDS. <br />BILLING IS TO BE OWE PER MONTH AND THERE WILL BE NO PRE - PAYMENT OF FEES. <br />THM YOU FOR YOUR CQOPERATION. <br />L� <br />r <br />