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F <br />Notice of State Tax Lien <br />e how 11mrslatlofn on *will" aide <br />0/10/679 <br />[A original <br />Renewal <br />10-1-90 <br />Nebraska 1 O. Me. <br />County <br />Lien lolled With <br />Spouse's 504141 feeuNty <br />NG1�Y" <br />Tax Period <br />[2 Register of Deed <br />Number <br />e A <br />$70P186 <br />u' <br />Ha11 <br />County Clark <br />Balance of <br />TAssess"som <br />t MINttt9 NAME AND LOCATION AODltNU <br />Musineu Name <br />N,.... <br />I <br />e <br />Street Address Street or <br />I <br />City State tip Code City <br />AND <br />105708 <br />This Notice of State Tax Lien is issued by the Nlebrasla Dejj artraeut of Revenue for unpaid taxes pux"at to the <br />revenue bws of the state of Nebraska. Notice is hereby R1Neti -that fixes including penalties and intene su, %wh we <br />sba" below, are due from the talxpayer specified above Earl rvnudn unpaid after demand. These taxes cvmjattiitr <br />a ilea in the county for real and personal property bekw&S as ,the taxpayer or herafter acquired. <br />Tart <br />NG1�Y" <br />Tax Period <br />Date of <br />Assessment <br />Assount of Tan <br />Partially <br />Ingfeat <br />Additiom <br />Balance of <br />TAssess"som <br />Ow <br />IUTAL I s 1.274.65 <br />1 hereby certify that the Nebraska Department of Revenue has compiled with the revenue laws of the State of Nebraska In the dater- <br />minatlon of th amount show to be due. and the taxpayer has fallad to pay the amount due after demand. It this Notice of State Tax <br />UM M an a ion of an eft tl • Ilan it serves to continue the priority of the state', Interest In the affected proASVty of the taxpayer. <br />j e � <br />1glon Taxpayers Service Specialist Sy <br />Y l Title Dai'at <br /># i1�;M ure Revenue Agent Supervisor � <br />/ _ <br />'Authorized Signature Title 9 <br />cow <br />FOR G0,1410TV OFFICIAL'S USE <br />TO ATNOW, (E) OP TAX LIEN (OR 'iCJWMI1iATiUN) IS (ARE) TO BE AILED OWT WITH <br />MVC'WU NT(S) IS (ARE) VOT TO BE FORWARDED TD THE COUNTY CLERK. <br />IDSftRIBt1TION OF COPIES t <br />VNITEs TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETU&-4ED TO THE <br />DEPARTMENT OF REVME. <br />U0�7�.DElIS`QDs TO C ,"r,.^.t'T BY THE REGLsaER OF vzau5. <br />"MUG IS T0, BE ONCE PER MONTH Uri) THERE WILL BE NGp PRE — PAYMENT OF FEES. <br />THANK YOU FOR YOUR COOPERATION. <br />f1199ItA DEPARTMENT OF REVENUE —Whits and goldenrod Copes TAXPAYER — Pink Copy COUNTY OFFICE — Canary Copy <br />4.494.74 Row. 9i8 <br />SUPused,s 4.494.74 Rev. 741 <br />L <br />%s T <br />J <br />I <br />a] <br />' iv <br />T <br />N <br />i• <br />M <br />J <br />