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F <br />§a bratk a <br />eminent <br />1 <br />Notice of State Tax Lien <br />Lion Serial Number <br />Lion Type <br />Oats <br />social security Number <br />Penalty <br />Interest <br />Addition <br />A Due <br />LXJ Original <br />9/07/463 <br />D Renewal <br />7 -19 -89 <br />�'�'� <br />i 0386 s <br />— <br />Nebralke 1.0. No. <br />County <br />Lion Fikad With <br />Speute'1 Social Security <br />01 Register of 00"1 <br />Number <br />5260051 <br />Hall <br />11 County Clark <br />BUSINESS NAME AND LOCATiOxA till <br />TAXPAYER NAME AND MAILING ADDRESS <br />gulf"" Nam. <br />Name <br />Teak Corporation <br />Street Address <br />Street or Other Malling Addfers <br />7060 South Yale, <br />Suite 911 <br />City <br />State <br />XIP CoM1 <br />City <br />Tulsa, <br />State <br />OK <br />Zip Cod. <br />74136 <br />This Notke of Sate Tax Lien is; is� ued by thq NG17rsdw Depwtment of Revenue for unpaid taxes pursuant to the <br />refiv we kiwis of the state of Ncbrit U. Notice is hmby Oven that taxes including penalties and interest, which are <br />drown belw. .are due from the taxNa�cer specified above and retrain unpaid after demand. Then taxes constitute <br />a lien is fire county for real and persmA property belonsins to the taxpayer or hereafter acquired. <br />y <br />Tay Pwiod <br />Aa t <br />Anta+nt of Tax <br />Penalty <br />Interest <br />Addition <br />A Due <br />NCat <br />�N <br />I herobV- qualify that the Nebraska Department of Revenue has Compiled With the.lYVenue laws of the State of Nebraska in the deter- <br />mination �01�th amou nt shown to b. due. and the tax2fter has failed 10 pay the .mount due after demand. If this Notice of State Tax <br />ljoi i is.4Sion of an a tive IlenA serves to C n..,nut the priority of the Stith'$ interact In the affected property of the taxpayer. <br />1: Taxpayers Service Specialist <br />ialist <br />Sig n TUi+e Date <br />Revenue Agent Supervisor 7 -Z(. -0}' <br />Auttl6rized Signature Title Date <br />FOR COUNTY OFFICIAL'S USE <br />NEBRASKA DEPARTMENT OF REVENUE - White and Goldenrod Copies TAXPAYER - Pink Copy COUNTY OFFICE - Cearary Copy <br />4494.74 Rev. 9410 <br />StmerzcOes "54.74 Rev. 742 <br />?!� <br />Amin= IIBwwgic ", fir "a LM 4W lfill) IS (ARE) TO BE FILED <br />THE DOCUMENT (S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK%. <br />DISTRIBUTION OF COPIES: <br />WHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br />DEPARTMENT OF REVENUE. <br />GOLDENROD: TO HE KEPT BY THE REGISTER OF DEEDS. <br />BILIAWs 7$ TO BE ONCE PER t'iili'-TH AND THERE, WILL hE NCP PkF -f'AV EN*I' tip- Yt ;t.ti. <br />'i'HANK YOU FOR Y(PUR COOPERATION. <br />i� <br />rf <br />