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r <br />i <br />L <br />revihrkr'I <br />1 <br />Notice of State Tax Lien <br />ahead Inatruellaiu an manse dde <br />LIMr4rIN urrltler <br />Llen Type <br />Data <br />social security Nurnmer <br />Penalty <br />Interest <br />Original <br />Balance o4 <br />89237240 <br />p fianewal <br />10 -5 -90 <br />507 -74 -5644 <br />AfuOmem Virtu <br />4 •�"� (� <br />0583{> <br />NWS$ka I.O. No. <br />County <br />Lion Fired With <br />Speuae's Social Security <br />Q Register, of Deed <br />Nbe�68' <br />1 <br />County Clark <br />o0 -0059 <br />EUAINEtIE <br />NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />1""M Name <br />Name <br />Rick L. & Catherine A. Nickerson <br />Street AWrels <br />Street or Other Mailing Address <br />3802 East Seedling Mile <br />City <br />State <br />Zip Cede <br />City $let! Zip Coda <br />Grand Island NE 68801 <br />This No" of State Tax Lien is Ismail by dw Nebraska Department of Revenue for unpaid taxes pursuant to the <br />reventie Inns of the state of Nebnaka. N* Om- Is hereby given that taxes Including penAtlles and katerest. which are <br />saown below, are due from the taxpayer sp,ecitied above and remain unpaid after demand. These taxes constitute <br />alien in tale county for real and pemowal•property below to the taxpayer or hereiWeer sequired. <br />Tax <br />t.stagoey <br />Tax Period <br />Anneritant <br />Afnpurlt wf Tex <br />Penalty <br />Interest <br />AcitliNtllla <br />Balance o4 <br />AfuOmem Virtu <br />1 hereby Certify that the Nebrpka pep4rifnent of Revenue has Complied With the revenue laws of the State Of Nebraska In the deter• <br />minatlon of the amount shown to be due, and tho taxpayer has failed to pity : ^i amount due after demand. If this Notice of State Tax <br />Lien Is an extenalon M n effective lien It $ores to continue the priority of t» State's Into ►eft In the affected property of the taxpeyo. <br />®n Taxi2ayers Service Specialist L%- ZQ--90 <br />here IF r i al Title Date <br />� r <br />AuVWrland Signature TItIe Oslo G <br />FOR COUNTY OFFICIALS USE <br />THE ATTACHED NOTACT' S) OF TAX LIEN (OR TERNINA -glop) IS (ARE) TO BE FILED ONLY WITH <br />TM 11111"MR <br />THE DOCUMAT(S) IS SAKE) NOT TO BE FORWARI EV, TO THE COUNTY CLERK. <br />DISTRIBUTION OF COPIES: <br />WHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETU1f NED TO TFIP <br />DEPARTMI.'NT nP pknl!,-]►JE. <br />GOLDENROD: TO BE KEPT BY TIRE REGISTER OF DEEDS. <br />BILLING IS TO BE ONCE PER MONTH AND THERE WILL f;E DR7 rRF.—PAYMENT OF FEES. <br />;i'.:.wn iw rvn ii�iiK iulrrerA'1`lUN. <br />NEBRASKA DEPARTMENT OF REVENUe — White and Goldenrod Capin TAXPAYER — Ponlr copy uuunv n r ur r 10.1c — <br />4494.74 R%:948 <br />suoersedWS 4494.74 Rer. M <br />[in <br />u <br />J <br />r <br />r_ <br />J <br />