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&rrtabraska <br />1 <br />Notice of State Tax Lien <br />This Notice of Stale Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the <br />revenue laws of the startle of Nebraska. No&e is hereby even that taxes including penalties and interest, which are <br />shown below, are due five the taxpayer specittd above and remain unpaid after demand. These taxes constitute <br />a lien in the county for real ands pasond property belong to the taxpayer or hereafter acquired. <br />Tax Pe <br />Amount of Tax <br />LionSeliatNumb•r <br />Lion Typo <br />Date <br />Social Security Number <br />89174082 <br />p enewai <br />7 -31 -89 <br />50552 -1390 89-- 104122 <br />Nebraska I.D. NO. <br />County <br />Lien Filed With <br />Spouse`s Social Security <br />N <br />® eyist•r of Deed Number <br />RCounty <br />19457804 <br />Hall <br />Q Clark <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILINrs ADDRESS <br />Business Name <br />Name <br />Robert A. Mackpy <br />Street or Other Milling Address <br />Street Address <br />. Box 203 <br />City <br />State <br />zip Code <br />seat. zip Code <br />tAlda NE 68810 <br />This Notice of Stale Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the <br />revenue laws of the startle of Nebraska. No&e is hereby even that taxes including penalties and interest, which are <br />shown below, are due five the taxpayer specittd above and remain unpaid after demand. These taxes constitute <br />a lien in the county for real ands pasond property belong to the taxpayer or hereafter acquired. <br />hereby certify that the Nebraska Departrnant of Revenue nas compneo w.[n m...v.n,+.......+• -•� -• •-- -• - -ce - f - -- a TA <br />minatlon of the amount shown to be due, and thS taxpayer has Tailed to pay the amount des after demand. If this Notla of State Tai . <br />Uen Is an extensidn of an off Iv lien it serves to continue the priority of the state's Interest In the affected property of the taXPAWw. <br />A i Revenue Senior Agent <br />Title Data <br />,•bare' ' pr n use• Revende Agent Supervisor <br />�'`- Z <br />-pot, <br />Authorized Signature Title Oate• <br />FOR COUNTY OFFICIAL'S USE <br />NESRASKA DEPARTMENT OF REVENUE — Whits and GOidanrOd Copies TAXPAYER — Pink COPY COUNTY OFFICE — Canary Copy . <br />— - Milk ltOTICE(S) OF L (OR <br />�lIIrllT1M IS (ARE) TO BE FILED CWJ �= T -- -- <br />THE DOCUMINT(S) IS (ARE) NOT TO BE FORNARDED TO THE COUNTY CLERK. <br />i <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 BE KEPT BY THE REGISTER OR'•DBEDS. <br />BILLIltG IS TO BE ONCE PER HONTH AND THERE WILL BE NO PRE - PAYMENT OF FEES. 1+ <br />THANK YOU FOR YOUR COOPERATION. <br />Tax Pe <br />Amount of Tax <br />Penahy <br />Intefe" ' <br />A.ddWano <br />Bose of <br />Asarnent Ow <br />y <br />Aaaeslnent <br />N <br />hereby certify that the Nebraska Departrnant of Revenue nas compneo w.[n m...v.n,+.......+• -•� -• •-- -• - -ce - f - -- a TA <br />minatlon of the amount shown to be due, and thS taxpayer has Tailed to pay the amount des after demand. If this Notla of State Tai . <br />Uen Is an extensidn of an off Iv lien it serves to continue the priority of the state's Interest In the affected property of the taXPAWw. <br />A i Revenue Senior Agent <br />Title Data <br />,•bare' ' pr n use• Revende Agent Supervisor <br />�'`- Z <br />-pot, <br />Authorized Signature Title Oate• <br />FOR COUNTY OFFICIAL'S USE <br />NESRASKA DEPARTMENT OF REVENUE — Whits and GOidanrOd Copies TAXPAYER — Pink COPY COUNTY OFFICE — Canary Copy . <br />— - Milk ltOTICE(S) OF L (OR <br />�lIIrllT1M IS (ARE) TO BE FILED CWJ �= T -- -- <br />THE DOCUMINT(S) IS (ARE) NOT TO BE FORNARDED TO THE COUNTY CLERK. <br />i <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 BE KEPT BY THE REGISTER OR'•DBEDS. <br />BILLIltG IS TO BE ONCE PER HONTH AND THERE WILL BE NO PRE - PAYMENT OF FEES. 1+ <br />THANK YOU FOR YOUR COOPERATION. <br />