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. <br />1Vmks e6r <br />partment <br />ravanUe <br />a� <br />Notice of State Tax Lien <br />a e...t tw.e..wrwwr<ne rrwv�a airea <br />Lion S41`191 <br />�i <br />NumV3er <br />L�ln Type <br />Original <br />Date <br />Social Security Number <br />��__ 104776 <br />9/09/633 <br />L/tJt <br />❑ R.rtewaf <br />n —1_89 <br />7 0 <br />505 -70 -9658 <br />Nebraska I.D. No. <br />County <br />Lien Fttea With <br />S*"Sa s social security <br />4920023 <br />Hall <br />(g of Ckos <br />Number <br />p CountyrClark <br />BUSINESS NAME AND LOCATION ADDREW <br />TAXPAYER NAME AND MAILING AWRESS <br />ausiness Name <br />Name ' <br />Larry L. Lausten <br />Street Address <br />Straat or Other Mailing P.ddless <br />1820 Otce <br />City <br />State <br />Zip code <br />City Stato Zip Cod! <br />Lincoln, NE 68502 <br />ands 6 ek4x rf a—We '1" Lien is d by th0- !`:t: 7-- is Mpar*ftenit of Revemre for tlnraid taxes pursuant to the <br />3res-enae tew' 'of oe stadia of Nebraska. Notice is hereby given that taxes including penalties and iittnrest. which are <br />shown below, are dire- Immi the taxpayer specified above and remain unpaid after demand.. These taxes constitute <br />a ken in the county for real and pemonal property belonging to the taxpayer or hereafter acquimit. <br />Tax <br />Catepry <br />Tate Period <br />Date of <br />Amount af.Tss <br />Penalty <br />Interest <br />"di farm <br />SAW" of <br />Amewma D&O <br />Ntuntaer <br />A�aasrnent <br />minatton -Z`. arnOJfi <br />Lien Is an nsioa rf. <br />hl <br />i <br />S <br />r: <br />I <br />Nebrjr'WCz, tSCpartmont Of Revenue hu.:•4 +inplietl with the revenue laws of the 5tate or Naciraswil_fnane dexer- <br />n to ba due. and thottaxpayer has fiited to pay the amount due after demand!. It tnis NoticG.Ld'State Tax <br />tJVe U It serves t .nntinuo the priority of the hate's interest In the affected property o* ttxf taxpayer. • °', <br />Taxpayers Service Specialist <br />Title Oata' <br />Revenue Agent Supervisor -W PF <br />Title Date <br />FOR COUNTY OFFICIAL'S USE <br />NEBRASKA DEPARTMENT OF REVENUE — Whitesno Goldenrod Copies TAXPAYER — Pink Copy COUNTY OFFICE — Canary Copy <br />4-394.74 Rev. 9-811 <br />'1!Q k1'i'Ataln_ 110'1l'ICS(3)'' Ol' TU Wo 4W ' ?IOM) IS (ARE) TO BE FILED MW WITH <br />'!!iB 11illBirm or now. • <br />mr. DOLT *W (s) is (WAMP) PIYZ TO BE FO_MODED TO TIKE COU-WTi► t7,EF IC. <br />DISTRISMION Or COPIESr <br />WHITEs TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br />D PAPTHM OF REVEME. <br />GOLDERP.ODs TO BE KEPT BY THE REGISTER OF Inj S. <br />BILLING IS TO BE OtiCB PER HDWH AND THERE WILL BE NO PRE- PAYHEUT OF FEES. <br />THANK VW FOR YOUR COOPERATION. <br />Ail%l <br />1 <br />,e. <br />rt <br />l <br />