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r - 1 Notice of State Tax Lien neltreska tMparlmEnt eRead In.truetinna an stares aide Lien Serial Number Li�e•n Type Date Social Security Number Penalty r Original N ' 89223777 D Renewal 9 -4 -89 508 -26 -8556 89-104843 Nebraska I.D. No. County Lion filed With Spouse's Social Security 27906285 Naii [N Regis!er of Dr os Number ' County Cierk BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name Donald 0. Beason Street Address Street or OtherMuliinq Address 2415 Del Monte Avenue City State zip Code City State Zip Code Grand Island NE 68803 This Notice of State Tax Lien is issued by the Nebn*a Department of Revenue for unpaid taxes pumiant to the revenue laws of the state of Nebraska. Notice is hereby gven that taxes including penalties and interest. which are shown below, are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute alien in the county far real and personal property belonging to the to et or here -12 acquired. ;.:.j r Date of BalwWof —1 Taft Period Astalwltant Amount of Tax 1 Itr1it11y certify that the Nebraska Department of Raven:.? !'tK.:Qmplled with the revenviefaws of the State of Nebraska in the dater- m1nX;i.JiT of the amount shown to be due, and the taxpayer 11i-i imbed to pay the amount &.c- after demand. It this Notice of State Tax Lion is an extension of an effective lien It Serves to contatGe !9t1£ G,"iority of t-'a. State's in:it-ttst in the affected property of the taxpayer. p MRaveni P 'Acent Supervisor e r nature Title Date \ .,Revenue gent. � aervi or .11- Aue1 iii: ad Signature r Title Date FOR COUNTYidfiFICIAL'S -UJL t NG&NWA DEPARTMENT OF REVENUE -- White and Goldenrod Co {:Ees . TAXPAYER — Pink Copy COUNTY OFFICE — Canary Copy 4- 494.74 Re.. sae ZNi A�' iiltib 1101lICE (8) t]R TAX LIEN (OR '1'=NU1l =) IS (ARE) TO BE FLUID aW , Wil" N lm .ftelftR or lam. ....._ THE DOCUKW(S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERIC. DISTRIBUTION OF COPIES: iaiYik: TO BE VALIDATED BY THE REGISTER OF DEEDS AM RETURMED TO THE DEPARTHEAT OF REVENUE. LGOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS. BILLING IS TQ BE ONCE PER MONTH AND THEM WILL BE NO PRE - PAYMENT OF FEES. s THANK YOU FOR YOUR COOPEiRATIon. t ate' �z A, r~ �- t Penalty AtraMment Due N 1 Itr1it11y certify that the Nebraska Department of Raven:.? !'tK.:Qmplled with the revenviefaws of the State of Nebraska in the dater- m1nX;i.JiT of the amount shown to be due, and the taxpayer 11i-i imbed to pay the amount &.c- after demand. It this Notice of State Tax Lion is an extension of an effective lien It Serves to contatGe !9t1£ G,"iority of t-'a. State's in:it-ttst in the affected property of the taxpayer. p MRaveni P 'Acent Supervisor e r nature Title Date \ .,Revenue gent. � aervi or .11- Aue1 iii: ad Signature r Title Date FOR COUNTYidfiFICIAL'S -UJL t NG&NWA DEPARTMENT OF REVENUE -- White and Goldenrod Co {:Ees . TAXPAYER — Pink Copy COUNTY OFFICE — Canary Copy 4- 494.74 Re.. sae ZNi A�' iiltib 1101lICE (8) t]R TAX LIEN (OR '1'=NU1l =) IS (ARE) TO BE FLUID aW , Wil" N lm .ftelftR or lam. ....._ THE DOCUKW(S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERIC. DISTRIBUTION OF COPIES: iaiYik: TO BE VALIDATED BY THE REGISTER OF DEEDS AM RETURMED TO THE DEPARTHEAT OF REVENUE. LGOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS. BILLING IS TQ BE ONCE PER MONTH AND THEM WILL BE NO PRE - PAYMENT OF FEES. s THANK YOU FOR YOUR COOPEiRATIon. t ate' �z A, r~ �- t