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-- _ wgrA DEPARTMENT OF REVENUE —White and GoldenrodCOpiee TAXPAYER — Pink Copy COUNTY OFFICE — C,narY COPY <br />4.494.74 Rev. 9.88 <br />supersedes 4 -494.74 Rev. 7 .81 <br />- i+r+_..+ws.r'_. � -_ -- Ter+ ^.�•.__— .�._•_ _ —. _ ._ ._ .- ...� ..' '. _" <br />fu <br />_.— _ -_ -- ... _ __ -- _. <br />It <br />_ <br />• Notice of Stato Tex Lien <br />- <br />r,wrsake <br />=,�- .°— •Rees' ihefrunt�lleon reyeraeSAO <br />- <br />- soC1a15eturltY Nurnb,r <br />� NemON Lion oe Date <br />- -- —.• <br />- ® Original 90-1.06582 <br />141 (� Renewal 11 -15 -90 483 -58 -0003 <br />I.O. No. County Lien Fits! With spouse's social security <br />® RepUter of DWI Number <br />e <br />� <br />F i -; -- <br />u� <br />vsr�r.0 Hall tOPMy clatit <br />TAXPAYER NAPAE ANDMAIUNI3 ADORES <br />- <br />" <br />BUSINESS NAM! AND LOCATION ADDRESS <br />ri v <br />Name Name <br />Dennis C. Foote <br />— <br />street Or Other Mailing Address <br />Address <br />Route 2, Box 230 <br />State Zip Code city Gtatrl ZIP COCe. <br />state Dexter 1A 50078 <br />- This Noti of State Tax Llr:n is Issued by the Ivet7taska Deparnnenx of 1kiruilue far tutf;aI4 t=cf- 7W so"t to dle <br />-ce, <br />revenw..'•eras of the state of It dyra*& Notice Is hereby Site,, that taxes including pen viCaes amt inttettest. which are <br />s'howan WOW, sm iiu+e from the taxpayer specified above at3d1 Ce>tit�t UJ2paid after d8a�tiuti9. d iat se ttnes constitute <br />ff�as =1 =I oaa6 rrtl7ecty belot� tot alte mpayer of thereafter acquired. <br />d ftiett du t?�e V )P <br />4:oans <br />Uetena <br />Oat. 05 Interest Additiotla <br />-_— Tex po Amauht o9 Tex Fancily Ate,efnlent Dw <br />j fir; <br />A,ae,sment <br />-' 01 -01 -85 thru <br />_ <br />- <br />, <br />01 -01 -87 thru <br />: <br />- - <br />01 -01 -88 thru 1,847.03 <br />01 -01 -8 thru 1 1 <br />22 12 -31 -89 5 -16 -90 144.13 7.21 11 83 <br />- TOTAL 5 3 901.11 <br />, <br />state - <br />t <br />t hereby certify that ins Nebraska Department Of Revenue has COmplted with the revenue laws of the demand. if of is NO ske if St& *'sax <br />- -- - <br />- -- - - _ - <br />and <br />LI� a ion at ins of on ettectiva to contlnu the priority of the State's Interest In the affected DropertYto� he taxpayer. <br />leienult as <br />-'_ - Taxpayers Service Specialist z/--&9V <br />' <br />_ <br />— v= Date <br />arer's ature Title <br />Revenue Agent Supervisor /G -ge <br />_ ._•. <br />e <br />Tltte <br />Authorized s :9nature <br />, <br />FOR COUNTY OFFICIAL'S USE <br />V, t; <br />-- _ wgrA DEPARTMENT OF REVENUE —White and GoldenrodCOpiee TAXPAYER — Pink Copy COUNTY OFFICE — C,narY COPY <br />4.494.74 Rev. 9.88 <br />supersedes 4 -494.74 Rev. 7 .81 <br />