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I4011AtIKA DEPARTMENT OF REVENUE —White and Goldenrod Copies TAXPAYER — Pink Copy COUNTY OFFICE — Canary CopV <br />M) Or M UM (OR lta011MICN) IS (ARE) To 82 FILtiD VM <br />7HZ DOCIDlAI'1'(S) IS (ARE) HOT TO BE FORWARDED TO THE COUNTY CLERK. <br />DISTRIMMION OF COPIESs <br />NMIT6s TO BE VALIDATED BY THE RDGtSTER OF DEEDS AND RETURNED TO THE <br />DEPARTMENT OF REVENUE. <br />GOWEN11OOD: TO BE KEPT BY THE REGISTER OF DEEDS. <br />BILLING 18 TO BE ONCE PER MONTH AND THERE WILL BE NO PRE - PAYMENT OF FEES. <br />THANK YOU FOR YOUR COOPERATION. _� <br />flotic. of Stan Tax ,Lkn <br />_ <br />+srsfaet .. �t�saiittMittMMasataitlrawewaMe <br />- - -- <br />,. <br />UeMtalal fewrlerr <br />LAM Tysy <br />Original . <br />Date <br />.503444127 <br />86311016 <br />t � <br />641W' <br />- -- — <br />-,- <br />r;0916243 ll <br />I� Retrtetdaot <br />_- <br />County Clerk <br />NAME AMO LOCATION AR-irm <br />TAXIAYEU NAM AM IMLDN AMMEtif <br />matins feerne <br />(fefrle <br />Randy L. Brock <br />litre Addrds <br />stroo Ot C w MaWttni Address <br />Rural Route t, Box 227 <br />�r <br />City state Yip Code <br />eitY state Zip Coele <br />Grand Island NE_ <br />M& Notice of State' u'Lien b ilnated iry tfit Pfeita t of Re esue far taxes rKwant to the <br />virve Ne bias of at stale Of Nebn *8- Ng00e * b"I ft t11lt bXt 3 inciudini pets sttiea !d iatt�Elt; w�Licit'ste <br />,: <br />.. <br />.web <br />siaiwl► bdeay, are due from the 'above and n main unpaid after demand. Then taxes ooadlu <br />. _ - <br />.'' islien in dw county faialaod pt*iwi ref riielonrLI to die tuporetr4w ha estler"Vived. <br />;. 'i <br />Nta <br />tax <br />Aas A <br />Amount of <br />Penalty <br />Interest <br />Additions <br />� of <br />:.,.;:. <br />t ru <br />22 <br />72 -31 -81 <br />8 -19 -86 <br />0.00 <br />0.00 <br />.50.71 <br />60.71 <br />01 -01-82 thru <br />` <br />22 <br />- <br />�+ r <br />:..:: TOTAL <br />S <br />1 <br />' •' "• : 1 hKaby Certify tfll4t ,Ykse Nsbraska OfA &'tgient o9'Pawnue Pas C:;O'fplled with thw rarenue laws of inn, statet'l= p3e!>tastt{ 111 the dater- <br />.. <br />' <br />ininatior+tiN�, the - ;djrOWn, to be dux.• ia6d the taxpayer has tali d to pay the amount due after demand, Ir thisdVOtiC►t44.11i6ate Tax <br />Lien k ail .' fore t ah etfactive Iiei it wives to continue the cgq)iry of the state's Interest in theatteCted propevty..fitrrv,,t�iw�y? «. <br />' <br />tom° $gypnu@ A9gint(iprtri enr <br />. T Ev s e Title Date ' <br />VIV <br />' Rgyp`E Agpnt S,upgrV3gAr <br />• MutMOr SJIInatYre . :. TAW Opte <br />FOJrt CUNTV 00tCIAL'S USE <br />I4011AtIKA DEPARTMENT OF REVENUE —White and Goldenrod Copies TAXPAYER — Pink Copy COUNTY OFFICE — Canary CopV <br />M) Or M UM (OR lta011MICN) IS (ARE) To 82 FILtiD VM <br />7HZ DOCIDlAI'1'(S) IS (ARE) HOT TO BE FORWARDED TO THE COUNTY CLERK. <br />DISTRIMMION OF COPIESs <br />NMIT6s TO BE VALIDATED BY THE RDGtSTER OF DEEDS AND RETURNED TO THE <br />DEPARTMENT OF REVENUE. <br />GOWEN11OOD: TO BE KEPT BY THE REGISTER OF DEEDS. <br />BILLING 18 TO BE ONCE PER MONTH AND THERE WILL BE NO PRE - PAYMENT OF FEES. <br />THANK YOU FOR YOUR COOPERATION. _� <br />