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_ I � <br /> � � <br /> f <br /> Notice of State �'ax �ien <br /> nebraska <br /> d�rpartment <br /> o :c+renue •Rad instruotiQe�ae nwrn�ida <br /> � Ll�n S�rl�l Number Lim Typo pat• Soclal S�surley Num�v ��-` <br /> a�s2aosi Q R�n�wal 11/30/89 sos-s2-eags 1064 9 5 <br /> Ntbraeka I.p,No. County Lr-lV�n Fll�q With SpouN's 5cclal S�cu�lty <br /> 24518565 H811 w R�9�fter of W�ds NumOe► <br /> ❑County Cl�rk <br /> BUSINESS NAME ANf)LOCATiON AODR�35 TAXPAVER NAME AND MAILINO ADOHESS <br /> Busln�ss Name Name <br /> Vicki J. Lerma <br /> , Str��t AQtlras� Street or Otha�Malling Atltlr�ss <br /> ; 604 Lincoln Street <br /> Clty state 2tp Cod� Clty state zlp Code <br /> Holdrege NE 68949 <br /> This Notice of Statc Tax Lien is issuGd by the Nebraska Department of Revenue for unpaid taxes pu�suant to the <br /> revenue laws of the state of Nebraska. Not�ce is hereby�iven that taxes including penalties and interest. which aze <br /> shown below.are due from the taxpayer speclfied above and cemain unpaid after demand. These taxes constitute <br /> a lien in the county for real and pe�onal property belonging to the taxpayer or heresfter acquired. � <br /> T�x <br /> Cat�yoryr Tax P�riod A�Mt Amount of Tsx P�nalty I�t�nst Additiorni Bat�aa of <br /> NumbN "� Aueumaot Dw <br /> , 22 O1_01-88 thru 54.96 2.75 4.83 ' <br /> 62.54 <br /> ; � <br /> �.{. <br /> , � <br /> �..` <br /> � -- t.:- ' <br /> ; � _-- <br /> i � � <br /> TOTAL � 62.�5� <br /> f , 1 hereby csrtlty that the Nebraska Department of Revenue has compliatl with the revenue laws of ths State of N�Draska in t�e Qster• � <br /> minatlon ot the amount stlown to be du0,antl the taxpayer has tailEA to pay ths amount tln�aitar Aamantl.It thls Notiu of State Tax <br /> Lien Is an exteflslon ot n ett0etiv0 IIOq It servOS to COtltittue rl0rlty oi th0 Stats's intlr�S In thf�ifOCtld p�op�rty Of th0 t�xp�yer. <br /> . � <br /> . ?. �� • . Title �`. ��-( �� ; <br /> , � �a� . PrePar a • Dats <br /> s � "'� /t `��(/ 1 . '�' <br /> ` • •A�thorizeC Siqnat Title Date �_- <br /> i — <br /> ' � FOR COUNTY OFFICIAL'S USE ':��!' <br /> . � , �: . <br /> ' Y , ' : . <br /> . :� <br /> NEBRASKA DEPARTMEN7 UF REVENUE–White and Galdenrod Copies TAXPAVER–Pink Copy COUNTY OFFICE–Canary Copy <br /> �_–____ <br /> 4-494•74 Rev.9$8 <br /> Supo�seaes a•4g4•74 Rev.7-81 <br /> . 1 <br /> I <br /> I <br /> . � <br /> � • � J <br /> ti <br /> � <br /> � <br /> Y.- !' <br /> � � <br />