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<br />I <br /> <br />lJE:ebraSka <br />department <br />of re\'enUe <br /> <br />Notice of State Tax Lien <br /> <br />Lien Serial Number Lien Type Date Social security Number <br /> o Original <br />3/11/237 ~ Renewal 11-09-83 506-46-2692 100233 <br />Nebraska J.D. No. County (Jf Filed With Spouse's Social Security <br /> Register of Deeds Number 88- <br />3921603 Hall [](county Clerk <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS I <br />Business Name Name <br /> Richard G. McMichael <br />Street Add ress Street or Other Mailing Address <br /> 4215 Arizona Avenue <br />City State Zip Code City State Zip Code <br /> Grand Island NE 68801 <br /> <br />. Read instructions on reverso side <br /> <br />This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the <br />revenue laws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which are <br />shown below. are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute <br />a lien in the county for real and personal property belonging to the taxpayer or hereafter acquired, <br /> <br />I Tax Date of I Balance of I <br />Category Tax Period Amount of Tax Penalty Interest Additions <br />Number Assessment Assessment Due <br /> 01-01-82 thru ! <br />01 01-31-82 04-07-8 333.75 I 10.32 79.11 423.18 <br />i <br /> 02-01-82 thn , <br /> I <br />01 02-28-82 04-07-8 41.18 I 5.00 9.27 55.45 <br />I <br /> 10-01-81 thru I <br />21 12-31-81 05-20-8 76.83 I 0.00 19.04 95.87 <br /> 01-01-82 thru , I <br />21 03-31-82 04-07-8 51.69 i 0.00 11.04 62.73 <br />! <br /> i <br /> I <br /> I <br /> i <br /> I <br />, TOTAL S 637.23 <br /> <br />I <br />~~ <br /> <br />\ <br /> <br />I hereby certify that the Nebrasi<.a Department of Revenue has complied with the revenue laws of the State of Nebraska in the deter- <br />mination of the amount shown to be due, and the taxpayer has failed to pay the amount due after demand. If this Notice of State Tax <br />Lien I extonsion of an effective it serves to continue the priority of the state's interest in the affected property of the taxpayer. <br /> <br />; <br />'fJ <br />~ <br />1 <br />J <br />1 <br /> <br />. <br />sign <br />.here <br /> <br /> <br />R.ut~ lid Agent <br />Title <br /> <br />ipoll9ial of) ~ <br /> <br /> <br />/-/fr?S J <br />D;(f/oY <br /> <br />Da e <br /> <br />Title <br /> <br />FOR COUNTY OFFICIAL'S USE <br /> <br />NEBRASKA DEPARTMENT OF REVENUE - White and Goldenrod Copies <br /> <br />TAXPAYER - Pink Copy <br /> <br />COUNTY OFFICE - Canary Copy <br /> <br />4-494-74 Rev, 7-81 <br />Supersedes 4.494-74 Rev. 5-80 <br /> <br />,-- <br /> <br />L <br /> <br />L <br /> <br />--.J <br /> <br />~I <br />k <br /> <br />L <br />