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<br />"~.b''''ka <br />depilflrtlenl <br />0' revp-nue <br /> <br />Notice of State Tax Lien <br /> <br />Llc:n Serial Numner Li"n T)fPO Calf! Social Security Number <br /> ~Ori'illn.al <br />87240073 o Renewal 06-25-88 505-54-4795 <br />NeDratok, 1.0 No. -:ountv LiJ' Filed With Spouse's Social SftcurUv 88- 102998 <br /> ;- negister of Oeeds Number <br />27981045 Hall o County Clerk <br />I BUSINESS NAME AND LOCATION ADDRESS TAXPAYEl'i NAME AND MAILING ADDRESS I <br />Stamen Name NAma <br /> Allan Ensley <br />!J~.re'l Ad<1re-i1. Str..t or Other Mailing Addren <br /> P.O. Bo~ 72 <br />CIty S\.Ito Zip Code Clly Sllle Zip Code <br /> Grand Island NE ,:j8801 <br /> <br />. Read instructions on ...".rse side <br /> <br />This Notice of State' Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the <br />menue ta....s of Ihe slale of Nebraska, Notice is hereby given that taxes including penalties and interest, which are <br />shmlin below, are dUC' from the t:t."payer specified above aml remain unpaid after demand, These taxes constitute <br />a li~n in Ihe coon\)' f... real and penonal property belonging to the taxpayer or hereafter acquired. <br /> <br />I TI~ Dill of I I Balance of I <br />CatOQorv '!'.JI: P.riod Amount of Ta. P.nalty Int.r.st Additions <br />Number Asses>",enl , Ass_,,,.nl Due <br /> 01-01-85 tbru 1 I <br />2: 12-31-85 07-21-8~ 99.00 i 2'..75 30.07 153.82 <br /> I I <br /> I 01-01-86 thrJ ' <br />22 12-31-86 i 06-10-8~ 331.00 33.10 54.21 418.31 <br /> I , <br /> I ! I <br /> I ~------- <br /> , <br /> i i <br /> I -.- . . --~-- .-.-- <br /> I i <br /> I .. -------- -.- ------,--- <br /> ; , <br /> I <br />----.. -+------,-- I <br /> i ~ i <br /> t i <br /> , <br />____...L.--.._.. I <br /> .--..- - -,- <br /> TOTAl.. S 572.13 <br /> - .--'+ - --- <br /> <br />"sign <br />here <br /> <br /> <br />Revenue Agent <br /> <br />~-l2.t/JfL <br />Ite <br /> <br />t!; t!9'- f r <br /> <br />lie <br /> <br />Till. <br /> <br />Manager <br /> <br />Title <br /> <br />FOR COUNTY OfFICIAL'S USE <br /> <br />I\tE'SRASKA DEPARTMENT OF REVENUE.. ""h,'" and GO'c;"n,[QdJ;\1i1'" <br /> <br />T AJ';fJ'\ YER - Pin~ eoilV, <br /> <br />COUNTY OFF1CE - Canary Coov <br /> <br />'l'HB ~ BOTICE(S} OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ~ WITH <br />THE REGIS'l'ER OF DEEDS. <br /> <br />THE DOCUMENT(S) IS (ARE) NOT TO BE FOBWAEDED TO :mE COl:JNTY CLERK. <br /> <br />GQLDmRQD: <br /> <br />COPIES: <br />TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br />DEPAR'l'MENT OF I\EVENUE. <br />TO BE KEPT BY THE REGISTER OF DEEDS <br /> <br />DISTlUBU'l'ION OF <br />~: <br /> <br />BILLnqG IS 'l'O BE ONCE PER MONTB AND THERE WILL BE NO PRE-PAYMENT OF FEES. <br />THMiK YOU FOR YOUR COOPERATION. <br />