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<br />lr;f,ebraSka <br />department <br />of revenue <br />L.len SerlS'; Number <br /> <br />Notice of State Tax Lien <br /> <br />4377540 <br /> <br />~ Filed With Spouse's Social Security <br />l.-" Register 0' Deeds Number <br />Hall 0 County Clerk <br />BUSINESS NAME AND LOCATIOr.l ADDFlESS <br /> <br />L.len Typo <br />~ Original <br />o Renewal <br />County <br /> <br />Date <br /> <br />. Read instruction. on r.v..... lid. <br />Social Security Number <br /> <br /> <br />06-25-88 <br /> <br />505-54-4795 <br /> <br />88- <br /> <br />103597 <br /> <br />TAXPAYER NAME AND MAILING ADDRESS <br /> <br /> <br />Business Name <br /> <br />Name <br /> <br />City <br /> <br />State <br /> <br />ZI p Code <br /> <br />Allan Ensle <br />stre.t or Other Mailing Addr.ss <br /> <br />P.D, Box 72 <br />City <br /> <br />State <br /> <br />Zip Cod. <br /> <br /> <br />Stroet Address <br /> <br />Grand Island <br /> <br />NE <br /> <br />68801 <br /> <br />This Notice of State Tax Lien is ,issued by the Nebraska Department of Revenue for unpaid tax!!5 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. Th~ 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 Balance of I <br />Categorv Tax Period Amount of Tax PanalW Interest Additions <br />Number Assessment Assessment Due <br /> 04-01-87 thru <br />21 06-30-87 03-22-8t 110,00 27,50 13,92 151.42 <br /> TOTAL $ 151.42 <br /> <br />I hereby certUy that the Nebraska Department of ReVCnLlC has complied with the rBllenue laws of the State of Nebraska in the deter. <br />mlnatlon of the amount s wn to be due, and the taxpayer has failed to pay the amount due after dem.nd. If this Notice of St.-te T.ax <br />Lien Is .n extension of a ffectlve lien It sorveS to continuo tho priority of the slate's Interest In the .ffected property of the t.axp,ayer. <br /> <br /> <br />Revenue Agent <br /> <br /> <br />Till. <br /> <br />Manager <br /> <br />Title <br /> <br />FOR COUNTY OFFICIAL.S USE <br /> <br />,;; <br /> <br />, <br />;.. <br /> <br />NEBRASKA DEPARTMENT OF REVENUE - Whit. end Goldenrod Cop;.. <br /> <br />TAXPAYER - Pink Copy <br /> <br />COUNTY OFFICE - CanlfV Copy <br />4-4U.74 Roy. 7.11 <br />Sup.rnd... .....9..74 Rev. 5.080 <br /> <br />THB A'l"1'ACHED NOTICE(S) OF TAX LIEN (OR TERMmATION) IS (ARE) TO BE FILED ~ WI'nI <br />'1'HE UGISTBR 0'1/ DEEDS. <br /> <br />THE DOCUMENT(S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK, <br /> <br />DISTRIBUTION OF COPIES: <br />WHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br />- DEPARTMENT OF REVENUE, <br />~~: TO BE KEPT BY THE REGISTER OF DEEDS, <br /> <br />BILLING IS TO BE ONCE PEP. MONTH AND THERE WILL BE NO' PRE-PAYMENT OF FEES, <br /> <br />THANK YOU FOR YOUR COOPERATION. <br />