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<br /> <br />r <br /> <br />1I~'b"'k' <br />department <br />o'rllVllnue <br />Lien S.rlll Numbar <br /> <br />Wen TYDe <br />XJ Original <br />o Ranowill <br />CQuntV <br /> <br />10-26-88 <br /> <br />Notice of State Tax Lien <br /> <br />Date <br /> <br />.R..d Instruc110nl on rllvefse lido <br />Social SecUrity Numbor <br /> <br />o <br /> <br />3745791 <br /> <br />Lien Filed With Spouse'S Social Security <br />Kl RegIster of Dllllds Number <br />Ha 11 0 County Clerk <br />BUSINESS NAME AND LOCATION ADDRESS <br /> <br />TAXPAYER NAME AND MAILING ADDRESS <br /> <br />Nebraska 1.0. No, <br /> <br />BusinGS5 Nama <br /> <br />SHeet Address <br /> <br />City <br /> <br />Stale <br /> <br />Zip Code <br /> <br />88- 105765 <br /> <br />This Notice of State Tax Lien is issued by the Nebraska Depllftment of Revenue for ~npaid taxes pursuant to the <br />revenue laws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which lire <br />shown below, are due from the taxpayer specified above Dnd remain unpaid after demand. These taxes constitute <br />a lien in the county for real and personal property belonging to the taxpayer or herenfter acquired. <br /> <br /> <br />Tax Oateot <br />Category Tax. Period Assessment Amount of Ta. Penaltv Interost Additions <br />Numbllr <br /> 11-01-87 thru <br />01 11-30-87 8-24-88 <br /> 12-01-87 thru <br />01 12-31-87 8-24-88 <br /> 1-01-88 thru <br />01 1-08-88 8-24-88 <br /> 1-01-86 thru <br />24 12-31-86 4-15-66 <br /> <br /> <br />TOTAL <br /> <br /> <br />ta.paver nu tailed 10 pal' the amount dUll aftar dllmand. If thlf NollclI of Stile T.u <br />contlnuo the prlorltv of the slatll's lntllrectln the affected property ot tho t.u:paver. <br /> <br />001111 <br /> <br />10-26-88 <br />10-26-88 <br /> <br />':",G'~ <br /> <br />T;~t&rIIypr "p",vi~p "p,:arirlllic:t <br /> <br />Revenue Aqent SUDervi sar <br />Title <br /> <br />FOR COUNTY OFFICIAL'S USE <br /> <br />Olte <br /> <br />NEBRASKA DEPARTMENT Of REV~- WhiteBnd Goldenrod Copies <br /> <br />TAXPAYER - Pink Copy <br /> <br />COUNTY OFFICE - Carqry Copy <br /> <br />TIlE ATTACHED NOTICE(S) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH <br />THE REGISTER OF DEEDS. <br /> <br />THE DOCllMENT(S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK. <br /> <br />L <br /> <br />DISTRIBUTION OF <br />~, <br /> <br />COPIES, <br />TO BE VALIDATED BY TilE REGISTER OF DEEDS JlND <br />DEPARTMENT OF REVENUE. <br />TO BE KEPT BY TilE REGISTER OF DEEDS. <br /> <br />GOLDENROD, <br /> <br />BILLING IS TO BE ONCE PER MONTII JlND TIIERE WILL BE NO PRE-PIIY1~ENT OF FERS, <br />THANK YOU FOR YOUR COOPERATION. <br /> <br />RETURNED TO TilE <br />