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�t p�p t3- ..original. 6 /-01 J f 829 Q Renewal Nebraska t.0- No. '. County 4515285 Hall Notice of State Tax Lien 86-100346 TAXPAYEnl^-- — — BUSINESS NAME AND LOCATION ADDRESS Name tadsims Name jeffLrson Repair 5traet or Other Mailing Address stte.t Andress 113 Center Lane 346 North Jefferson sate State ZIP Code Ply NE city NE 68801 ALda, Grand Island,. This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the revenue laws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which are shown below, are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute a lien in the county for real and personal property belonging to the taxpayer or hereafter acquired. 68810 e Read instructions on reverse $ide Date Social urity Number 1 -8-86 506 -82 -0874 Lien Filed With SpoUse't Social Security r Register of Deed Number County Clark Interest 86-100346 TAXPAYEnl^-- — — BUSINESS NAME AND LOCATION ADDRESS Name tadsims Name jeffLrson Repair 5traet or Other Mailing Address stte.t Andress 113 Center Lane 346 North Jefferson sate State ZIP Code Ply NE city NE 68801 ALda, Grand Island,. This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the revenue laws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which are shown below, are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute a lien in the county for real and personal property belonging to the taxpayer or hereafter acquired. 68810 AUthorizad Signs e FOR COUNTY OFFICIAL'S USE NEBRASKA DEPARTMENT OF REVENUE -- White and Goldenrod Copies TAXPAYER - Pink COPY COUNTY OFFICE — Canary COM 4.494.74 Rev. 7.61 Supersedes 4- 494 -74 Rev. 5.60 u L�. _J Balance of Tax Date of Amount of Tax Penalty Interest Additions Assenindl st Due atowv Tax Period Aseament iumlfar 06 -01 -84 thru 5.00 378 . T 6.85 ? O1 06- 30-.84 2 -5 -84 18.07 07 -01 -84 thru 500 4.52 ?k.47 01 07 -31 -84 2 -5 -84 22.95 . — 08 -01 -84 thru 5.00 2.42 19.68 01 08 -31 -84 2 -5 -84 12 .26 _ _� 09 -01 -84 thru 5.42 01 '09 -30 -84 2 -5 -84 _4.62 1-- - - - -- .80 - -- 10-01-84 thru � 5.00 2.14 20.38 01 10 -31 -84 -16 -85 13.24 - 4 -85 22.99 5.00 346 . 31.45 01 11 -30 -84 -16 12 -01 -84 thru 5.00 � 1.46 16.98 01 12 -31 -84 -16 -85 10.52 - - -- TOTAL $ 153.23 hereby certify that to be due and the otaxpayeruhas fa do o pay the anountt ouuel attar tletmantlo pros Notice of tax lax in the atfectetl property D( [he taxpayer. f t urination of the Lien is an shownto Ilan a it ser o continue the priwity I the state's -ot an Own interest • �- Revenue Title agent Date sped D l Agent I —!] io Tiiltl Date AUthorizad Signs e FOR COUNTY OFFICIAL'S USE NEBRASKA DEPARTMENT OF REVENUE -- White and Goldenrod Copies TAXPAYER - Pink COPY COUNTY OFFICE — Canary COM 4.494.74 Rev. 7.61 Supersedes 4- 494 -74 Rev. 5.60 u L�. _J