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Nefice of State Tax Lionfl <br />.r Twat •tread instructions on Teeefee side <br />ys�i►l4etiiiNYnlbN Lion Typs Data Snc[afec <br />SurtW= Number <br />f .I�➢inal <br />1 [2 Renewal 1 -13-86 <br />Itas4Yaslra- L:O.'No, county Lien -Filaf Wnh SPOUS"SoclalSecurity <br />.f Register of Deeds Number <br />] ,CstuntY CNrk - <br />"WAMlE1R'NAME AYD,'LOr- ^TIGN:AOBAETS ?A3(PAl`BR SNAtME �ANDdnA1LiWG %Ai1DRE <br />,Name <br />C®eil i►; Truck ll lne Inc:. Conley TruCk Ltne Inc. <br />St.Mt °- Afldreat Street or - other'Mailing Address.. <br />cagy 3o Q.o. Box 231;2 <br />.City State - Zip code CICYStKe ZipCc <br />Gj%W Island, NE 68801 I Grand Islands NE 58801 <br />This <br />]Notice of 'State Tax :heat is- iuued'by the 7Nebraska :Department of Revenue for .unpaid taxes .pursuant Ito the <br />revent e'4ws of :the 'state of Nebraska.' Notice •is' hereby given that taxes including:.penalties.and- interest, w &h,ace <br />shown below, are due from the taxpayer specifred above and retrain .unpaid after:demand. These taxes constitute <br />a -lien in-.the.county..for m1and personal property belonging'to the taxpayer flr'hereafter acquired. <br />r <br />'fit <br />,CO"PWY <br />`Nuadw <br />Tar: Period <br />Osa.of <br />ASerma It <br />Amount of Tax <br />Pamlty I <br />'InHriMt <br />Additions <br />'Balanee.of <br />Aeseemseftt<Dus <br />21 <br />W01-85 thrti <br />30-.85 <br />-.7 -85 <br />I <br />17.20 <br />.92 <br />18.'7 2 <br />21 X09-30=85 <br />0741-85 t ru <br />0 -9 -85 <br />468_`54 <br />23.43 <br />13.30 <br />115.27 <br />� <br />I <br />TOTAL $ 523.39 <br />1 hereby Certify that the Nebraska Department of Revenue has Complied with the revenue taws of the State of Nebraska in the dater - <br />mination of th Cent Sn OWn D be tlJe. dnrl the td% Yor has failed to pay the am Cent due after demand. It this Notice of State Tax <br />Lien is an nof an e ffect a lien it ser lD con Inue the priority of the state's interest In the affected property Of the taxpayer. <br />` Revenue Agpnt 1 -13 -86 <br />S ur Title Date <br />Special Agent 1-13-85 <br />"ThoflzM.5t9net Title Date <br />FOR COUNTY OFFICIAL'S USE <br />NEBRASKA DEPARTMENT OF REVENUE - White and Goldenrod Copies <br />TAXPAYER - Pink Copy <br />COUNTY OFFICE -- Canary Copy <br />4.494.74 Rev. 7.6) <br />Supersedes 4.494 -74 Ray. 5.60 <br />U <br />I <br />