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i Notice of State Tax Lien r a 86 { r„aYantl t GROW imt vetee ructions on re aide v '�.i tn�SertNumeK .Lien.7Ype Date Social Security Number Original ) - - . �Renewal Q2 /1Q /81 - .Netlfaskat,D. No. County Lien Filed With Spouse %'Social, security Register of Deeds Number.... 21'- 377410601 Ra i %1 County Clerk a aIM NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS M Businrg Name '.; Name - Ct z�utim, Inc, Cox Construction, Inc. Street: Address Street or Other: Matting Address Sla Weit Toth Street 2215 West Tenth Street City " .State Zip Code City State 68801 Grand Island NE Grauld Island 1113 This Notioe of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the vemm laws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which are r shown below, are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute a Uen in the county for real and personal property belonging to the taxpayer or hereafter acquired. Zip Coe 68801 Taut Cataaery 'Nunti@�r ; Tax Period ' Date of Asio siren Amount of Tax Penalty Interest Additions Balance of ALeemneM Due 21 07/01/80 thru 09/30/80 02/09/81 2,532,40 126.62 50.64 2,709.66 21 112/31/80 10101160 thru 02/09/8 40.00 2.00 0.20 42.20 r � _ I f 1 a TOTAL i S 2,751.86 I Dy certify that the Nebraska Department of Revenue has compiled with the revenue laws of the State of Nebraska in the deter - mlnat n O} the amount =:�� and the taxpayer hds tailed to pdy t'1@ amount cue after demand. If this NOLIGe Of Slate Tax Lien ex Of s to Continue the pri ority of the 5t ate's interest in the affected property of the taxpayer- soe Manager_ Signature Title Date - Manager it, V, AutrAfizoo4ionaturs Title Date FOR COUNTY OFFICIAL'S USE NEBRASKA DEPARTMENT OF REVENUE – White and Goldenrod Copies TAXPAYER -- Pink Copy L COUNTY OFFICE – Canary Copy 4.494-74 Rev, 7 -81 Supersedes 4- 494.74 Rev. 5.60—