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Notice of State Tax Lien adta IL tn"t •Read rnatruetnlim on ra"r"e "do -- ravenue G 100800 Data .- :�:Ia+Secutty ntumoar 86— L1M S!Mlat roumwr S Ltan Tyne � i5 t 12 X Orq!na! 5/02/994 RanaM'aI 2 -14 -86 NeOray«s t.D- No. County 1,*, Filed W9 to �SPPUSa's 5.cw Seour,!y !FL, Reg'ster of ids NUnber 4700171 Nall pjj County c!af. j ' TAXPAYER NAME ANO MAILING ADDRESS t11 MNESS NAME AND LOCATION ADDRESS __._ -- -- - -- - - -' -- Name aw4nefs Name The Workshop Inc The Hu kshop Inc i5 W "�t JLnei Mailing Add'-- Adore" 220 West Second Street 2_20 West Second Street `ipC – 21p Code — � tea --- �� –� -- State City State NE 69801 Grand Island, NE 68801 1 Grand Island2 This Notice of State Fax Lien is i sued 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. r TAXPAYER - P!nk COPY COUNTY OFFICE – Canary COPY NEBRASKA DEPARTMENT OF REVENUE – White and Goldenrod _OP!es 4-49444 Rev. 7 -83 5v;, t Goes 4.49474 Rev. 5.80 U a h� TOTAL ! S 51 f, pq I Hereby cart ity that the Ne:x atka Depart mar: of Revenue Has conpneo mtn an mout revenue tit after m tn0tton of tri gun: n r. a due, and the taL pay a rya% faucd t;; P,Yne s;a:e's ant e. est n .•1 • Ligf. !s an a ipn of an a•f! .tJ 'len Wives t.: c e the pr!ur!SY de,,and of tfn geNotice of Stata¢`+t tna at facteo property of the taxpaYer- Sqn y. �. Reyenu Avant Tit!. Date s p here Special Agent -- Date AuthorlZad Sign re -itte _ ..—.— FOR COUNTY OFFICIAL'S USE r TAXPAYER - P!nk COPY COUNTY OFFICE – Canary COPY NEBRASKA DEPARTMENT OF REVENUE – White and Goldenrod _OP!es 4-49444 Rev. 7 -83 5v;, t Goes 4.49474 Rev. 5.80 U a h�