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a <br />l; <br />t` <br />L <br />Notice of State Tax Lien <br />enaed iaininuc em on .ever.. aide <br />L�wnlswm NurnIm <br />Lien - yp,. <br />Data sobia! security Numb*, �w <br />i Interest <br />. M Original <br />; 10111 <br />1t2 <br />G nanewai <br />%oufltY <br />3-10 -86 <br />Lien Filed With spou4e'ssociaf .Security <br />NNraska I.D. No. <br />90.72 <br />11 Register of Deed umber <br />7 . <br />l 1 <br />{ j County. Clerk <br />stAM Si IitANM AND LOCATHM ADDAESI <br />TAXPAYER MAME AND MAILM16 ADDRESS <br />,StalftnMt t!Hrne <br />t <br />;Name <br />M&termn Eartiwaovin <br />_ <br />Waterman Earthtnovin _ <br />sn„er Mn <br />Street iu Other Matting Aiiorass <br />A. Webb Road <br />624 N. Webb Road <br />City State <br />Zip Coce <br />City State zip Code <br />Island ME <br />68801 <br />Grand Island, NE ISM <br />This Notice of Stah Tax Lien is issued by the Nebraska Department of Revenue for unpaid axes punt to the <br />n enoe haws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which are <br />Abown below, are due from the taxpayer specified above and remain unpaid after demantil. These taxes constitute <br />a lice is the county for real and personal property belonging to the taxpayer or hereafter acquired. <br />Tax <br />C'aessory <br />Mwtsber <br />Tax Pariod <br />Date of <br />Aaaeetntattt Amount of Tax Penalty <br />i Interest <br />i <br />' Additions <br />Aaaammew Due <br />21 <br />} 07-01 -85 thru <br />1 -31 -85 82.49 4.12 <br />4.31 <br />90.72 <br />1 <br />10 -01-85 thru <br />112-31-85 <br />2-f)-86 1 40.59 2.03 <br />.59 <br />i <br />f 43.21 <br />t <br />I f <br />r <br />j <br />I <br />TOTAL <br />I S 133.93 <br />1 hereby c fly that the Nebraska Department of Revenue has complied with the revenue laws of the State. of Nebraska in the deter- <br />urination amount s rie n to be Cue, and the taxpayer has failed to pay the amount cue alter demand. if this Notice of State Tax i <br />Lien is an on of an el ttve II 't series to continue the priority of the state's interest in the affected property of the taxpayer. <br />sw ;' Revenue Agent 3 -10 -86 <br />- er•s a Ti:1a Date <br />— Special Agent 3 -10 -86 <br />uthoria�d 5!g Title Date <br />FOR COUNTY OFFICIAL'S USE —� <br />NESMASKA DEPARTMENT OF REVENUE — White and Goldenrod Copies TAXPAYER -- Pink Copy <br />L_ <br />COUNTY OFFICE — Canary Copp <br />4- 49454 Rev. 7 -e] <br />Superseaes 5- 494.74 Rev. 5 -8P <br />