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L_ <br />Notice of State Tax Lien <br />ataca ea ar i� "^ ""M side <br />s <br />16"r4 a Social Security Numbw <br />LiM aerial tVUmear Lan Type <br />Date <br />0 Original 3-86 Tw8 -36-9895 86— - 101283 - <br />6/U3ke u <br />i Aenearaf 3 -t 3.86 <br />N�brafke lap_ tVO. CeuntY Lien FSLW with 5 ms's social Security <br />jj Iteatstw of Dead <br />4 969 FIa11 county Clerk TAXPAYER NAME AND MAILING ADDRESS <br />Yi1SINES� NAME AND LOCATION 1►DDRESS Name <br />suainanNOme - i Geraldine R. Baxter <br />Library Lounge & Bottle Shoe -- 5 NL nr fltnar Matttn9 Aedras: <br />Street AddrKS 2615 Capitol Avenue <br />2530 St Patrick Avenue state recede <br />Zap Code c t, NE 68801 <br />-fty State 68803 I Grand Island, <br />Grand Island, NE <br />tment of Revenue for unpaid taxes pursuant to the <br />This ]Notice of State Tax Lien N is a*&. o the Nebraska given t penalties and interest, whicb are <br />M.VtMw brns of the state of !Nebraska. Notice is hereby even that taxes laid after pitta <br />shown below. are due from the taxpayer specified above and o the taxpayer or hereafter acquired- taxes constitute <br />a lien in the county for real and personal property belonging <br />} Balance of <br />Tate Data of I Penalty Interact Additions AUessment Due <br />Amount of Ta>< III <br />fiery Tax Period Aaasurttent <br />Nwnsbw 07 -01 -85 thry 3 114.23 I i i 1 114.23 <br />01 07 -31 -85 405.39 <br />mtnafion of <br />Lien i$ an <br />Sw <br />TOTAL 1 $ 1,299.39 <br />that the Nebraska Department or Revenue has Complied with the revenue taws of the State of Nebraska to the deter - <br />that she to be due and the taxpayer has taxed to pay the amount due after demand- :f tnis Notice of State Tax <br />1 n an of n to a Serves t continue the. priority of the state's Interest in the affected Property of the taxpayef- <br />Revenue Agent 3 -14 -86 <br />Date <br />Tilt. 3 -14 -86 <br />e i Special Agent Date <br />TAXPAYER — Pmk Copy <br />NEBRASKA DEPARTMENT OF REVENUE. -- White and Goldenrod Copies <br />a <br />COUNTY OFFICE — Canary Copy <br />4- 494.74 Rev. 7 -81 <br />5upersedes 4- 494.74 Rev. 5.80 <br />u <br />