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nebradta t revenue r Notice of State Tax Lien o Read irtwuctionfs on reverse 11-11111 Lien serial NUmWr Lisn ryes s�Original !elate I SOUa9 SscuNty Number -- 1Wf247 I 1 -30 -861 22.05 1.10 ? 1.15 24.30 Lien is an Sion of an efts Q 6/06/596 u Renewa+ 16-16-86 =n J. Nebraska I.O. No. County -- 11 -Fe FiWo with SGCuse's Social Security 4595416 Hall Register dr D"05N.moe, } 3 Special Agent K] County Clark Au lhoriZed Sig-.t.1 BUSINESS NAME AND LOCATION ADDRESS I TAXPAYER NAME AND MAILING ADDRESS Business Name Solo Transportation FOR COUNTY OFFICIAL'S USE !Name Solo Energy, Inc. Street Address _ Street or Other malting Address P.O. Box 2552 City State Grand Island, NE � Zla Code 68803 City State Zip Code Grand Island, NE 68801 This Notice of State Tat Lien is issued 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 arc 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. Tax Category Tax Period Number Oav dt i Assessment Amount of Tax ! Penalty { Interest Additions }t 1}- Balance of „_,.r,,, -,,,, Due -- ru 21 '12 -31 -85 I 1 -30 -861 22.05 1.10 ? 1.15 24.30 Lien is an Sion of an efts �aamaxx !ve lien !11 o f Me aricri[Y of the state 's Interest in :ne affected property of the taxpayer. 1 /a ., 1 r he rY Sign T't!a } 3 Special Agent 6 -16 -86 Au lhoriZed Sig-.t.1 _ TI!itl I FOR COUNTY OFFICIAL'S USE TOTAL 5 24.30 NEBRASKA DEPARTMENT OF REVENUE — White and Goldenrod Cope; TAXPAYER — Pmlt Copy L.� COUNTY OFFICE —Canary Copy 4-494 -74 Rev. 7 -e3 Su versed., 1-494 -74 Rev. 5 -80 t�l 1 hereby Cart Mat the Neoraska D.ozorhehl of Revenue has Complied will the revenue lays cf the State of Nebraska in the deter- mination of t mount l tc be Cue�, taxpayer has fdited to pay' the amount due after demand. It tnis Notice o[ State Tax n��d( thhee tt ' Lien is an Sion of an efts �aamaxx !ve lien !11 o f Me aricri[Y of the state 's Interest in :ne affected property of the taxpayer. 1 /a ., " Revenue Agent _ _ 6 -16 -86 he rY Sign T't!a Date Special Agent 6 -16 -86 Au lhoriZed Sig-.t.1 _ TI!itl Date FOR COUNTY OFFICIAL'S USE NEBRASKA DEPARTMENT OF REVENUE — White and Goldenrod Cope; TAXPAYER — Pmlt Copy L.� COUNTY OFFICE —Canary Copy 4-494 -74 Rev. 7 -e3 Su versed., 1-494 -74 Rev. 5 -80 t�l jj 1