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t r <br />Notice of State Tax Lien 86— 106956 <br />aka <br />elapeftmsnt ' e Raw instructions on reverse side <br />M revefkre <br />Liall Serlat Number <br />Lien Type <br />Date <br />Social Security Number <br />f�.Original <br />21 <br />1 -01 -86 thru <br />3 -31 -86 <br />4 -30 -86 <br />0. Renewal <br />12- 3- 86'.,. <br />23.58 <br />Nebraska 1.0.: No <br />.County <br />Lion Filed With <br />Spouse-$ Social security <br />221.73 <br />11.09 <br />K] Register of Deeds <br />Number <br />243.45 <br />4997344 <br />Hall <br />Q County clerk <br />213.56 <br />TAXPAYER NAME AND MAILING ADDRESS <br />BUSINESS NAME AND LOCATION <br />ADDRESS <br />226.94 <br />Business Name'..: <br />-. <br />E <br />Name <br />Beaugeste Ltd., Pelican ;Bay <br />Street Address <br />Street of Other Mailing Address <br />2610 South Locust <br />City <br />state State <br />Zip <br />Cotle <br />City Slate Zip Code <br />t <br />brand Island, NE 68801 <br />This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the <br />revenue laws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which are <br />shown below, are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute <br />a lien in the county for real and personal property belonging to the taxpayer or hereafter acquired. <br />Tax Data of � Balance of <br />Category Tax Period Assessment Amount of Tax Penalty � Interest Additions Afaesament Due <br />NtrttWt. <br />I hereby certify that the 1Wbraska Department of Revenue has compiled with the revenue laws of the State of Nebraska In the deter- <br />mination of the amount sho to be due. and the taxpayer has failed to pay the amount due after demand. If this Notice of State Tax <br />Lien Is an • On of an eft give lien Selves to bpntinue the priority of the state's interest In the affected properly of the taxpayer. <br />' Revenue Agent 12 -3 -86 <br />' - Title Date <br />Special Agent 12 -3 =86. <br />Ztlhtzed Slen TIHa Date <br />• FOR COUNTY OFFICIAL'S USE <br />S' <br />r <br />DEPARTMENT OF REVENUE — White and Goldenrod Copies TAXPAYER — Pink Copy <br />COUNTY OFFICE — Conery Copy <br />4- 494-74 Rev. 7 -81 <br />Suparsetlas 4- 494-74 Rev. 5.80 <br />U <br />J <br />21 <br />1 -01 -86 thru <br />3 -31 -86 <br />4 -30 -86 <br />283.35 <br />14.17 <br />23.58 <br />321.10 <br />21 <br />34-01-86 thru <br />-30 -86 <br />7 -31 -86 <br />221.73 <br />11.09 <br />10.63 <br />243.45 <br />21 <br />7 -01 -86 thru <br />-30 -86 <br />,10 -31 -8 <br />213.56 <br />i 10.68 <br />2.70 <br />226.94 <br />E <br />� <br />I <br />t <br />TOTAL <br />$ 791.49 <br />I hereby certify that the 1Wbraska Department of Revenue has compiled with the revenue laws of the State of Nebraska In the deter- <br />mination of the amount sho to be due. and the taxpayer has failed to pay the amount due after demand. If this Notice of State Tax <br />Lien Is an • On of an eft give lien Selves to bpntinue the priority of the state's interest In the affected properly of the taxpayer. <br />' Revenue Agent 12 -3 -86 <br />' - Title Date <br />Special Agent 12 -3 =86. <br />Ztlhtzed Slen TIHa Date <br />• FOR COUNTY OFFICIAL'S USE <br />S' <br />r <br />DEPARTMENT OF REVENUE — White and Goldenrod Copies TAXPAYER — Pink Copy <br />COUNTY OFFICE — Conery Copy <br />4- 494-74 Rev. 7 -81 <br />Suparsetlas 4- 494-74 Rev. 5.80 <br />U <br />J <br />