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City State Zip Code ICity <br />- -A_ — 68801 1 Gr tad_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 />revere laws of the state of Nebraska. Notice is hereby given that taxes including penalties and - interest, which are <br />shown below, are doe front 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 />1 hefetly Cerlity that the No:,,.$ a llepa,lmeat Of R".—e "al C,>mpll -d —In ilia r @venue iews Of the Stale of NaDlaska In the later- <br />mination o1 the amount shown (O he due, Mid tilt taxpayer tlal faptd iu pay the a-ounl duo after 0emalld. If this Notl(e Of State, lax <br />Lien Is an anion ton of an offett,e Ifen II Sar Vas JO t. )ntlmtn lha priority ,,I the %lath's Into—t ,n ina attested prnpe1lY Of Ine laxpalf- <br />e l <br />stge`�`�` `a - - -- - -- - -x nt - - -- - - - - -- -��`r <br />hero ' Peek- Sfgnatera Tine Data <br />C44,12', 1.2,1292. <br />Au oria Signature 7,116 bate <br />FOR COUNTY OFFICIALS USE <br />WIMASKA DEPARTMENT OF REVENUE white and Goitienregi Co ring 7A,XPAvf R P,-011,v <br />( ;0UN I IV Ot F W Cann, Y <'opy <br />a- '106,!4 nee a] <br />t <br />Notice of State Tax Lien <br />a�a <br />tlrlent <br />of reverlua <br />*Read instructions on reverse side �. <br />Lien Serial Number <br />L;i-e�tn Type <br />Data <br />Social Security Number <br />LJ Original <br />_0/05/545 <br />12 Renewal <br />05/21/80 <br />508 -64 -6485 <br />Spouse's Social Security <br />■A� Q <br />85�, ®® j <br />Na ®raska I.R. No. <br />County <br />Lien Filed With <br />V �J <br />3550680 <br />W1 <br />10 Register of 00edS <br />Number <br />County Clerk <br />INESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDR <br />ausinom Name <br />Name <br />Street Address <br />—�� <br />Street or her Mailing A dress <br />City State Zip Code ICity <br />- -A_ — 68801 1 Gr tad_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 />revere laws of the state of Nebraska. Notice is hereby given that taxes including penalties and - interest, which are <br />shown below, are doe front 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 />1 hefetly Cerlity that the No:,,.$ a llepa,lmeat Of R".—e "al C,>mpll -d —In ilia r @venue iews Of the Stale of NaDlaska In the later- <br />mination o1 the amount shown (O he due, Mid tilt taxpayer tlal faptd iu pay the a-ounl duo after 0emalld. If this Notl(e Of State, lax <br />Lien Is an anion ton of an offett,e Ifen II Sar Vas JO t. )ntlmtn lha priority ,,I the %lath's Into—t ,n ina attested prnpe1lY Of Ine laxpalf- <br />e l <br />stge`�`�` `a - - -- - -- - -x nt - - -- - - - - -- -��`r <br />hero ' Peek- Sfgnatera Tine Data <br />C44,12', 1.2,1292. <br />Au oria Signature 7,116 bate <br />FOR COUNTY OFFICIALS USE <br />WIMASKA DEPARTMENT OF REVENUE white and Goitienregi Co ring 7A,XPAvf R P,-011,v <br />( ;0UN I IV Ot F W Cann, Y <'opy <br />a- '106,!4 nee a] <br />t <br />