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r" <br />Notice of State Tax Lien <br />of rtt s t <br />•Road instructions an reverse side <br />LMn Serla, Number Llen Type Oat@ Social Security Number <br />Qr191nai <br />5/03/356 Q Renewal 3 -14 -85 507 -42 -4081 41 <br />Nebraska 1.0. No. County Lien Plled With Spouse's Social Security 0p12"f,2 <br />3581217 1 a17 Aegisi @r of Daatls Number <br />�. �] County Clerk 508 -60 -7962 <br />BLISINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name ---"- <br />Cow Palace Gar & Renee Schwie er d/b a Corr Palace <br />Street Wes Street or Other mailing Atldress <br />City West 2nd 3602 West 2nd <br />Clty State Zip Code City <br />Grand Island, state zipCptle <br />NE 68801 Grand Island, NE 68801 <br />This Notice of State "fax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the ' <br />revenue taws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which are <br />shown below, are dire 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 <br />NY Tax Period A DlBesa r�mt Amount of Tax Penalty Interest Additiorta <br />1 Helena of <br />A 1%7 <br />na Assessment Due <br />-84 thru <br />1 <br />0- 01 -84— thru 1 <br />1 -01 -84 thru <br />L-2--BA— T <br />2-01-84 thru <br />TOTAL <br />I hereby the amount Lunt the Ne to be O@Oartd th taxpayer Raven ue haS compn.a with in@ revenue laws of (he State of NOorafka in the cater. <br />Lt.. i a of to o ot n shown <br />e,,. to be Cu@, and the has felled to pay the amount Cu@ attar tl@mantl. If thdt Notice of State Tar <br />Llen If an extension Of an slrscflY lien tt fer YeS to COntln.ta the priority of the state -S Int @feat in the aff@c(ed property of the taxpayer. <br />• f <br />' <br />heirs Aa n 3 -14 -85 <br />�oi® R:e$aref' tern � Tit's <br />Date <br />AutAnr,:ed s, Lure _ ,_52e_Cial Agent 3 -14 -85 <br />Tills Ddte <br />�,_.._._. FOR COUNTY OFFICIALSUSEm� — `_��._�,_� p___1 <br />ASKADEPARTMENTOFREVENUE — VVrtoandGoldenrodCopies TAXPAYER P,nk Copy <br />e <br />COUNTY OFF WE Canary Copy <br />444. 14 RaY. ;.a1 <br />`aup @tsane➢ a -49 a.la Fla, kn <br />ILI <br />OR <br />"I <br />