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F- Notice neb.aslta of State Tax Lien �kpartmet of revenue n •Read instructions on reverse side Lion Serial Number Lien Type Data Social Security Number Original _ _ 5/04 ❑ Renewal 85�_■A■ xn Nebraska I.O. No, County L[fpiia�n Filed With Spouse's Social Security VO�OV A 3517640 Nall tip Register of Deeds Number L County Clark BUSINESS NAME AND LOCATION ADDRESS Name TAXPAYER NAME AND MAILING ADDRESS Business Name Accounting Systems Inc. Accounting Systems Inc. Street Atldres5 Street or Other Mailing Address 1600 South Eddy 1600 South_Eddy City State — Zip Code City State Zip Grand Island, NE 68801 Grand Island, NE 688 This Notice of State Tax 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 are 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. TOTAL $ 243 51 l hereby certify that the Nebraska Department of Revenue has Cortfplied with the revenue laws of the State of Nebraska in rho d @ter• naanation of the amount Shown t e duo, and the taxpayer has failed to pay the amount due actor demand. if this Notice of State Tax Lien is an elftefiSlOn Of an of ive lien it serves to continue the priority of the state's interest in the affected property of the taxpayer. • sign Rev here Vor's Sign re _ 4 -30 -85 7 Title �i� Date Authorlited Signal � -- ----- - 8�1s .�_.A a .. Title 9�l] _..� �_ __�.e — . -_ -A— �$5- -- �� [)ate rues wuly r Y UFFICIAL'S USE NEBRASKA DEPARTMENT OF REVENUE -- White and Goldenrod Copies TAXPAYER ..P,ok Copy COUNTY OFF ic,f Canar t o v � pv v-avr 74 Rev. 1.81 `_;upwrsr�ctas 4 - 41)4.74 Itev, S.Ho U