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Notice of State Tax Lien <br />tttt <br />•Read oo rev*rlsa side <br />-OWSWiAlf Nufntw 11 Lien Type <br />EW <br />5/07/976 f <br />—1 7-10-85 507-38-M58 <br />1.0� No. County Liao Fifea Vw 85-- 003277 <br />E F S*cu,;Iv <br />9 Reviste� L-4005 umber <br />4753488 Hall X, County Clerk <br />AND LOCATION ADDRESS ADDRESS <br />TAXPAYER NAME AND MAILING - <br />swung" nalme <br />DOS Banditois of Grand Island Don Gilbreath <br />Strilat A4dr*ss <br />151tset Of Otner Mailing Address <br />W9 S. Locust <br />P.O. Box 3652 <br />City State <br />Grand Island, NE 68801 Casper, State Zip Ci;de <br />WY 82602 <br />This -Notice of State Tax Lien is iss <br />tied by the Nebraska Department of Revenue for unpaid tax" pursuant the <br />pu nt to <br />revenue laws of the state of Nebra*a. Notice is hereby given that taxes including penalties and interest, which we <br />below, are due from the taxpayer specifted above and remain unpaid after demand. Thew taxes constitute <br />3 hen in the county for real and Personal property belonging to the taxpayer or hereafter acquired. <br />I Tax <br />Catogary 1 Tax Pwwo Mte of <br />Balance of <br />Assessment Amount of Tax Penalty Inter"t A"itiom <br />Asslassmtem Due <br />—th—r-u- <br />01 - 3 <br />11 �Opl <br />.29 <br />11-01-84 thru <br />31 � -84 _JO37.OQL <br />103.70 <br />12-01-84 thru <br />01 '12 -31 -8 <br />66-03 <br />10 -01 -84 thru <br />21 <br />TOTAL <br />ft-eoy Certify trio! ine rqeoraska Dopa.lmerl ,I "as <br />min - ;,� 'everwe <br />ot�op (�t Me amokint S*11.wn It, te zjjC, 'a-$ c)f l"ll State Of NeWasKa in tne deter. <br />ld,j pa): ',he ame.runt 0"0 after clenand <br />IT this tdoiice at Slate Tax <br />`4.;#`en f$ an *X`tar#%'on of arg 'Ittle4"t lltf; sT 514r W0% <br />or in 1,,e art <br />*Cte<2 inoimr!y of the taxpayer, <br />Date <br />U41 a —5pie—ci�1 Agent <br />Title <br />CIAL'S <br />----------- <br />WORASKA DEP"TMENT OF REVENUE - Wh4e and Gcjklien-od cop+es TAXPAYER rink Cr, <br />pv <br />A <br />IN <br />COUNTY OfFiCE - Canary Copy <br />4-494-74 Rev. ?_Aj <br />SuPcfSOOCS 4.494 14 Rev- 5>RQ <br />1i <br />R <br />