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I bt,alka z Notice of State Tax Lien hillimlle I.INt Serial Number I Lien T *Reed irutructiona an rev"" Side Ype Dite Sectal Security NNurnpe, Original F X07/975 Renewat 7 -10 -85 1472-56-8270 Nitfr�a I•D• No. County f_een Flied Wife, t� tSt spouse's S6Ciai Security Hal l � Register of Deed Number 003278 gj County Crerk � _•/ }V[ 1 dLfSfNE NAM£ AND LOCATION ADDRESS h4S Name T""""' TAXPAYER NAME AND MAILING ADDRESS Des &Rditos of Grand Island Name - Strev Address __ _ Bruce El ford S' 1 �u t Street or Other EWadiing Ao�^ dress city _ P.O. Box 3552 State zip Code Grand Island, 8E city state- r 1 i Y Code Ca_r�__ 82602 This Notice of Stagy Tax Lien is issued by the Nebraska revenue laves of the state of Nebraska. Notice is hereby Department that to es Revenue for unpaid taxes pursuant to the shown below, are due from the taxpayer specified and rhemainXUnpaicl� after demand. These taxes t, which are a in the county for real and personal property above to the taxpayer cx hereafter acquired. Talc Number Y Tate Period A p °act -- -- - fi ---- - - -�-- _ Amount of Tax I Penalty Interest Balartt of Additions i 10 -01 -84 th ru - - -- - _ Assessment Due i i ja 111 01 -84 thru ms Q R i r 12 -01 -84 I -- 110-01-84 thr t � TOTAL S nere04 certify that the Nebraska to be Department tii Revenue has complied with the revenue laws of the State of Nebraska in the d411 S �' minatlon of the amount shown to be due, and the taxpayer has failed t,i Lien Is an ex3ension of an effect pay the artiount due after demand. if this Notice of State Tax • I? A affective lien it serves to con,inue they priority of the state's Interest in trio affected pr,perty of the ' taxpayer. k� Praia" ture Ret t1� _Aaetn _ 7 -10 -85 Tftie - Date _ Authoriz ure S ial Agent T ;t,e 7 -10-85 COUNTY OFFICIAL'S USE #49MA6KA DEPARTMENT OF REVENUE Wfiite and Goldenrod Gies TAXPAYER -- Pink Copy COUNTY OFFICE Canary Copy 4. 494 -74 Rev. 7 -ai Supersedes 4- 494 -74 Rev, 5 -00 U I L J L_ J