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r nebraslta tnwni revenue Notice of State Tax Lien 85, 003594 LNn Serial Number Lien Type Data Social Security Number Penalty Interest JD Original Balance of Assessment Due 21 0 -01 -84 thru 2-31- 5/07/066 0 Renewal ] -24-85 Aon -68 -1 R.ebruka I.D. No. County Lian Filed Wlth Spouse's Social Security 3773361 Hall Re9lster of Deed Numbar county Clerk BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS Business Name Name L C Buildin g Products Lori P Stmt Address 603 East 4th - reen Street or Other Mailing Address City Grand Island State NE Zip Code City State 21D Code 68801 ton. ra 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. Tax Number Y 21 Tax Period 7 -01 -84 thru -30- Assessment Amount of Tax Penalty Interest Additions Balance of Assessment Due 21 0 -01 -84 thru 2-31- - --no 525 i TOTAL S 1 I nereby certify that the Nebraska Department of Revenue has compiled with the revenue laws of the State of Nebraska in the deter- Of of the amount Shown to be due, and the taxpayer has failed t0 pay the amount due after demand. if this NOSICg of State Tdx Lien Is an extension of an effective lien It serves to continue, the priority Of the state's interest in theeman . f this o of the taxpayer. RS-aa CA -ysL Revenue Agent 7 -24 -85 ? Pvelparer• ture Title Date Special Agent 7 -24 -85 AetheM SW. ature Title Dab FOR COUNTY OFFICIAL'S USE NEBRASKA DEPARTMENT OF REVENUE -- White and Goldenrod Copies TAXPAYER -- Pink Copy i� in COUNTY OFFICE — Canary Copy 4. 494.74 Rev. 1.e1 Supersedes 4- 494.74 Rov. 5 -00 U J