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aslta <br />- tmM1 <br />Notice of State Tax Lien 85. -0039 8 <br />•Read irnttu LriDM On toterse side <br />Lien Serial Numtaer <br />Llen Typo — Oate <br />- - - NumDar <br />O• +gloat <br />1 J <br />5/04/549 <br />L: Renewal <br />1 04 -25 -85 1 507 -28 -0201 <br />Neoaaska I.D. NO. <br />County <br />Lirn FrlOtl Wltn Spousit s $002; Security <br />Register of paeds1Numtter <br />I <br />4597923 1 <br />hall <br />County Cfe:k <br />�— 9MINESS NAME AND LOCATION ADDRESS - TAXPAYER NAME AND MAILING ADDRESS <br />9usfness Name !Nara, - - <br />2 E Place GayNelle, Winslow <br />Street Address (Street or Utner maiung Aaarfss <br />_ 440 Nebraska Street _ _ P.O. Box 411 <br />�- - " - - ^— <br />City state �- - - -. -tip Code state Zip Code !Cllr <br />Osceola, - IIE 68651^ - - I - -- — Osceola, - i -- — NE -- 68651 <br />This Notice of State Tax 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 due 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 />Date of T Balance of <br />Cattpory Tax Period j Aseeesment I Amount of Tax Penalty Interest Additions Aseasment Due <br />Number _ <br />tTiru i -- — — —} <br />01 01 -31 -85 I03- 04 -851 0.00 5.00 0.10 ? 5.10 — -- <br />TOTAL ! S 5.10 <br />I nPfOy s.lerbty that ins Nebraska Of per. C.s -, J! Fevanul' I' h'DIIeC with !!!a re once Ia'b's O( -tie State O! NapracNa in the Caton <br />mutation of tn4 a7"T "'0." 1. be ttuf, one! lne td..Ja! ^I "a: �I ailed t" ys, tn. amhunt .1. attar rlfmand. It this Nolit,e pf State (dK <br />t.tan Is M fx(eMl)n .1t atr atrOC'I'Jb !�a "r 1: .er�a> t.l <., n!I�rlc IIIC t�l l+Il i!y rrt C!:d tt.T.% :­erest In the afteC(ed p-perty rll 1nf ta.!Dayel. <br />_ Revenue Agent <br />s; w. t i. <br />Met Manager <br />j alhgrlard ignllurr . -- — T'tl!e -- to "'i <br />I FOR COUNTY OFFICIAL'S USE <br />NEBRASKA DEPARTMENT OF REVENUE - White and Goidenrod Copms TAXPAYFR -- P,nlr Copy COUNTY OFFICE - Canary Copy <br />4 494 74 Hay. 7 -111 <br />SuDrrteget 4494 -74 Rev. 3 -110 <br />U <br />L L J <br />L � <br />