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Notice of State Tax Lien *Road instructions on reverse side 4163MI Hall , County Clerk l KMINEU NAME AND LOCATION ADDRESS Business Name Tri State Transmission Street Address 372 N. Broadwell _ City state Grand Islamis NE 68801 85-~ 003933 _TAXPAYER NAME AND MAILING ADDRESS- Name Marvin Goodro 511.et or Gina, MaU!rg Address 156_ Beck Road City Grand Island,_________ NE 68801 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. Balance of Oats of ! Casm i Tax Period I Assessment i Amount of Tax Penalty i interest Additions I Assessment Duo I.v -vr -ut atru l _ Ol I10 -31 -84 1_285 56.70 __ Lion Serial Number I Lion Type ® Original It Date Social Security NumCQr ...- ------------j'--- 7 Rone -1 5.00 2,86 -' 8 -14 -85 526- 21 -7349 _ - -_ NNravka I.D. No. County 1,0.0- 2,Qa1_____ Lien Filed With `-' Register of Deed Spouse's Social Sacurity Number 4163MI Hall , County Clerk l KMINEU NAME AND LOCATION ADDRESS Business Name Tri State Transmission Street Address 372 N. Broadwell _ City state Grand Islamis NE 68801 85-~ 003933 _TAXPAYER NAME AND MAILING ADDRESS- Name Marvin Goodro 511.et or Gina, MaU!rg Address 156_ Beck Road City Grand Island,_________ NE 68801 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. Balance of Oats of ! Casm i Tax Period I Assessment i Amount of Tax Penalty i interest Additions I Assessment Duo I.v -vr -ut atru l _ Ol I10 -31 -84 1_285 56.70 __ j _. 1 -01 -84 thru l ...- ------------j'--- i 01 11 -30 -84 h -2 -85 _ 1 32.12_ -_ -- 5.00 2,86 -' 1 39.98 12 -01 -84 thru i _ - -_ _ - -- __-___, - -- -- _Ol 12-31-84 _ -21 -85 25x98___ _ 1,0.0- 2,Qa1_____ 07 -01 -84 thru _ -- -- _ 21 09- 30 -84-- 10 -31 -84 ii 5224 -- - _3.11- -- 6_85 - -- -- - -+ - - -- -72,20 - I r`ilRatrpn pt the e r •un r V �� ] .l,✓ !a ] pa r. ,+ t 7 ail I f - iP .. NQ.Ir dike I^ tRP, OeTkr .'¢ - [n.s NuTK4 of State Tart 11QR 16 dR e•lan Sir :si an f'r..Ltivu ��al Yf. ,r, _ ,r. �.. <. „r , _. .e ..ite a .rfter a:: ..e irtee tr:• ✓I �•:,er1Y v1 !Re 14, Ga Yer, Sign��_Rgven- ue_fQefl.Sc. Sparer nnure 114 _ _ " -.. _ Special 'z —._- Jate FOR COUNTY OFFICIAL'S USE , NEBRASKA DE PARTNtENT l)F REVENI:e White artl Gcndtrnrrxf r: ope+ TgXPAiEN if -,. c „pr._ I.UUNTV g1cICE .Anmy Cooy 1.494 J1 Rev 7. @� .,u DQ,,edes 4 494.74 Rev im ti :