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1 <br /> <br />~ <br />- No#ice of ~#a#e Tax Lien <br />rtebraska ~Rad-instructtom onrswrse airN <br />i:1MrSertaf.NUmbar Wn TYpa OaU°~ - Soc(a( Security Number <br /> <br />~'On91na1 <br />{~ Ranewa( <br /> <br />i -1$-$3 <br /> <br />505-64=0430' ~~..~ 1 3 F 171 ~1-~ <br />tJ ll ll tJ <br /> <br /> <br /> <br />Neb+askal.p'.Na: -County Uen.Filatl~Wixb. Spouse's-~clafSecurlty <br /> ~] Re915ter ox Oaeds Number <br />23191 Q1 Hall ~ County clerk <br />DRESS <br />- BUSINESS NAME AND LOCATION~ADDRESS- TAXPAYER NAME AND MAILING AO <br />Buafnass-Name- Nama <br />Hoa Iand Constructian La Moine Hoagland <br />StraK'AddraR Strest or Other Mailing Address <br />1723 St Paul Road 1723 St. Paul' Road <br />CltY 5tata 21a Code CItY State ZIp,COde <br />brand Island, NE 68801_ brand Island, NE 68801- <br />This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid faxes pursuant to the <br />revenue-laws of the s®te of irebrasica, ivotice is hereby given that ®xes including penafiies and inferesi, wnien` <br />shown below, are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute <br />a lien in the county far real and personal property belonging tc the taxpayer or hereafter acquired. <br />T+x <br />Catapbry <br />Numba <br />Tax Wdad Date of <br />Agent <br />Amount of Tax <br />Penalty <br />Interert <br />Additions eawnp of _ <br />AatessmaM Dw- <br /> <br />O1 t ru <br />07-31-82 <br />10-15-82 <br />6.45 <br />5.00 <br />.35 <br />11.80' <br /> <br />O1 08-01-82 thru <br />08-31-82 <br />10-15-82 <br />65..52 <br />5.00 <br />2.76 <br />_ <br />73..28 <br /> <br />07 09-01-82 thru <br />09-30-82 <br />1-5-83 <br />5.43 i <br />-0- <br />.16 <br />5.59 <br /> <br />Ol 10-01-82 thru <br />i0-31-.82 <br />1-5-83 <br />191.79 ~ <br />5.93 ~ <br />~ 3.60 <br />201.32. <br /> <br />Ol f 11-O1-B2 thru <br />11-30-82 <br />1-5-83 <br />2.38 i <br />5.00 <br />.02 <br />7.40 <br /> I <br /> <br /> TOTAL ($ 299.39 <br /> 1 hereby Certify gnat the Nabraike DeparimoM of Revenue nas fomp{{etl witn Ine revenue laws of ine Stara of Nebraska In the tlater- <br /> mlrtaitan of Th amount shown to be due, and [he taxpayer nas called to pay Tne empun[ due after <br />' demand. If tnls Native of State Tax <br /> pert (s an nskan of an a gctlve }te S IntarasT In the aHaCted property of thB taxpayer. <br />serves (a Continue the prbr{ty of the Stata <br />~~A i -f Revenue Agent 1-18-83 <br /> <br />sr's Si re Tice <br />~ Date <br />- <br />~~~_ Special Agent 1-18-83- <br /> Autnorized t9na Ti(la Data <br />- FOR COUNTY OFFICIAL'S USE <br />- NEBRASKA-DEPARTMENT Of REVENUE - YJhiFS ared fit[tdemod Copies TAXPAYER -Pink Copy <br />COUNTY OFFICE -Canary Copy <br />4.494.74 Rsv, 7-at <br />Supersedes d-494-7a Rev, 5$0 <br />e~wra~ . - w <br /> <br />