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I .S-'....a ~ment .. Of ,_nua Notice of State Tax Lien . Read irm:ructionJ on reverse side r L.len S4trlal Number LIen Type Date Social Security Number KI original 3/08/875 o Renewal 8-12-83 83--i)04299 Nebraska 1.0. No. County Lien Flied With Spouse's Social Security Hall I&J Register at Deeds Number 2079682 f&] County Clerk I BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS I BUsiness Name Name S & E Presision Motor Inc. S & E Presision Motl)r Inc. Street Address Street or Other Mailing Address 1003 West Oklahoma 1003 ~J. Oklahoma Avenue City State Zip Code Clty State Zip. Code Grand Island, NE 63801 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 iucluding 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. I Tax Date of I I Balance of I c.t_rv Tax Period Amount of Tax Penalty Interest Additions Num..... Asseument Assessment Due 03-01-83 thru I ! 01 03-31-83 6-23-83 93.29 5.00 ! 3,72 102.01 04-01-83 thru I I 01 04-30-83 6-23-83 133.70 I 5.00 !l.05 142.75 05-01-83 thru I I , 01 05-31-83 6-24-83 94.90 -0- ! 1. 75 96.65 06-01-83 thru ! 01 06-30-83 8-03-83 100 36 5 '1() I .69+ 1 06 05 i I ! i , ; I I , ! I , 1 f I I ! I I I TOTAL $ 447.46 I hereby certify that the Nebraska Oepartm~nt of Rewnue has complied with the revenue ioill~ ot the State Of Nebraska in the dehtr* mlnatlon of the amount snown to be dult. and the taxpayer has failed to pay the .mount due itter demand. If this Notice of State Tax Lie" Is an extension of an effective Hen it serves. to continue the prronty of the state's interest in th$ aff.cted property of tl18 taxpay.,. :'..~:. ~~ ~ ~-J /' '.'. ,---\-... e:=.:f' / ",~-,. . { "'~...._~. ~ ' SDecial Agent _ _ . Authorize<! Sign r. " - Title . FOR COUNTY OFFICIAL'S USE !)f'vf>nIJP '~gent Tltie 8-12-83 Date 8-12-83 Date __J NEJRASKA OEPARTMENT OF REVENUE - Whi18 and Goldoncod Copies TAXPAYER - Pink CoPV COUNTY OFFICE - Canerv Copy 4-494--74 Rev. 7.81 Supersedes 4+494.74 R...,. 5~80 u L L ..J L