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<br />,- <br /> <br />~t <br /> <br />LJM'J $<<1:"1 Numb., <br /> <br />Notice of State Tax Lien <br /> <br />83-004445 <br /> <br />NebrHKI ~.O~ No; <br /> <br />Wen FU-itd With SpoU:Je-'s S-Oela' Security <br />g] Register of Deeds u'mbltf <br />1 g) C<!unfy Cle" <br />.SUslNE$JNAMfi ANI) 1.0CATIOIII ADOfIESS <br /> <br />U.n Typ. <br />o Original <br />10 Ranewil' <br />CoUnty <br /> <br />Oat... <br /> <br />. RQd instruetiOM on reYe,.. ski. <br />Soclaf s.curity Nu'mber <br /> <br />r <br /> <br />9/10/662 <br /> <br />10-3-79 <br /> <br />505-64-55l!1/, <br /> <br /> <br />TAXPAYER NAME AND MAILING AODRESS <br /> <br />SU'lfti_u Namlt <br /> <br />Thti J':arpe~Man <br />StfMt ...."""... <br /> <br />3022 West Potash Highway <br />CitY' State <br /> <br />Name <br /> <br />Grand Is land. NE <br /> <br />---ll1aJ.a E. Mercer <br />Istreet or Other MaHing Address <br />, 1712 West 11th Str~et <br />ZIp Code jClty <br />-6aa~__ Grand Island. <br /> <br />State <br /> <br />Zip Code <br /> <br />NE <br /> <br />fiRM1 <br /> <br />This Notice of Stall! Tax: Lien is issued by the Nebraska Department of Revenue for unpaid ta'les pUl'5uant to the <br />re%_ laws of the stall! of Nebraska. Notice is hereby ~n that taxes including penalties aud uiterest, which are <br />shOWn' bel_. are due from the taxpayer specified above and remain unpaid aiter demand. These taxes constitute <br />a lien in the county for real and personal property belonging to the taxpayer or hereafter acquired. <br /> <br />ax <br />Catogory <br />N_ <br /> <br /> <br />1') 56 <br /> <br />? 5.L- <br /> <br />"i?1 ?Ii <br /> <br />To. Period <br /> <br />Amount of Tax <br /> <br />,-- <br />i <br />i <br />I <br /> <br />P.na'ty <br /> <br /> <br />Additions <br /> <br />s.""'ce of <br />A.ssessment Due <br /> <br />01 <br /> <br />I <br />I ! 1 <br />L___-.-l________L____ <br /> <br />TOTAL <br /> <br />$1.577.52 <br /> <br />f "..by <mlfy tn.t t.h. ~,aik4 o.~rtmOif'tl Qf R.".\NH",. h"~ (.GtHpllttO Wltn tn. f"'flIn-ue I.ws, of the State 'Of N.Dr.uk:. in the d6terM <br />mln.tt.on 01 the ..mount $nQwn to b~ (hJ.~ ..na .f~ t.1X.~Y"( hU f,j-H4d tn p.-v to. .rnount dtfe Afte' dam.fiC!. if this Nottc;. of Stale Ta,x <br />L.l~ Is .n "xt"'6'Qfi ot -.n .ffectlve Hen it SW'olli$ to cootinue the p,-iorHy of th~ stat.'", ir.t~iU.U in th. .tt.cted proPtt,-t~ of the t.)(p.)'.r. <br /> <br /> <br />sit. ~n,n.tr7f ;;il&.-. _____ Revenue AQent __,_,.___ 8-18-83 <br />lllre ~.",..r":ettH'. (p (/~ /J.t-- _ T!t';. '" O..te <br />. '-/~rf<'''' \.l \1..:::.,"'(1'/ _______.~-;)peclaL~!lL---___~ 8-18-83 <br />Autho.tlud tur.! T iti4' Oate <br />. ______ 'f . -==-F-O~:COUNf~:5!Ei'~~~,I:~~Si--=_-_~~=~~.--::~~:==_=~===='====l <br /> <br />t(~Ml\.'" OEl'ARTMi'NT OF REI/ENUe - Whi.. and Goldenrod C-.. <br /> <br />TAXPAYER -. P'nk Copy <br /> <br />COUNTY OFFICE - C.narv Copy <br />4~494.14 Rev. 7.81 <br />Super1;edes 4-494.'14 R.e\l. 5.10 <br /> <br />u <br /> <br />..... <br /> <br />L <br /> <br />.-J <br /> <br />L <br />