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<br /> <br />Notice of State Tax Lien <br /> <br />l <br />i <br />l' <br /> <br />j <br /> <br />1 . I' .. .... ......' <br />TA.XPAVl!RN-l'.ANOMAlt.Il\l!'iADOlfl!Sll! <br /> <br />:-.,,,,- <br /> <br />Gol deflltJl:$ll!;l1oa <br />st:rWt--.A.44f-HI <br />4G2ShuthHigh Sti"P.Rt <br />C~y--_ Stitte <br /> <br />Z1p COd.. <br /> <br />Cairo~ <br /> <br />fiE <br /> <br />~L- <br /> <br />/IF <br /> <br />nil Notla lJfS....le Tax Uon is issued by !he Nebraska Depl!l1nlent of RevenuerOl' \l"pajdtlvces~t'~o'the,. <br />_ Ja..q nf the state of Nebraoka. Notice is he.-eby gift'll thatlaXesincludiogpenaltieund inh!t<ist; WlUCbllte <br />sbownbelow, ...." due frnm the taXpayer speclrlOd a"""'.lId remaln U1tpaid .fterclemand. These - eonstitute <br />a lien in' the e<Ilmty for....1I and persnnaI.....perty belvnfling to the taxpayer 01' berufteracq.ct <br /> <br />lc':,;,~ I To_ I Datoof <br />!N_i . 1_' <br />!03~01~83 thru ! <br />01 103-31-83 16-8-83 <br />! 04-0l-8~ thru ! <br />01 !04-30-83 17-29-83 <br />! 05-01-83 thru I <br />01 !05-31-83 ~-1-83 <br />j06-0t-83 thru! <br />01 106-30-83 ~-1-83 <br />i I <br />I <br />i <br />I <br />J <br />I <br />j <br />l <br /> <br />A",Gant of Tax <br /> <br />Pwnoky <br /> <br />-,- <br />I Int..... <br /> <br />I <br />i 12.55 <br /> <br />Addltl_ <br /> <br />247.81--+ <br />276.35 <br /> <br />7.66 <br /> <br />8.55 <br /> <br />, <br />i 240.61 <br />-r-' <br />239.14 <br /> <br />7.44 <br /> <br />; <br />-+ <br />! <br /> <br />11.34 <br /> <br />296.24 <br /> <br />__ _,~I,-<t(L__ <br />I <br /> <br />2.QL.. <br /> <br />_ .1.22 <br /> <br />::::~: <br /> <br />--"---~~+-- <br /> <br />; . <br />'-.----r-----j- <br />j i <br />1- <br /> <br />~ <br /> <br />I <br />I <br />,~."_...~~-- <br /> <br />TOTAL <br /> <br />$ 1,070.08 <br /> <br />! ~y (:otuty tn.t tM \"iCt)f.,~ D4_o.;IIn~~~ t.,H ft""",.1\l. ~~1I r;OIlli)H<<f ....'th tn.- r.n.1U. 'I-wi ot th. St~t. u' N.bf.~l(a in tht- deter. <br /> <br />tip. ~"7~ ~~~~:~'~..."'~~'~'~,:~.:~~:~~~~:~~:~~~~'::~~~'~:;'~~:;~~~~~;~~ <br /> <br />..... .. ".___.s~"'.'..~,;;:..:,r~~==---- Special Agent ~,,9.-9-83 <br />-r;tt;-------.--.-------....--....- --:;;----------- <br /> <br />L ,. ._~.____~_Oft'c~:.!~!!..~~j;-=~~_~~===,:~~===:==.=_=====~==:J <br /> <br />,~Ol!PAA.U"'NT OF REVE"IUE - _to.... ~ud C"",", <br /> <br />r AXPA, YER .- Pink Copy <br /> <br />COUNTY <br /> <br />.- Canarv Cooy <br /> <br />4-"",""14 R_y. 1,,8;1 <br />Su.pef$edlt" 4.49ot.}4 "tW. 5.8'0 <br /> <br />u <br /> <br />L-. <br /> <br />L <br /> <br />..J <br /> <br />L <br />