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<br />I <br /> <br />I~nebrask. <br />dtJpartlJient <br />. . .. of ,,,,,Mue <br />Lien serial Number <br /> <br />Notice of State Tax Lien <br /> <br />83- <br /> <br />005407 <br /> <br />NeDraSl<a I.-D. No. <br /> <br />Lfen Flied With Spouse'S SocIal Security <br />00 R-eglster of Deeds Number <br />Ha 11 ~ County Clerk <br />BusiNESS NAME AND LOCATION ADDRESS <br /> <br />Lien Type <br />o Original <br />g] Re-newal <br />County <br /> <br />Date <br /> <br />. Read instructions on reverse side <br />Social Security Number <br /> <br /> <br />T AXPA YERNAMEANn'MAILINGAODRESS <br /> <br /> <br />f <br /> <br />1 12 .256 <br /> <br />12~3~81 <br /> <br />505-54'-3468 <br /> <br />Business Name <br /> <br />Name <br /> <br />Greene Buildin <br />St~eet AddresS <br /> <br /> <br />Inc. <br /> <br />Robert R r <br />Street or Other Mailing Address <br /> <br />219 South 14th Street <br /> <br />City <br />Ord. <br /> <br />State <br /> <br />Zip Code <br /> <br />2024 Hest 10 <br />City <br /> <br />State <br /> <br />Zip Code <br /> <br />filE <br /> <br />68862 <br /> <br />Grand Island <br /> <br />NE <br /> <br />Tbis Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to tbe <br />revenu~ laws of tbe state of Nebraska. Notice is hereby given that taxes including penalties and interest,wbichare <br />shown below. are due from the taxpayer specified above and remain unpaid after demand, These taxes constitUte <br />. lien in the county for real and personal property belonging to the taxpayer or hereafter acquired, <br /> <br />Tax <br />Catogory <br />Number <br /> <br />Tax Period <br /> <br />Oateof <br />Assessment <br /> <br />Amount of Tax <br /> <br />Penalty <br /> <br />Interest <br /> <br />Additions <br /> <br />Balance of <br />Assessment Due <br /> <br />7'-1-80 thru <br />21 9-30-80 <br />10-1-80 thru <br />21 12-31-80 <br />1- 1-81 thru <br />21 3-31-81 <br />4- 1-81 thru <br />21 6-30-81 <br /> <br /> <br />TOTAL $ <br /> <br /> <br />I hereby certlfy_ that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the deter- <br />mination of the amount shown to be due, and the taxpayer has failed to pay the amount due after demand. If this Notice of State Tax <br />Lien is an elden Ion of an effective lien it ser....es to continue the priority of the state's interest in the affected property of the taxpayer. <br /> <br />sign <br />here <br /> <br /> <br />Special Agent <br />Title <br /> <br />10-7-83 <br />Date <br /> <br />Special Aqent <br />Title <br /> <br />10-7-83 <br />Date <br /> <br />FOR COUNTY OFFICIAL'S USE <br /> <br />NEBRASKA DEPARTMENT OF REV.ENUE - White and Goldenrod Copies <br /> <br />TAXPAYER - Pink Copy <br /> <br />COUNTY OFFICE - Canary Copy <br /> <br />4-494-74 Rev. 7-81 <br />Supersedes 4-494.74 Rev. 5-80 <br /> <br />u <br /> <br />L <br /> <br />L <br /> <br />.-J <br /> <br />L <br />