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<br />IJS".eb,..ka <br />department <br />of revenue <br />Lien Seilal Number <br /> <br />Notice of State Tax Lien <br /> <br />1411896 <br /> <br />Lien Flied WIth Spouse'S Social Security <br />lKl Register of Deeds Number <br />Ha 11 ~ County Clerk <br />BUSINESS NAME AND LOCATION ADDRESS <br /> <br />Lten Type <br />KJ Original <br />o R&neWal <br />County <br /> <br />Date <br /> <br />. Read instructions on reverse side <br />Social Se<:urity Number <br /> <br />Tax <br />r:'l.tegory <br />Number <br /> <br />Tax Period <br /> <br /> <br />Amount of Tax <br /> <br />Penalty <br /> <br />Int.,..t <br /> <br />Additions <br /> <br />a._of <br />ASS8ainisnt~-oue <br /> <br /> <br />r <br /> <br />3/11/275 <br /> <br />11-11-83 <br /> <br />505-50-6383 <br /> <br />83- 00610-6 <br /> <br />Net)ri)5"':a 1.0. No. <br /> <br />T AXPA VE R J\lAME ANI) MAILING' ADDRESS <br /> <br />Business Name <br /> <br />Name <br /> <br />Hastinqs Glass &. Aluminum Inc. <br /> <br />Ralph O. Hatton <br />Street or OttlE.r Mallfng Address <br /> <br />Streitt Address <br /> <br />925 West 2nd Street <br /> <br />1413 Oak Forrest Road <br /> <br />City <br />Hastings, <br /> <br />State <br />NE <br /> <br />Zip Code <br /> <br />City <br />Derby, <br /> <br />5t.te <br />Kansas <br /> <br />68901 <br /> <br />This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuantt01he <br />revenue laws of the slate of Nebraska. Notice is hereby given that Iaxes including penalties and interest, whkh are., <br />shown' below, are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute <br />alien in the county for real.nd personal property belonging to the taxpayer or hereafteracquired, <br /> <br />21 <br /> <br />5-1-83 thru <br />5-31-83 <br />4-1-83 thru <br />6-30-83 <br /> <br />201.19 <br /> <br />6.22 <br /> <br />10.50 <br /> <br />21791 <br /> <br />01 <br /> <br />493.28 <br /> <br />I <br />I <br />I <br />I <br />I <br />-r <br />I <br /> <br />24.66 <br /> <br />18 92 <br /> <br />536 6 <br /> <br />I <br />I <br />~ <br /> <br />TOTAL <br /> <br />$ <br /> <br />754.77 <br /> <br />I hereby certify to<1t the NebraSka Department of Revenue has compiled 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 extension of an eft. en it s(trv~s to continue the priority of the st..te's interest In the affected property of the t.lxpayer, <br /> <br /> <br />Revenue Aqent <br /> <br />//-- /V-~ <br />Dat. <br />(.'_14-'1 ") <br />0. . <br /> <br />sign <br />here <br /> <br />Title <br /> <br />Special Aqent <br />Title <br /> <br />FOR COUNTY OFFiCIAL'S USE <br /> <br />NEBRASKA DEPARTMENT OF REVENUE - Whj~ and Goldenrod Copies <br /> <br />TAXPAYER - Pink Copy <br /> <br />COUNTY OFFICE - Canary Copy <br /> <br />4.494-74 Re\!. 7-81 <br />Supersedes 4-494-74 Rev, 5.80 <br /> <br />u <br /> <br />L <br /> <br />-1 <br /> <br />L <br />