Laserfiche WebLink
<br />I <br /> <br />I. Efnebr. ..ka <br />department <br />of revenue <br /> <br />Notice of State Tax Lien <br /> <br />-Read in$tructions on reverse side <br /> <br />r <br /> <br />L.len- Sertal Number LitH'! Type Dllte Socia! SecurHy Number I <br /> ~ Original <br />4/Q8/452 o Renewal 8-3-84 505-54-4795~ 84 <br />Nebraska t .0. No. County Lien Filed Wlth Spou..'. $oClal Secud'> <br />4377540 Hall \&} Re9lst~f of Deeds Number <br /> ~_ct)unty Clerk <br />r BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME <br /> -- Name <br />ausfnes$ Name <br />Used Appliance Pl ace A 11 an Ensley <br />Stre.et Address Street or ottler Mailing Address <br />317 N. Vine P.O. Box 83 <br /> <br />-004158 <br /> <br />AND MAILING ADDRESS <br /> <br />I <br /> <br /> <br />Toll)!: Period <br /> <br />Amount of Tax <br /> <br />Penalty <br /> <br />tnt.ren <br /> <br /> <br />b;< <br />--"J:f <br />~~ <br />\';ij <br />f,,~' <br />-~;T~ <br />f&~ <br />~1t, <br />'11~ <br />~'-f.@ <br /> <br />State <br />NE <br /> <br />- Zip Code --~ <br />68801 I Grand Island, <br /> <br />City <br />Grand Island, <br /> <br />StatQ <br /> <br />NE <br /> <br />This Notice of State Tax Lien is issued by the Nebraska Deparnnent o(Revenuef", unpaid taxl$ pursual1t, ,to the <br />revenue laws of the state of Nebraska. Notice is hereby given mai iaxes incl~difig Fl.ah1a;:~rocd::nt~~:w!!~-~;~ <br />shown below, are due from the taxpayer specified above and remain unpaid after demamLThesetaxllSconstl1Jlte' <br />a lien in the county for real and personal property belonging to the taxpayer or hereafter acqnired; <br /> <br />I' Dal.of 11 <br />AS5ebIT1ent t <br />03-01-84 thru . I <br />01 103-31-84 17-30-841 127.03 <br />104-01-84 thru I 1 <br />01 104-30-84 I 8-3-84 I 175.01 <br />105-01-84 thru I <br />01 1105-31-84 I 8-3-84 I 124.92 <br />.06-01-84 thriJ ! I <br />01 106-30-84 ,8-3-84 L 268 54 <br />101-01-84 thru I I <br />21 103-31-84 I 7-30-84 i 23.84 <br /> <br />I Iii <br />-I -r--r--------------i I <br /> <br />---~ ' ___._.__--'--_.___.___J______._----L-- <br /> <br />i <br />5.00 i <br />i I <br />+_.2.4L-.l <br />i <br /> <br />4:87 <br />4 70 <br /> <br />"':;,I~ <br /> <br /> <br />1 i <br />...., j--.1L3L__ _ <br /> <br /> <br />TOTAL <br /> <br />$i59cBa <br /> <br /> <br />8"'3:..84 <br />Oilt. <br /> <br />IF3..AA <br />o.t.- <br /> <br />--~'--~-~---,--------,~~~-----_._-,._-~----~ <br /> <br />NE8RASi<A OEPARTMENTOf REVENUE: White end G04detnrod COPieS. <br /> <br />TAXPAYER Ptnk Copy <br /> <br />COUNTY OffiCE - c._v C_ <br />4.4&)4.74 Rev. 7..2\1 <br />Suptlrs.od., 4~494.J4 RfW. 5..&0 <br /> <br />u <br /> <br />L <br /> <br />..J <br /> <br />L <br />