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<br />Ir;;n.t>. ,aska <br />~tment <br />01 revenue <br />L'en Sfl-i.. Nurnbe.r <br /> <br />Notice of State Tax lien <br /> <br />r <br /> <br /> <br />. R~ instructions on revenII std. <br />St}(;!-al S.wrlty NUlTJber -I <br />I <br />09-11-84 505-78-0516 I <br />Lien Flied With SPO\JSfiI'S SocIa! Security j <br />IXJ RO<jI-ste( of o.eds Numtu!( <br />C01.Itlty Cl~rk I <br />BUSINESS NAME ANO LOCATION ADDRESS -+_. T AXPA YER NAME AND MAILING ADORESS <br />8UliI'U)$S N"me ~am. <br /> <br />1Il" $jI.'M'f I 1'1''' ..AR!.!' SYS'I'I'MS.-.___ PHTI.TP f.AR1'WRTGfJr <br />S1-reet A(JdtttU Street Or Other MltHinq Address <br /> <br />1904 12;).1 Sn.EE'L------------.-- I CONTI'NTT AI. r.ARO"N- 3111 W mU,F.GF. APT 1/28 <br />City State Zip CoCl6 I city State ZiP. .Code <br /> <br />Sf[)N]lY jilT:; ____________.L_____....GBANO ISLAND <br /> <br />I Dat~ <br /> <br />4/09/575 <br /> <br />84-004830 <br /> <br />NE <br /> <br />68802 <br /> <br />This Notice of State Till: Lien is issued by the Nebraska l"leplU'lIm!lIt of Revenue f...unpaid taxes punuant tothe <br />~nue laws of tlte state of Nebraska, Notice is "_by given tbat taxes induding penalties and interest,whichare <br />shOWll below, are due from the taxpayer specified above and remain unpaid after demand. These taxes _tilute <br />a lien in the county ftll' real and pel'lional property belonging to the taxpayer or hereJJfler acquired, <br /> <br />I To. <br />I Cotego<y <br />I _bet <br /> <br />Amount of TaK <br /> <br />Penalty <br /> <br />Interest <br /> <br />Adcll~ <br /> <br /> <br />I <br /> <br /> <br />1 $ 1328.48 <br /> <br />I I , <br />I To. PM'ad I A=:::'" I <br />161-01-84 th:rui I <br />104-30-84 I : 1222.40 <br />I 1;-- <br />I : , <br />I t~-----+----- <br />I I <br />1 I --~--! t <br />--+---+-----.----------~ .-,---.. -t----- I <br />! 1 ! ! <br />i------r--------'--- I <br />I ,! . , ; <br />-l---t==~I~_==~~~~=1~~_.~_~~_.___,l .-_____1 <br /> <br />01 <br /> <br />26.56 <br /> <br />79.52 <br /> <br />'t--- <br /> <br />TOTAL <br /> <br />1 n4tiotC-y "flftHy mat_ toe N.o,u:t.<,a Def,)il.tt!-!';;~tl-l ()1 Rh~Hl"HI hu .;mnpHed' -.,;.;-H1'\ the '_iN_rllJ->! liiW$ Qt' ti'lQ_Sta_te Qf Neb-r-o,ka- in Ul<<<kii,t6-r. <br />I'nln.httn of U)__ bO'H.ll,,!nt ~ftQwn to D-<< due, ,)nil HH~ taltpot'f4-f n.u 1aHftd to P4Y th<< 4n\0\.uH '(tUft .ftlJ-r demand. It tot. Notle:e of St.t_. T~ <br />';' _ j:~ ,c. Lt$fl.~ .ioi'tfffi1ifQ-h Of lItl (!:UecU". H~w n -Ul!flte~ l-O ...ontioue F~ r->.t-viH)' ;:.;f tho; si.t,,';; ;;":-t~r=: i-~ H}~ :-!~!'::d-::!'~~ty ,~f_th!!: ~~V~-.:. <br /> <br />~.lan "fP.l.>, - ,. ,/; ,/ . nm' NT <br />.-8.... . .___H<... ......'jJ' ~h- ~--'---..T-I~. ENIJE AGE ___ SEPTBMllERU, 1984 ". <br />'her. ':: . so~'''. //, - -<' /./ ,/" / 00" <br />~-~:'-ic:'-"'4/~- -, lc,,....~..... -~~{y ._SPECIAL AGENT SEPTtlMBnR Ih 1984 <br />_,,"_"-" _ ;..Authotj.laQ St~. '6- Title Dat. <br />e '//j'/.. . ~__"-_=:~~==~_::_~=:=~~.::!~I€~Tv:~!'!j~AL-:sU~___=:::::::=_:.=_ ._ ---, <br /> <br /> <br />NElll\.o.sKA DEPARTMENT Of' REV ENUE -- Wh'.. and GOlo.mod C"".., <br /> <br />TAXPAYER - PInk Copy <br /> <br />COUNrv OffiCE -- COnsfY Copy <br />4.494--14 R."..-. 7-'1 <br />SU-P~'$ed!ls- 4~494.7~ Rev, S>-$D <br /> <br />u <br /> <br />L <br /> <br />L <br /> <br />-1 <br /> <br />L <br />