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<br />ISnebriHl<. <br />departmel1t <br />of re#1nue <br />Lien Serf..1 Number -ruen TYP9 <br />I QI 0<l9io41 <br />4/10/660 0 Renewa' <br /> <br />Notice of State Tax Lien <br /> <br />84 - 005272 <br /> <br />Ooste <br /> <br />. Read ifi$tfuctions o.n reHf'$8 side <br />iso-clat Security Number <br /> <br />10-4-84 <br /> <br />502-48-2691 <br /> <br />4267567 <br />I <br /> <br />TAXPAYER NAME AND MAILlNGADl::iRess <br /> <br /> <br />r <br /> <br />Nebraska 1.0. No-. <br /> <br />Ultn F'!ed With SPQuse's Soct., sa.c:uritY <br />Xl AeaH:te-f Qf Deeds Number <br />I Ha 11 I ti co~o" C'erk I <br /> <br />BUSINESS NAME AND LOCATIoN ADDRESS <br /> <br />County <br /> <br />&.ls-h'leu N.ame <br /> <br />Nar/1-e <br /> <br />Dos Banditos <br /> <br />Da 1e Lien <br /> <br />Street-AddreSs <br />609 South Locust <br /> <br />Strut Qr Other MaHing Address <br />65H - 27th NW <br /> <br />NE <br /> <br />ZIP Cod* <br />68801 <br /> <br />City <br />Seattle, <br /> <br />State <br /> <br />City <br />Grand Island, <br /> <br />State <br /> <br />WA <br /> <br />This Notice of State Ta>< lien is issued by the Nebraska Department oi Revenue ior ul1paiiitaxes~l.to1lt'! <br />""..,nue laws of the slate of Nebraska, Notice is hereby given that taxesiDcludingpenal~lIndJatere$t.Wblclt~.': <br />shown below, are due from the tllXpayer specuted above and remain unpaid after demand; Thesetax;esooiistiSliti <br />a lien in Ibe county for real and personal property belonging 10 tbe taxpayer or bereafteracqukeO.: . . <br /> <br />h.: j T." P"ioc! I D_ of Amount of Tax In_ Additlo... <br /> A.ue&ment <br /> 106-01-83 thruj <br />01 i 03-31-84 thrul 11 ,015.85 1 182.1 <br /> i 04-01-83 <br />21 I 03-31-84 3 292.98 430 0 <br /> <br /> <br /> <br />--r------~- -'--~"~'-"-l"" . ----t---- <br />, I <br />. I i I <br />I, i---------t <br />-t----t~=_-=-~~=~~t~~=__t <br /> <br />TOTAL $ <br /> <br /> <br />I '"'lil'Uby ee.l'tify that HHt N..bfojll<k~ OeP4!tm~nt of Hover-ue IU' comp.Hitd \'Van tn. tev4nuel.1lw, of the St".. ot Nebr.skll in thedet_~ <br />minaHon Of tne amo<.irn S-flown to b. Qtle, ~no toe t,aJl(pily.r hn hiiod in WY lh. .muUnt uIJ. .h.r iJem..tKi. iT tnii t..auUwof $t.ti: TaM <br />l..len .S an ....teoSloO Of ~n e~1eCl.l'ft! h!;tH .t W!f'a'f!ll; tu coot!!')Us the orlonty of Ute $tatlf's Interet.t tn tl'le 4ittec.ted p'o~rty of tM t.XN~~ <br /> <br />. ~'I (flu <br />Sllft ~~""A11r?t t?fi..t', Revenue Aqent 10-4-84 <br />-iia.. Pr~t.fTi Si9fl~ ,-~ ,_ _,_ _ /' /f ~_._ntl.o_ Oat. <br />, .~.... ~ AutMrlz",s'~::'''<'' '-,I ;~-";.~.~ -TI,,;~Cia1 Aqent Oat~O-4-84 <br />L_,______~______==__=:==~Oll COUl.TV ~FICIA_~_.usi:=_ <br /> <br />;;: <br /> <br />NEBRASKA DEPARTMENT OF REVENUE -.' Whl{ea"d Goldenrod COPIOS <br /> <br />T AXPA Y ER _. Pink COP'; <br /> <br />COUNTY OF F ICE -- Can.ry Copy <br /> <br />4.-494-;.. Rew-, 1-81 <br />SllpfHf,edes. 4-494-14 R.v_ 5.80 <br /> <br />u <br /> <br />L <br /> <br />L <br /> <br />-1 <br /> <br />. <br />L <br />