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<br />._"ka <br />wtrr,eru <br />of -revenue <br /> <br />Notice of State Tax Lien <br /> <br />r <br /> <br />LIen Serial Number Lien Type lo.te Soctal Sec;:Uflty Number <br /> ~'Orlgfn"! <br />4/11/800 o R.~ew~1 111-1-84 507-42":4081 84-005850 <br />N.bruk~ LO. No. Cot/My I Lie!" FH$d Wlth S_PO'usel$ -Soci,ai Sac'urity <br /> t [! Register of o.te'd~NUmbe' <br />3581217 Hall G County Clerk i 508-60-7962 <br />I 8USINES$NAME AND LOCATION AODRESS I TAXPAVER ~ AND MAILING ADDRESS I <br />.ca..,......~N_... I. ..... ... . <br /> <br />. R.ad instructions on rev..... .ict. <br /> <br />Cow Palace <br /> <br />,Name <br />I Gary & Renee SchwieS,iilr d/b/a .COItlPaTace <br />Straet or- Otner Mailing Aitdres~ <br />3602 West 2nd <br /> <br />CHY <br />Grand Is 1 and, <br /> <br />State <br />NE <br /> <br />ZIp COQ4 <br />h IHln1 <br />>.,i~-.;;;-. <br /> <br />lC~:..... T .. A <br />I ""a"d .slan"" <br /> <br />State <br />N!:: <br /> <br /> <br />Stt.-t'Add:(8S$ <br />3602 West 2nd <br /> <br />This Nolice of State Ta" Lien is issued by the Nebra;;kaDepartment of Revenue for unpaid tlxesp~NGtile <br />revenue lal1\'S of the state of NebFll$ka_ Notke is hereby given that taxes including penaltiesandi11~j~'~ <br />shown helow, are due from the taxpayer specified above and remain uapai4 after demand. ~..~.~tifie <br />a lien in the county for ,eal ?~d personal property belonging totbe taxpayer or hereafter acquir..d; <br /> <br /> <br />Ta. <br />I~:~ <br /> <br />01 <br /> <br />i Tax Feriod i 0at9 Qt Amount of Tax <br />: . IA........en, <br />! 05-01-84 thrul, , <br />i 05-31-84 i 10-4-84 i 288.6B . <br />i 06-01-84 thrul r---=--- ----; <br />, 1 I i <br />106-30-84 110-4-84 372.64 i <br />107-01-84 thrul! i <br />i 07-~1-84 110-4-84\ 334.38 <br /> <br />fL ~-3 <br /> <br />14.28 <br /> <br />_-_,C,_,:___}:: <br /> <br />jJiLa~"' .... <br /> <br />01 <br /> <br />01 <br /> <br />10.34 <br /> <br /> <br />11.52 <br /> <br />, <br />i <br />I <br />.--------1 <br />! <br /> <br />1 <br />1 <br />-' <br /> <br />J .. . <br /> <br />TOTAL ~.063:'bll <br /> <br />I !'lan:by Ct'lftlfy ttl4t the Neoras.Xd O.partnHmt of H&1;i!;'!flJ,.l(! h.a,S compiio!N with t~~ !e~-!l@ i,,"w$ of tn. State of NllJDr~_U'l tn.'o.t.,... <br />mir.atlon 01' Hle olfn'ivu..~ ..;-;c*;: !."-' t>~ (lua, ;!no the tilX:p.Jyer nu t",He<:! to pOly th~ amount due .-Hat' ~~iiiil:".4. !f t!'H!t .NHtl~ aT '~i.i.-...; <br />Wen is .an exttlni.!On ot .in effKlhte lien it 1ef'o18S to contlnue tfi~ pno-fity vt tn. ,t.;:=~ lnt-!!!-M-t in the. aft'ec;ted p.ropo;rty of-the taxpayeT. <br /> <br />........ /~-~-- -~ <br />--.--; ~{F~.7FFlQ7l ,/nq <br />.ereP,ep''''n:b ~ff <br />l"'AOlhO(;;!-ratufO ~ <br /> <br />Title <br /> <br />Revenue Agent <br /> <br />11-'1"'84 <br />Date <br /> <br />TItle <br /> <br />Special AQent <br /> <br />11-1-84 <br /> <br /> <br />u.n;, <br /> <br />E <br />c <br /> <br />FOR COUNTY OFFICIAL'S USE <br /> <br />I <br /> <br />NE.BP.ASKA DEPARTMENT OF REV ENUE - Wrllte .and Gotdenrod Coptes <br /> <br />TAXPAYER - P;nk Copy <br /> <br />COUNTY OFFICE - Cen..... Copy <br /> <br />4-4-94-}1! R~.... 7-&; <br />Supe-rMltdes 4~494-74: ROv. S..s:O <br /> <br />u <br /> <br />L <br /> <br />L <br /> <br />-1 <br /> <br />L <br />