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<br />I.r:: neb...k. <br />f~~.1~~t <br />....vf ...._..~_ <br />W;;s;;T.~TLi~n T~P6 <br />I i:X Ofl9if1al <br />1 0 Ren.f3"w&1 <br /> <br />Notice of State Tax Lien <br /> <br />. R.~ '"!-true!!On5 ~ ......._ iid. <br />I Oate 'SOCial s.c-;-;rlty Numbe, <br /> <br />II 11/24/841 ,. 506-50-1398 <br />.bien FJlod With Spouse's SocIal Security <br />~ Regis.ter ot Oeeds/Number <br />fJ County Clerk- ' <br /> <br />r <br /> <br />21-3906477 <br />C <br /> <br /> <br />84 <br /> <br />~ <br /> <br />006194 <br /> <br />BUSII\IESSNAME AND LOCATION ADDRESS <br /> <br /> <br />TAXPAYF.R NAME AND MAILING ADDRESS <br /> <br />City <br /> <br />State <br />Oma.ha <br /> <br />Ne <br /> <br />Zi p Code <br />68124 <br /> <br />tName- <br />I Gary E. Hohnholt <br /> <br />Street or Other MaJtlng Actd1"6U <br />I 4015 Edna Drive <br />I <br />ICity <br />, <br />I <br /> <br />. State <br />Grar~ Island <br /> <br />8.u$1-(U!S~ Name <br />Midwe$t Pension service, Inc. <br /> <br />Street Addre!S-$ <br /> <br />TOIAL <br /> <br /> <br />... <br />ill <br /> <br />2722 South 87th Street <br /> <br />This Notke ~f State" T~s Lien i~ issued by th.e N~braska Depm'tmen~ of Revenue for unpai-d-.taxe8:_pu",~llt :to::ttre <br />revenue laws oflbe state of Nebraska. Notice is hereby given that taxes including penalties and interest, Wbiclnlre <br />shown below, are due from the taxpayer sp...cil1ed above and remain unpaid after demantVThese tlIxesconstltUte <br />a lien in the c-ouoty for real and IH."!'SQnal property be!nnging to the taxpayer or hereafter acquL-ed.. <br /> <br />21 <br /> <br /> <br />Amount of Tax <br /> <br />Penalty <br /> <br />10- <br /> <br />r Tax <br />I Co_'v <br />J Number <br /> <br />117.19 <br /> <br />17.74 <br /> <br />17.26 <br /> <br /> <br />-~.-............... <br />[ <br /> <br />i <br />, <br />-------'- <br /> <br />-r <br /> <br />I nUr-6D)' certify tn~t tl"!e Nctl-fiJSka O~p<1ftmtl:nt of Revenue has compiled with the revenue laW$:' of ttl.8 S.tate of NebtMXa in.tno.o.t...'... <br />m/nation o-f the olmount .mQwn to be 0\,16, ilnO the t.a:<payef h03S f;)lIed to pay the .mount du. aftef. clemena-. tf this Notlce,f)f.St~.Tax; <br />Lien I';; an edellsmn of an ~HlH:tl'"..-e Hen it '>efVl!li to 'Contlnl,Ht the ptiorfty of the stat.'-f int.rest If) the affect.o property,of tn.',taxpJyet. <br /> <br />sip <br />..ete. <br />. <br /> <br />tit - ,1MJt. <br />~v-fr. C* '-., J <br /> <br />~tp"7~ <br />/ -:a,p' <br />Authot I at . <br />- li <br /> <br />Fevenue.. Agent <br /> <br />11/26/84 <br />00'" <br />1l/26/M <br /> <br />Title <br /> <br />Manager <br /> <br />TltIo <br /> <br />Oole <br /> <br />FOR COUNTY OFFICIAL 11 USE <br /> <br /> <br />Ne.&RASKA DEPARTMENT OF f.iEVENUE - 'r"'-.itHta- and GOldenrod Cap:e,: <br /> <br />T AXPA YER - Pink CCpy <br /> <br />COUNTY OFFICE <br /> <br />4.-.4&4-:14 R4'\o.'J-;.; <br />Supeueces 4-49'-4-7.4 R-.v~ 540 <br /> <br />I t <br />'--' <br /> <br />L <br /> <br />..J <br /> <br />L <br />