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vela <br />- ~. ~~ <br />~~ <br />~latic~ of Sts~e Tax L'eer~ <br />eRcad ir[steuetiorw qn garages aide <br />LiatSKPelec*umt»r Ll.9R TYpe <br />~.'Orl9inal Qata Soclaf SKUrtty Number { j ~' (~ () P <br />2°i-- i <br />4 <br /> <br />2f 02/474 <br />[] Renewal <br />Z-5-82 <br />505 84 1165 C31.i <br />! V ~1 <br />N¢brasks. t.Cl. AVO. county LeM Ftted: witn SDauseY SDCIaI Seourfity <br /> Regisdar of c] aed umber <br />21-3295997 Nei 1 ~ Q COUntY clerk <br />j' ~ <br />BUS/M£SSNAME AND LOCATIt1N ADDRESS <br />E TAXPAYER NAME AND MAILING ADDRESS <br />~ <br />Rosiness Nama Name <br />Tottfa D. Erickson Tom D. Erickson <br />StrcetAddrau Street or Otnar Matiing Address <br />Routed Route 1 <br />tatty State 21p cage city State 21p code <br />Grande Island NE 58801 grand Island, NE' 58801 <br />2'hts Notice of State Tax Lien is issued by the Nebraska DeparOnenY of Revenue fur unpaid taxes pursuant to the <br />revenue laws of the stale of Nebraska. Notice is hereby given that taxes including penalties and interest, which are <br />shaven below, are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute <br />a Gen in the county far real and personal property belonging to the taxpayer or hereafter acquired. <br />Tax <br />NuCst~pwY Dsta of <br />Tax Period Aassstrlwtt ! <br />Amount of Tax ~ Penahy Interest <br />Additions Batana of <br />Assessment Oua <br /> <br />21 • D -i -81 thrU <br />-31-81 ;10-9-81 '. <br />318.00 79.50 34.27 <br />431.77 <br /> <br />21 -T-81 thru <br />-30-81 10-9-81! <br />318.00 47.70 ! 23.05 <br />388.75 <br /> <br /> i <br />f <br />~ i <br />t _-_.__._ -._-~ <br />i <br /> <br />~ I <br />~ f <br /> <br /> TorAi~ # $ 820.52 <br /> I hereby Ge[tify that the Nebraikd O¢Dartment c1f R¢ven us nag Compiled with the revenue laws of the State of Netiraika in the deter- <br />. mina£ion of 4ha amoun t shown Sq be bus. artd Ehe taxpayer nas tailed [u paY the amount due aster demand. If this Notice of State Tax <br /> L1en 15 an extenslgn. qt an 9f 4attive tteR i[ Servai to Coniin ue the prior;ty n1 the 5t a[9'S Interest in th¢ aP}¢Ctetl property Ot the tax Darer. <br /> ~ e <br />_ <br />Si A - ~ ` ~- ~~ <br /> ~ ! <br />Revenue <br />~ <br />~ Agent <br />--- <br />~~~~ Prep er' Dr _ <br />` TI;Se <br />s Oata <br /> --- Special Agent a~ ` ~- ~.~---- <br /> Autnpri5lgdataid Title Oate <br /> FDR COUNTY oFFICtAI'S USE <br />NE$RASKA.DEPARTMENT OF fr3EV ENUE - Witita snd Goldenrod Capie: TAXPAYER -Pink Copy <br /> <br /> <br />COUNTY OFFICE -Canary Capy <br />4-494.1a Rev, 7-8; <br />Supersaaes 4-694-78 Rev. 5.80 <br /> <br />L <br />