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„- <br />raska <br />tment <br />enue <br />I <br />fF~6 nreb <br />~! mar <br />of rev <br />lyc~#iee of ~tat~ 'Ta~c Liege <br />w a....w ....h..erhinna nn vwYwfSa stile <br /> Otte <br />T <br />^ 50C1a1 Security Number <br />Liert $ariok Number y„ <br />¢ <br />Lien <br />1~ DY'gl nal <br />~Q <br />~ ~(}O6 <br />2/02/478 ~, Ren¢wal ~ 2-17-82 506 46 2692 - <br />Nebraska f.D. No. County Li¢R'F{Ved With $pOUSe's Sociat Security <br /> Register of Deetls Number <br />3221603 Hall ~CDUnty Clerk <br />BUSFN ESS NAME AND LOCATiONADDRE SS TAXPAYER NAME AND MAILING ADDRESS <br /> <br />Business Name Name <br />Wind.ianmErr s __ Ri hard r MC_MirhaPl <br />55 <br />dd <br />Street Address <br />I $treat or re <br />Other fvtafling A <br />2708 WEst H1t1hWdV_3Q Cuitn K _+ 4~ Ari~nna~,-vanuP <br />State 21D Cotle <br />_. State Zip Cptle Is.'LY <br />City <br />r_Y•~r<rt 4~la <br />nri- AlF <br />6880]_ <br />~ Gra <br />nd Island. ^dE~ hR801-- <br />This Notice of State Tai Lien is issued by the Nebraska DepaztmenA of Revenue for unpaid Yaxes pursuant to the <br />revenue laws of [he state of Nebraska. Notice is hereby given tha4 taxes including penalties and interest, which aze <br />shown below, are due from tfie taxpayer specified above and remain unpaid after demand. These taxes constitute <br />a lien in the county for real and personal property belonging to the taxpayer or hereafter acquired. <br /> <br />Tax <br />Cata9ory <br />Numlrer t <br /> <br />Tax Period <br />Date of <br />Assessment <br /> <br />Amount pf Tax Penaky <br /> <br />Interest __ I <br /> <br />Addlilors <br />I <br />Balaneeof <br />Asserssmenr Due <br /> 9-1-81 thru <br />O1 9-30-81 I 1-8-82 ~ 410.93 ! 13 67 17 18 <br />-' 10-1-81 thru ~ <br />~ <br />O1 X 10-31-81 1-8-82 14 0 i <br />452 62 1 48n 34 <br />; 11-1-81 thru <br />~ <br />Z <br />6i~ ~g <br />01 11-30-81 ,1-8-82 I ~ IO.b3 _ <br />343.7? 0 33 - <br /> <br />Ol 12-1-81 thru <br />12-31-81 <br />81 thru <br />1 <br />7 ~ I <br />'1-11-82 <br />~- I <br />~ 20.87 13.02 <br />_ -- <br />~ 2 74 <br />436.63 <br /> <br />21 - <br />- <br />9-30_81 <br />1-8-82 <br />223.37 i 33.51 <br />9.34 266 22 <br /> <br />21 ,10-1-81 thru <br />31-81 <br />12 I <br />i l-1' -82 <br />~ 1 17__ <br />223.37 1 <br />1 • 6 <br />( <br />~,.~6 0~) <br /> - - <br />i ~ I ~ <br /> TOTAL ~ ~ 2 221 66 _ <br /> f h¢r¢by certify thd? the Nebraska Department of Revenue nas com plietl with the revenue laws Df the State of Nebraska in the deter- <br />ut State Tax <br />N <br />ti <br />1 <br />i <br /> mination of the amount Sho Yh <br />S <br />wn [O b¢ tlue, an0 the taxpayer nas railed to oay the amount tlu¢ after tlemantl. 1 <br />Ot the :tai¢'s Intereet in the dffe<Letl pID V¢r <br />flOfit <br />tri <br />l O <br />Ca <br />ty Of the taxpayer. <br /> Lien IS do ek[en5ipn Of an ¢f y <br />nue <br />¢ p <br />fectlve lien it Se Y~¢5 to COnt <br />$O~n ~`~ ,~ ~~jp/ Revenue Agent 2-19-82 <br /> <br />~e~~. - <br />r Preparer's ue. Title Daie <br />' <br /> <br />i <br />Special Agent L-19-82 <br /> 7itl¢ Date <br /> AuthorEZedSig tore <br /> - FOR COUNTY OFFICIAL'S USE _ <br />NEBRASKA DEPARTMENT OF REV ENUE -White and Goldenrod Copies TAXPAYER -Pink Copy COUNTY OFFtCE -Canary Copy <br />4-494-74 Rev, 7-8 Z <br />Supe YS¢tles 4-494.74 Reu, 5-a0 <br /> <br /> <br />