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No#6~e of S#~te Tax ~.i~r`t <br />• Head insxructioras on reserss side <br />L7en Sera! Nu ue lien type DaItt $p:, i? <br /> or 9;nai ~ <br />2(021572 i~ Renewal ~ 2..23-82 _ <br />N@D/dSka t.D. No. I COUniy Lien Flled Wrtn iSpou <br />Regrste/ O• DeetlsjNum. <br />3342778 ~ ffa11 I~ ~rtnn=y ~Feru ! <br />i <br />- <br />~_ flUSINESS NAME AND LOCATION ADDRESS <br />9usiness Nam¢ <br />Rancher~i~ Qi[le Center _,___~ <br />' Street Atldr¢ss <br />3333 Old P atash Road <br /> <br />Ci*.y <br />State ________ <br />Zip Cotle <br />SOC{al Security <br />pr Other Malliny Rtltlres5 <br />Zlp Code <br />a~32-..e~1UQ68rti <br />This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the <br />revenue laws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which are <br />shown below, are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute <br />alien in the county for real and personal property belonging to the Yaxpayer or hereafter acquired. <br />Tax ! <br />Cat or Tax Period <br />eg y j i <br />Date of <br />I i Ampunt pf Tax <br />r Assessment <br /> <br />Penalty <br /> <br />'n terest <br />~ <br />~ <br />Addition <br />Balance of <br /> <br />Assessment Due <br />Number i ' I <br />~ <br />17-1-81thru <br />' <br />O1 !7-31-81 9-23-81 ~ -0- -O- ( 19.95 19.95 <br />8-1-81 thru ' I <br />O1 {$-3i-81 !11-4-81 ~ -0- i 142.67 i 61_93 ~ 204.60 _ <br />9-1-81 thru ~ I <br />Ol 'i9-3"v-Si i1-21-$1 764.08 %+7.34 210.14 5121.55 <br />~- <br />`10-1-81 thru ~ <br />Ol ' 10-31-81 !1-21-81 ~- 44i1 <br />21 1 <br />36.43 143.52 <br />y ~ 4691 .46 <br /> ` <br /> <br />i . <br />-____ . <br />_, <br />- <br />~ _.. <br />_ <br />~ <br />- f.- ___ <br />j <br />L -~ ---- -- <br />----- <br />~ --r- <br /> <br />- <br />-- <br />I <br />~ ~ - <br />- <br /> <br /> TOTAL ~ 510,037.57 <br /> 1 h¢retJy Geri ify tndi ?»¢ N¢prdsk3 De paftment p! Revenue hds COT pl12n with f»e r e laws of the Stat¢ Of Nebrdska in the d¢t¢/- <br /> inatipn of th¢ amount sno ws ate, art0 [he taxpayer has tailetl to pay the empunt due after ^amantl. If this Notice of State Tax <br /> t_iH~ Isis a <br />C <br />x t'ensiGn ni an e <br />, tteCii Ir ~i it 5erv_s .u cGntln ue th>. prrollty of the state's interest in the a!teCi¢d prop¢rty of tna taxpay¢/. <br />S~~n . <br />~ <br />= <br />~T / Lv/ <br />Revenue Agent 2-23-82 <br />~~ f~ ' <br />eparat'$ S~ _ _ <br />Title Date <br /> _Special Rgent _ _ 2-23-82 _ <br /> AuthnrizaC Sign, ra T'itle Date <br /> OR COUNTY OFFECiA1"S USE <br />NEBRASKA DEPARTMENT OF REVENUE -'vYhit¢ and Goldenrod Copies TAXPAYER -Pink Copy <br /> <br />COUNTY OFFICE -Canary Copy <br />4-49474 Rav. 783 <br />Su peSpetles 4-494-74 Rev, 5-80 <br /> <br />1 <br />