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.' <br />nabPaSi<a <br />- r`~a.tmant <br />Notice pf State T'ax Lien <br />~~fOt rlWehU <br />-(15ate <br />YRa <br />-e <br />n <br />" t <br />N _ _ <br />Sociat 5oculity NUP[lber <br />' <br />- <br />r <br />'^ <br />cb <br />Lien Sarial <br />~~ 91 , <br />2/02(557 R a, a. ' 2-24-82 <br />Fileo Wttn <br />Li 478 46 2514 yp++~. ~` yt ((~~ (~ Q <br />SA~oclat Security }(~ ® V V LJ ~ 8 <br />an <br />Nepraska I,D: No. County <br />'~"' Ra9lster nl Deeds <br />~ NUm bef vV <br />~ County Clerk <br />3705021 Nall <br />-- <br />TAXPAYER NAME AND MAILING ADORE- SS ---_-_j <br />~ <br />~ <br />BVSINESS NAME AND LOCATION ADDRESS _ <br /> Name <br />Business Nams <br />SaUth LC~USt F U A <br />rv <br />C <br />1_~a~ <br />`~; <br />ao <br /> t <br />h <br />r D <br />r <br />n9 <br />stye <br />Strea2 AtltlretE <br />631 Sauth Locust <br />~S~yand®tte Z;ACpde <br />Stete <br /> <br />Zip'Cooe City <br />City State <br />i~1 <br />c,.y„P+ r~~~rtfa vF _~ <br />68801__ grand Island, RIF _ 688 <br />This Notice of State Tax Lien is issued by the Nebraska Depazttnent of Revenue for unpaid taxes pursuant to the <br />t•Ln~enue taws of the state of Nebraska, Native is .hereby given that taxes ~nc::ading penalties and interest, which are <br />shown below, are due fram the taxpayer specified abnve and remain unpaid after demand. These taxes constitute <br />alien in the county Far real and personal property belonging to the taxpayer or hereafter acquired. <br />Tax ` Date of <br /> <br />Assessment ~, Amount of Tax <br />Cat~ry lax Peripd i, <br /> <br />Psnalty <br />Interest Additions Balance of <br /> <br />Assrssment Due <br />Number <br />9-1-81 thru <br />Ol 19-30_81 ~12-16-81~ 2462.15 <br />I 75.15 ' <br />~ 109.55 2647.85 <br />i10-1-81 thru 1 <br />O1 ±10-31-81 i12-15-81': 2513.11 <br />77.72 <br />82.90 I 2673.73 <br />%11-1-81 thru ~ I <br />Oi ~ 11-30-81 2--82 2588.5 _ i <br />~80.D6_ I <br />_ ~ 54.61 i <br />~ 2723..32 <br />' i2-1-81 thru ~ ~ <br />Dl (12-31-81 12-9-81 ~ 2565.16 ' <br />~I 79.34 <br />- - <br />- I ~ <br />_ 23.51 <br />2668.11 - <br />- <br />14-1-81 thru <br />21 5-30-81 ~i8-17-81 ~ -D- r <br /> <br />__~__ 29 86 ~ <br /> <br />~ 2.99 ~ a <br />32.85 <br />_T i <br />{ ~-~- <br />I t ~ <br />i <br />- <br />I <br />i <br />--_____----- - <br /> ro7At_ _ ys 1D,745.86 <br /> 1 Hereby cerli:Y that the NeG ratxa Depa ar n,ent -.~~ RBVtnun ~ as rompUetl wi[n the revenue laws or the <br />t due after dem State of Nebraska in the Ceter- <br />and. if this Notlce pt State Tax <br /> nation o9 the amount snnwn to be Hue, and the taxpayer net taf7atl tb pay Lne amoun <br />0 inC pfiJftty Of She SidIO•t intaPBtt in the df:eCted pYOpefiy of Sh0 4axpdyel. <br />[m <br /> n <br />Lion is an Bxtentf+)n O4 a ef~ U <br />it serves _~ [Jft <br /> <br />~~~, / <br />/ <br />Revenue Agent <br />~~ <br />2-24-82 <br /> -- - <br />Tltla Date <br />here p*ep rer ature <br />Special Agent <br />2°24-82 <br /> ~ _~~ <br />~ rltla <br />~~~~~~ ~ Date <br /> Avxao fzed si turs _ __ _ - <br /> s--~! FOR COUNTY OFF tClA1'S USE _- ~ __T______- <br /> <br />NEBRASifA DEPARTMENT OP flEV ENVE -Whits and Go{denrod Copes <br />TAXRAY ER -Pink Copy <br /> <br />t~ <br />COUNTY OFFICE -Canary Copy <br />449471 F2av. 7~$1 <br />Supe rsades 4-494-74 Rev. S-$4 <br /> <br />