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- - <br />~ _ --- - <br />--- - - - <br />~: r <br />!Notice of S#a#e 'Tax Lien <br />[~~{ e7 ka <br />t.o Road instruchpns un rewrsa side <br /> <br />L Type <br />glen Serial Nu~~ber I vote Tncla Secs .v N~nGer <br />C ~Inal <br />i <br /> <br />e <br />2/06/051 ~ F n v <br />_ 6 1~ s~ <br />- <br /> <br />T~~~ <br />S2-~ <br />1U2443 <br />Nebras'!a I.O. Nc. C 1 Lia I'd lth IS you Se 5 Social ~SeCUr!ty t <br /> <br />~ Half <br />3995348 ~P,e9u~e ~f Oe <br />~cppnty CICrk eas~rJUrr Ler <br />~ <br /> <br />- <br />_ <br />-- - <br />_ <br />BUSINESS NAME AND LOCATIDN AQDR ESS 7AXPAYEF-NA ME AND MAILING ADDRESS ~ <br />eosin=ss rvame - Name. <br />nine to Fiv .are r ADTnargL_. _ Eive Caree r Angarel __ __ ____ <br />5'r ee[Adtlr?ss <br />314 South Greenwich Street or:OtherMalling Atldress:. <br />Ci;v Stag Z.p code City State 'lo cocF <br />Grand Island_ NE _. ._.6889' Grano Tsland, NE ____ __ 68301 <br />This Notice ofState Tax Licn is issued by the Nebraska Department of Revenue far unpaid taxes pursuantYn the <br />revenue laws of the statebfNebraska. Notice is hereby >;iven that taxes including penalties and`interest, which are <br />shown below, are due from tfie taxpayer specified above and remain unpaid :after demand:. ~Ihese taxes constitute <br />a lieu in the county for real'and personal property hcloneine to the taxpayer or hereafter acquired. <br />Tax I Date of T 1 Balanc. of -~' <br />Catayory Tax Psriod ~ Amount of Tax Penalty Intarrst Additions-: <br />Numbs ~ ~~' Assetsrt[nnt Asseument Due ~'~ <br />-'-~~ t of +-t.,.,. I T _-_ I <br />O1 '~9-30-81~~~~- 111-17-81'~, -0- -0- ' .38 I •'8 _ <br />'~i0-1-81 thru ! I <br />1 - 1-81 5-4-81 <br />219.23 -0- 11.5.2 <br />230.?5 <br />1-1-82 thru <br />(~~~31_82~81 <br />25.13 ~ <br />- <br />S.OD~_ .4S <br />37 .51 <br />i ~ <br />I <br />-- <br />-- <br /> <br /> <br /> TOTAL S 262.74 _ <br /> I nereoy certify [net [ne rveoraska iJe partn eni of Revenue. nascom pllec with the revenue laws'oftha State: of Nebraskain the~dater- <br /> mination of the amount shown to o« due. antl ;rte lalepayer ha5taitad.to p=~. ;Reamount tlue attef demantl. If..th i5 Notice o95tate Tax <br /> Lien Is an e.t of an ~r!oc• ~ it sr~. es to Mniinue tire,priority of ;na state's Irate/eft inthe arfeCted. proper ty.Otthe taxpayet: <br />SI~Q <br />; / Revenue Agrnt 6=18-82 <br />here P~.pdr.r•, 5;~t~ra ~ ~ . _-~~Titla_, ,,_ Date <br /> ~ ~ ` S~cia1 Agent . 6-18-82 _ <br /> Autnorizeo Siyn __ <br />TItYa. Date <br /> ___ FOR COUNTY OFFICIAL'S USE _ _~ <br /> <br />NEBRASKA c7EPAATM ENT OF REVENUE -N,nite and Go denrod Cop as TAx PAVEa - Pihk.COpV COUNTY £JFFIr~ _ Canary Oo GY <br />~.<~aan a ?-Pit <br />