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<br />r,rtSra5ke3 Notice of.Sta~e Tax Lien <br />~~~artment - <br />O( ev¢nUe iReed rnsiruetrnnx nn-r aiAr' <br />Li S rlat Numb L ¢n 7 yp I <br /> <br />' R ¢wa~ <br />1 <br />~ D B I i <br />08 <br />901 <br />--L_.L.__ <br />~ Date T_ <br /> <br />8-26-81 Sat~af 5¢GUnty Number ~ <br />I <br />505 >34 8268'- <br />- <br />- '-- -" - <br />eb <br />ra <br />No. C <br />' <br />unit/ <br />~ _ <br />___ <br />__ <br />L ¢n P:ICd with <br />DeeUSr <br />i Mr ot <br />~ <br />e <br />g _ <br />_ <br />Spouse's Soclat Securliy <br />NUmbcr <br />~ <br />n J ~ rte{ ( (, ~ <br />$` -..~} U SJ ~ C) S`" <br />191OVO 1 Hdl l e <br />C <br />' <br />' <br />y (= ( <br />_ <br />~! BUSINESS NAME AND LO <br />Bu5~ne55 Na <br />CATION ADDRESS <br />. __~-r ~l <br />.-.~ _- <br />TAXPAYER' NAME ANDMAttING~ADORESS ~^~ <br />_ '---- -_-._.~.-_~_~___ <br />me Ndme <br />Gerald RD~k_G>=iind_~Is3_d~ld_:&.4py_~Q..__.~ --- ~-~i~r.~1~_~..__~~k-- <br /> <br />Street Address - <br />Stre¢tbr Otner Flaaing Adtlress --T---~' <br />404 WPC~¢tfi <br />Cr1 <br />-_^^~- <br />~ ~__~4l1t~.3--8~~~~- <br />~ <br />Y State <br />Zip Cp^_^^_^. CitY State <br />ZiP Code <br />frand raland" ______rtE.__~~ ---~~$pl__ ,_ ~r_dnd Islaa~d. iVfi ~rzam <br />This Notire of State Tar Lien is issued by the Nebraska Department of Revenue forunpaid 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 taYpaver specified -above and remain unpaid afterdemand. Tfiese Lazes coastitiite <br />alien in the counht for real and personal ptoperty belonging to thetaxpayer ar liereafteracquiied: <br />Tax <br /> <br />Naumber <br />~ Tax Period Daie of <br />~ Assmsment ' pmaunt o4 Tax Penalty <br />_ I <br />i r <br />Interest (. Additions.. <br />; <br />Balance of ~. <br />Assessment Due <br /> <br />21 jT-1-81 thru <br />'3=31-81 _ <br />5-13-81- 53k.95 ~ 29.60 <br />` 11.84 <br />633.39 <br /> <br />21 I4-1-81 thru <br />6-3 -81` <br />7-3i-81 862.73 i 43.1Q <br />x.31. <br />i 970.18 <br /> <br />i i ! <br />( <br />~ 1 ~ _ <br /> ~ ~ <br />._ j ~ ~ <br /> , <br />_ ~ ~ j <br /> I 1~ I ~ <br /> _ TOTAL I $ 1543;.57 _ <br /> <br /> <br /> <br />19ry <br /> <br />h®ra I.. tlOreay ter(1(y tndtth Ne6ra5kd Dep ltment Of.. R¢ ¢nUE r~ditOm plied wl~.n th¢.revenue taws O{.the <br />nTlnaiion ofthe a'~ w+tf oho n Yo bed e tl t!te taxpay¢r has lailedt V, pay In¢ amounT du¢a£tw tlem <br />lien rS en ext¢n5ian OT-a eti04t ten rt SprvtlS t0 <OnllnU¢ Inepr10P1Yy Ot.th¢ siat¢"3 In ¢C¢St in tn¢iY/ <br /> <br />~- <br />~ =~ i .Revenue A4ent <br />~ S~y,~tpri -- titii $Ldl¢ Uf NeareSKa In:IhO tl,:tef^ ~- <br />and. If.thls Notice of State "Fax <br />¢Ct¢d prop¢rty of Lh¢taxpdy¢T. <br />8-2-82 <br /> <br />- - <br />Date <br /> - <br />-~_ _ $ eC1dl Age'nt 8-2-:82 <br /> <br /> <br />i _.__- .. __ l <br />___~ <br />~utr ;r ..•tl. Signature. <br />~__ _.. _-.-~_._ ^ <br />~~~~"-'~~-' '- <br />'Tula <br />-~...~ <br />~ <br />- _ <br />Oate <br /> - <br />-_..,-._._..---.~_e __ <br />FOR COUNSV OFFICIAL'S USE ._.-_.__...-__ -_~. <br /> <br />fvtBRA n DEP ~=, TaAEN-T Or REVENUE -'Nhit eand G4tdenrodCovles. 1"AXPAYER -Pink Copy COUNTV OF F.ICE - Canory Copy <br /> .4.493-,74 R¢v. 7:87 <br /> Sup¢ISCaCS 3-494]CRav, 5.~e <br /> <br />~. <br />