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4. _.... ~ ........, <br />~a <br /> <br />~ <br />Notice. of S#ate Tax Lien <br />rlepartmep+! <br />~ <br />ev .Read-instrvetians an rereesa srda <br />Lrar ~er~.al N~ r Lie Tip- Tn~atn --- ~_~cla~ cu ~~t •_e N.~mbei i - - -~- <br /> <br />21081?58- <br />^JObraSV~3 I.D. ^J~_ 9 <br />mow:., <br />~,i _-- <br />~ __,~3-5-8? ~ 506 62 1443 i <br />Leer C1 h tt p.~ :IL'SGG+ Y J <br />1 <br />(}(n/ -t <br />V [~~il. ~ <br />r 7~ll <br />~ <br />~ <br /> .~ R a .Gar tl~N tr~e+ ~ <br />. <br />.. . <br />3449645 ~ Halle I ~ ognt.. <.rF <br />I ~ BUSINESS NAME`AND LOCATION.1DDR ESS. TAXPAYER NAME AND MAit:INGADDRESS ~ <br />' R~slq ess Nam= - . <br />!rls~t~bgd World Name <br />Kenneth L. Gray. <br /> <br />Strut 4C 1re5s -.. _ <br />Stree[or.Other.Mallln 9:Atltlra55 <br />__~08 West Third 917 East.T2th S reet <br /> <br />- city 'State 21 p'.COtle _ <br />City. Stato Zi P.COtle' <br />____~ra~Id Island. NE 68801 Grand ,Island,, ~1E 68801 <br />This Nouce of State Tax .Lien is issued by the Nebraska I)epartment:of Revenue-for unpaid taxes pursuant o the <br />revenue laws of the state:: of Nebraska:'Hotice'is hereby given that taxes including penalties-and interest, which are <br />showm below, are'due-from the taxpayer specified abtn'e and remain unpaid after demand.'These taxes constiRrte <br />a tien im^the county for: real and personal property belonejng o the taxpayer or hereafter acquired: <br />~ Tax <br />Category <br />Number <br />TaxPeriod - <br />ADssassmeot <br />! Amount of Tax + Penalty; <br />I <br />tnterese <br />Additions -~ <br />Balance of 1, <br />As.eumenr Due J <br /> <br />Ol 6-T-81' thru <br />_ - <br />_1 - <br />29 00 ~ 7.5.00.. <br />- <br />~ <br />4.12 <br />58.12 <br /> <br />7-1-81' thru <br />- - <br /> <br />- <br />i <br />~ <br />00 :25.00' <br />3.77` __ <br />57.77 <br /> ~ <br />~ <br />r I <br /> <br />- <br />- --- <br /> i -~-~ - <br /> C <br /> <br />TOTAL.. $ T15:8Q _ <br />I hereby. Certfty that tneNebraskaDepartmeht'of Rev nue nay complletl With the revenue laws Of the State of Nebraska in tnedeter- <br />minatidn of the ambuntshowt to be tlue,:antl the taxpayer has tailed ;q: pay theam ou ntduCafter tlemahd..lfthis NgiiGe of-State Tax <br />Lion 1S an extension. oTan ttve iten.:itserves to <on tinue..theptiorlty of the State'i {nteresi in theaffaCted prbpertyotthe taxpayar- <br />S~gil !~ `_ Revenue Agent ,~'' S` ,~' z_- <br />~~~ Prepare S gnat ~ ~%l~- Title Date <br />~j ~_, <br />Special 'Agent _ _____ <br />Au[hgrizeo S.gnature Title -Date <br />F ORiCtlUNT V .OFF IC lAL'S.USE <br />NE BRASKn DEPARTMENT OP REVENUE-White and Goldenrod:COpies TAXPAYER -Pink Copy <br /> <br /> t <br />IIOtNTV.OFF ICE - Canary:Capy <br />A-49474 Rev; 7-& 1 <br />Supersedeia-39G-74Rev., 5-BQ <br />