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<br />Notice of S#ate Tax Limon <br />ni+r.raskn <br />defrartmmt <br />of reyMue • Head insirucr{gns or. reverse aide <br />Llen Ser{al Nur~oar ~ y s j Date ~laf Se -.i ! yin Ger ~ - ----- <br />O '9 nal i ~ ^ '~ <br />2/091342 ~ R ,al $-31-82 1485 35 X1386 I' l}.r[1'-~. 3908 <br />Nebraska I.D. No. Co .y Ll~r. Flletl -.`/~t! ~SPO~sa 5 S ~_I~f Sacur";y <br />3151581 Hall ~ R ` ~~ ~ ~~mbe ~ ~____ <br />_ Q cobnei a-•~. i 434 '32 5536 <br />BUSINESS NAMt AND LOCATIOk ADDRESS 'TAXPAYER NAME AND MAILING ADDRESS J <br />g°"!d1f"rtte - --_--~""^e ~7ohn & Constance Crouse <br />Crouse Home Services Inca: _______ _~.__.,,~tJointly R'S,~ve~lly) _____ <br />S'raet Ahotaat _ ~Sfruet ur Other Maiting Atltlrass <br />North Highway 81 ~ 12E hlapl e - <br />cny stare ._-zl coan -- afr -~ state -.-u ~o c <br />-Grand island^_ NF__ fi8801 ~ ~pulp~., OK 74')6 <br />This Notice of State Tax Lien is iccueA by the \ebraska Department of Re~'enue for unpaid~laxes pursuanttn the <br />reaenue laws of the state of Netrraska, tiotice is henhy given that taxes including. penalties and interest, which arc <br />shown-below, are dtx from the Taxpayer specified shove'and remaut unpaid after demand: These taxes constitute <br />a Benin the cixinty for real and personal. property belongingto the taxpayer or hereafter acquired. <br /> <br />~~ <br />Tu -pioA <br />A~amnt i Amount of Tsx I Pmallty <br />~ intweat I Add{tians Balance of <br />1 <br />I [ gs~ynent Oue <br /> <br />X11-1-77 thru . <br />! _ <br /> <br />~ <br /> 5~ l5 6.37 3?4.34 ~ 877.86 <br /> T-1-78 thru ~ --- _ <br />__DL - - ~ 5.00 -1, 80 I 6.80 <br /> j2-1-78 hru - _ --- - <br />m ?-?f~78 - - 5.00 ' `76 ! 5.76 <br />' 3-T 78 thru I -- - --- - ----- <br />m <br />I ~_31-7R ~ ~+-1T-78j ~ 5.,00 <br />+..._._ ____ __. 30 <br />- 5.30 <br />---- -- <br />I I ~ <br /> <br /> <br /> TOTAL S _ 895,72 <br />~~~_ <br /> 1 hfref)Y CHftty tr+at 4Rtl fatOYalaJ.Depa~?r•rent UtRevenue hal corrrsined rr~ Ine tewhue IYW S Utfhtl Std[•OL Neb/dakd In Inn +e'~ 9l <br /> minanon 9f tfte amgUnR'anoWnfe L~ d~~e, ana tea !gxpayef Tsai taitw F<~ wy the am;iu:+! :SUe a+t erdemand.lftn~t NotlCe u/ s:a[e Tax <br /> ."pan It an exte/~t1Un Of an eltlCttve ~+en I' t.. r. cOtf tlnue 2110 {YrlUtitY of ;he ttate's i^tere~[ ~n Tne affected PYOCU:LY Uf the tax Pa Yer. <br /> =~~A ~ <br />~~ Revenue A ent <br />4- ~Z-- <br />~~ ~ <br /> -- <br />~ qr. <br />h~r~ --- <br />Tttl. - -~ - - <br />- <br /> ~ <br />_~_- <br />-~ <br />~ <br />c - `~~ 4 ~ -~`-'`= ~ ~ <br />~ <br />C_ <br />~ Special Atlent <br /> ~ <br />~ <br />._ _-« <br />-- <br />,. <br />X <br />A <br />N Syeal TfYN DItl _~...i."_ <br /> <br />~ <br />FOR COUtNTY OFFiC1AL'S USE < <br />---~~"-~ -~ <br />J <br /> _ <br /> <br /> NEBRASKA DEPARTM ENT OF FEV ENUE ~- Wtriee and Gatdearod:Copiea TAXPAYER- PLnY.Cayv COU'J1 U F:f.;E ~ n , Copv <br /> <br /> .. S~:. ease xs u ,195 ]~ H<,. 5-vC <br /> <br /> <br />