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1 <br />Notice of State Tax lien <br />• Read imtructioro on rewru side <br />® Otl9lna! <br />11 37 ^ Renewal 11-15-82 505-54-6383 <br />Nebraska I.D. No. County LIOn Flied With $pouuS $otlai Security <br />Re9lster of Oaedz Numbe/ <br />3610012 Hall ~ cPUnty clerk ~ <br />,- <br />$2--U048g~ <br />' _ BUSINESS NAME AND LOCATION ADDRESS - __ TAXPAYER NAME AND MAILING ADDRESS i <br />BUTIneSr Name Name <br />Mutual Sign Company Inc. Ralph 0. y'atton _ _~ <br />street Address jstreet or otne. rnamny Han ess v <br />2809 East Nighway 30 _ ~ 4079 Cannon Road <br />City State ~ Zip Coda City State ZIP Cotle <br />Grand Island, NE 68801 Grand Island,~_ NE 68801 <br />This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid 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 taxpayer specified above and remain unpaid after demand. These taxes constitute <br />alien in the county for real and personal property belonging to the taxpayer or hereafter acquired. <br />Tax <br />Category <br />Tax Period Dste of <br /> <br />Assessment I ~ <br />~ Amount of Tex I Penalty I Interest <br />i <br />Additiom 6alanoe of <br /> <br />Assessment Due <br />Number ~ <br /> 6-1-82 thru j <br />O1 _3 -82 7-31-82 1121.81 34.70 46.04 1202.55 <br /> 7-1-82 thru <br />~ <br /> - 1-82 8-19-82 397.82 16.00 ~ 11.60 425.42 <br /> 8-1-82 thru <br /> -1 -8 8-24-82 583.54 68.35 12.06 763.95 <br /> 4-1-82 thru ' <br />~ <br /> <br />?1 ~ <br />¢-30-82 ; <br />7-31-82 ~~ <br />Q j <br />40_79 _ 33._8 <br />~ 815..., ~ 890.03 <br /> 7-1-82 thru i I _ <br /> 8-18-82 8-24-82 443.50 22.18 7.83 473.51 <br /> I ~ ~ <br /> ~ I <br /> <br />i <br />i <br />TOTAL S 3,755.46 <br />1 hereby Certify foal the Nebraska 00pari mOnt of Revenue nos [ rn plied wi[n the revenue laws of the state of Nebrdskd in [he deter- <br />minatipn of the amount shown [o be tlne, antl the taxpayer has farted t0 pay the a:n OUn[ dPe dr[eI demand. if ihis.Nokice Pt 5[dte Tdx <br />Lien i5 an extension of a e lien it serves to tontinue [rte priority of the siata's in.eresl In [rte affected property of ine taxpayer. <br />S~gfl ~i Revenue Agent /~ /3 ` ~"~ <br />~~rg preparar's 519nat Title Date <br />~ - _ _ Soeci al Agent /i - i 5 =8"z- <br />' Autnorized $Ignatu Tice ~ ~~ <br />FOR COUNTY OFFICIAL'S USE <br />NEBRASKA DEPARTMENT OF REV ENUE -White sad Goldenrod Copies TgXPAVER -- Pink Copy <br /> <br />COUNTY OFFICE -Canary Copy <br />4.4941d Rey_ 7-al <br />Supe ROdes 4-494-%4 Reu, 5-60 <br /> <br />i5i <br />1~~ <br />