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1 <br />iteMaski <br />t <br />~~m~ <br />Notice of State Tax Lien <br />•Read instructioro on rttvero silo <br />LIM Serial Number Lien Type Date Social Security Number <br /> [3 Ofl91na1 <br />2/11/639 ^ Renewal 11-16-82- 505-44-367 <br />0 <br /> <br />Neb(aaKa I.D. No. <br />County <br />LNn Filed With _ <br />Spouse's Social $efurity ~1 <br />~ L ..r.~ ~ 4 9 r! !~ <br /> RegKter of Deeds Number <br />O1-3897451 Hall ~ cponty clerk <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br />S~iehs Truck Salvage Allan F. Spiehs _ <br />Street Address- stre9t of O[her Malifng Address <br />Route 1 P.O. Box 2335 <br />city state rp code ccty seats np code <br />Grand Island, ME 68801 Grand Island, NE 68801 <br />This Notice of State Tax Lien is issued by the Nebraska f)epaztment of Revenue for unpaid taxes pursuant to the <br />revenue laws of the state of Nebraska. Notice is hereby given that taxes including penalties and iltterest, which are <br />shown below, are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute <br />a lien in the county-for real and personal property belonging to the taxpayer or hereafter acquired. <br />Tax <br />Gregory <br />Number <br />Tax Period Date of <br /> <br />Assessment <br />Amount of Tax I Penalty Interest <br />Additions <br />Balance of <br />Assessment Due <br /> <br />O1 07-01-81 thru <br />0 -30-81 <br />-12-82 l <br />42.95 5.00 6.28 <br />54.23 <br /> <br />1 10-01-81 thru <br />12-31-81 <br />-24-82 <br />53.63 ~ -0- ~ 5.94 <br />59.57 <br /> i ~ ~ - <br /> <br /> I <br /> i 1 <br /> <br />' TOTAL I s 113.80 <br /> 1 htlraby Certify that the Nebraska Departm ent of Revenue has tom olietl with the revenue Idws of the State of NtlbrasKa in the deter- <br /> mination p( the am nt shown to be tl e, antl the taxpayer nas tdlltltl [o paY the amount tlue after demand. If th <br />- is NatiGe pf State Tax <br /> Lien IS an aXten { ~ t an effective l <br />lt se <br />ry b nnue the prloritY pt the state's interest In the affected prp perfy cf the taXpaYef. <br />$I~Q i <br />-c~~~~l~' ~ Revenue Agent ,~/~,~~ij'~~ <br />here ~ r' at re <br />~ <br />/' l <br />Tlt~e Dat¢ <br /> ~ i __ <br />Special Agent //-:/f'-~Z <br />-- Authorized Sf lure Title - Data <br />t <br />I- FOR COUNTY OFFICIAL'S USE <br />NEBRASKA DEPARTMENT OFREVENUE -White and Goldenrod Copies TAXPAYER -Pink Gopy <br /> <br />COUNTY OFFICE - Gnery Copy <br />4-494)4 Rev, ]-61 <br />Supersedes a-094-]4 Rev, 5-a0 <br /> <br /> <br />