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SY>~t ~ e-tare°t - - - o-Read "rmstructidas en rsysrsa side - - - <br />dAbf revenue <br />Lien.Serial Number- Ctiunty pate - - SocSsi Securtty Number <br />s~~2/ss2 ~ ~al~ ~~jra~~s s~~-6Qe7567 f 78-~~t83~~ ------- <br />_uraska I.G.:FUmbar LSen Type tiara F:lad 'Kith Spbuse'; Sb<ia Sec.:rity - - <br />~t r~ ry ry9 ~Oriyina+ ~nj-Register orpaeds Number - - - - <br />~3i?2 ~G~L f] RefleWaF l.+ CbuntY Cferk <br />- BUStRtESS [CAME AND L:QCRTtON A6t?RESS 7A%PAYEzR NAME ANO MAIt.tNG AF3ORE55 ~i~~ <br />Husinss3VSm¢ ~ Name ~~- -_e~.~ <br />Donald L. Caz't~'S __ <br />Street Rddriss - - ll~Straet ur Oin¢r RAai~iny Address <br />- ! i3v4 i3t3i~`iI iar'rc AVcnl1C~` - <br />Cltll' _ State ~ Zid Coda QtY' State --~~~_-•_ - Zap Cotle _~.. <br />Grand Island NE b8801 <br />Pursuant to ttte revenue laws of [tie Stste of Nebras{:a, native is hereby given that faxes (including penalties, interest <br />and additions] have been assessed and era dot-. fratn the shave taxpayer and remain unpaid after demand. These taxes <br />canstitute a lien upan property in [tae county belanging io ttte taxpayer or hereafter acquired. Liens far sales and pse <br />taxes arty attach to flee rest property of the taxpayer located within the county or hereafter acquired. <br />rat aa'Y <br />P2 <br />Tsx Feria <br />q date of <br />A.seessmetrt ~- <br />Amount of Tax i Psnat~ interest <br />I Additior~ - : Relents o€ <br />Aeggcsmgni Due~A <br />-~a <br />22 .12/31/77 i /15/78 487.27 i 24,3& I 19,22 ~ 53}.85 <br /> ~-_~ <br />-------f---- , ~_ a! ~._._.-----~ _. <br /> 3 ~ ~ <br />--r--- <br />! <br />~-- ~ <br />----_____.__..__ <br /> <br /> <br />_.'~_ <br /> <br />-- ~ ' <br />a E <br /> <br />j i <br />I <br />~ ~ i I I _. _ _-_ <br /> <br /> <br />~ <br />f <br />a ~_ <br />j ~ ~ <br />~- <br /> ~ ~ ~ ~ i i <br />__+ <br />_ <br />TOTAL iS 53{).$5 <br />1 nere ~x reify that tn¢ NebraSka p¢partm ertc of Revenue has ibm plieC tvi?h the rar'enue aatvs OY the State Of NAbraska in the tl&EeY- - <br />minaitan } t3±a amv,^unt ShCwn to bed and the taxpayer nay fatted Eb Pay the amount due after demand. If this Nat:<e of State Tax Lien is <br />an ex:ter trpln~3.f an PFF¢Ctiv¢ lien it 5¢rva~~ <On?roue ttte pti Crily of fne Sfat¢'s anlera52 in the 2fie<ted plCpefty bt Ln¢ taxpdyer. <br />/ ~'1~ <br />~~~~ ~~,~~ f~- '~ ~ T~Ianaaer 12/11./78 ' <br />f---.~~ Au Ni.. Si9rtacuYe Tit3£ pate A- - <br />I `Y - FOR COUNTY CSFF:GSAL'S USE _----~ <br />