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<br />nogi~~ ~~ ~~~~~ '~~~ ~i~~ <br />nebrasia, <br />department • Read instructions on reverse side <br />ien Serial Number County Date - Social Security Number ~~__ ~ ` y ~ ~..~ <br />l +i1 <br />t <br />9/43/141 Hall 3/7/79 i <br />7 <br />I <br />Nebraska i.U. Number L-en Type Lien Filed With Spouse's Social Security <br /> ~ Original Register of Deeds Number <br />1457322 L REne Wal ~ County Clerk <br />BUSINESS NAME AND LOGATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br />Street ddress Street ar er Malting Atldres5 <br />2809 East Hic~y 30 <br />City State ZIp Cotle City State ZiP Cotle <br />r'.-zxi Tcl~:vl_ rifF C,RR1~I _ C'r artr7 Tclanri NF fiRRfil <br />'Pursuant to the revenue laws of the State of Nebraska, notice !s hereby given that taxes (including penalties, interest <br />and additions) have been assessed and are due from the above taxpayer and remain unpaid after demand. These taxes <br />constitute a lien upon property in the county belonging to the taxpayer or hereafter acquired. Liens for sales and use <br />saxes only attach to the real property of the taxpayer located within the county or hereafter acquued. <br />Tax--~ <br />Category i <br />Number ~- <br />Tax Period Date of <br /> <br />AssesstneM <br />Amount of Tax ~ <br />Penalty <br />Interest <br />Additions Bafanca of <br />Assessment Due <br /> <br />21 7/Ql/78 tt2ru <br />4 30 8 <br />10 3 7 1 <br />~ <br />8.30 <br />8.30 _. <br />_ 10/1/78 thrtx <br />~. r~~ r-ia <br />1.701. I <br />,d <br />7 n <br />t o <br /> I <br />~- i <br />~ ~_ i <br />! t <br /> i ~ <br /> { <br />1 <br /> <br />1 i <br />i <br />soyi~ <br />S~eci.al P,g~it 3/12/79 <br />r.._ Hate <br />NEBRASKA DEPARTA4ENT OF REVENUE -White and Canary Cppies TAXPAYER -Pink Copy COUNTY OFFICE -Goldenrod Copv <br />4-a94-74 Rev. 9-78 <br />Supersedes 4-494-74 Rev. Z-78 <br />yE! .... ... _ ...,. _ ~ .. .. .._ <br /> <br />TOTAL ys 1,$12.40 <br />1 hereby certify tnat the Nebraska Department of Rev¢n u? Has Compiietl with the revenue laws of the State of Nebraska in the deter <br />m ination of the amount 5llawn tp ba due, antl [he taxpayer has failed to pay the amount due after demand. if tn15 Notice of $taie Tax Lien i5 <br />an ¢%t¢n Sian of ar. ¢fiaCiive lien it Serves [o COntln Ue the Drlority of the 52a'.e•5 interest ~n the offs CL¢C property of the tdxpdyer. <br />