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<br />ne6raska <br />- ~~ o~rP~~eo t <br />Notre of Stag Tax Lien <br />• Read instructions oo reverse side <br />Lien S¢ria! Number County ~ Date Soclai 5¢curity Number <br />~ S '' ; t_ Hall j ~ ~ <~ -'-, ~ 505-07-5782 7g--~ ~ ~ i ~ ~ ~ c~ <br />Ne!]raska I.D. Number L" n Type Lien Flied Witn Spouse's Social Security <br /> ~ Original - ~ Register of Deetls Number <br />'t p <br />- 21-2579762 ~ Renewal ~ County Clerk <br />- BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS J <br />business Name Name <br />gears LotIItge, Inc. Oscar G. Mueller <br />Street Atldress Street or Other Mailing dtlress <br />245 North 13th 1716 West Louise Street <br />City - State Zip Code City State Zip Cotle <br />I.it~alrt, NE 68508 hand Island, NE 58801 <br />Pursuant to the revenue laws of the State of Nebraska, notice is 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 Tien upon property in the county belonging to the taxpayer or hereafter acquired. Liens for sales and use <br />taxes only attach to the real property of the taxpayer located wifhin the county or hereafter acquired. <br />i Tax <br />~ u'liur <br />Tex Perlod <br />~ Date o! <br />Asse~tttarN <br />Amount of Tax <br />Penalty <br />Interest <br />Additiors BaAnw of <br />Assassttant Dtte <br />~ <br />21 10/l/7$ t1]rLt 2 6 4 2l 72 1 0 3 x24 <br /> <br /> <br /> <br /> <br /> i <br /> I ! <br />-- --- TOTAL ~S 94 23 <br />f bet! ;ertity that (he Nebraska Dlpdrtmpni o} Revers ua hdt CnmpnlC wltn •.h! l!~¢nu! IawS 01 the StalC Of Nab+aska ~n th! oller~ <br />m1i{atipn h! amount Shpwn to t]e dul, Intl lee taxpiy¢r nay )ailed tD pay th¢ ampunt Au¢ atilt pNndntl. 1! this NptSC¢ of $LatL Tax LI¢R is <br />an ¢x2 YQrf pi an ¢}iectiye oars it v!S lp COnilnue ine priOrlly Ot Ih! siate's intelcsi ,n LbC ar'Kted property pi tft Uxvayer. <br />' ~ 5n5n9 <br />A bwi Sl,~natune Title Date <br />~_ _ - - FOR COUNTY OFFICIAL'S USE <br />-. - - NEBRASKA DEPARTMENT OF Rf VENUE - yvhtu and Canary Copies TAXPAYER - Plnk Copy COUNTY OFFICE -- Goldenrod Copy <br />4-C94-]4 Rev. 9.7H <br />Supersetle5 3.496-74 Rlv. 2~7H <br /> <br />