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--- - ---, <br />79- C~~~~~5 N~#ice ®f ~#a#e Tax Lien <br />nehr dsk:s <br />department s Read instructions on reverse side <br />of r <br />Lien Se>id! Number !r-ounfy <br />~ Date i 5oc!aI Seeurlty Number <br />9/09/551 <br />Hall ~ 9 4 79 . <br />Neoraska 4.D. Number Lien Type Lien Fiietl with Spouse's Socia! Security <br />~Originai ~ Register of Dcetls Number <br />~t ~ <br />1457322 i ~ Renewal ~ COUnt`J Clerk <br />~ _-_ ~ 9USlNESS NAME AND IDCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />9usiness Nama Name <br />Ma hew Products Cor oration Mayhew Products CorQoration <br />Street Address Street or tner Malting Address <br />2809 East Highway 30 _ 2809 East Highway 30 <br />City Stdte 7_ip Code City State Zip Cotle <br />Grand Island, Ne. 68801 Grand Island. rte. 6880) <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 fron! 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 />taxes only attach to the real property of the taxpayer located within the county or hereafter acyuired. <br />Tsx I Dete of ~ ~ ~~~ Babnca of <br />Gteaory I Tax Period Amount of Tax ! Penalty { Interest Additions e,,,~,,,,,, D~ <br />[ Numbers .°~~.~nt ~ ~ i t -~ ___-.J <br />~ 6/1/74 thru~-R ~ ; ~- , , <br />70TAL I$ <br />! ncreby cartiiy foal tn¢ Nebraska Department at Revenue nas com p!iad r;ith th¢ rev@nu@ !aws of the State at N@Draska in }he deter- <br />mination pr the ar•.eoun; sn~wn to ha du@, and tna taxpayer hdT failed 4p pay the amount due dttlr derndnd. 4t th!s NptiCe 4f State ?ax Lien !S <br />an axten T4Un Ot an err@tliv¢ II¢n it Server [o Continue [h@ prlor+ty ui the Std ta'S inter@tt in thl affected prop@rtY Qt th@ t8><POYRr. f <br />~~ @ -"---'--~`~`- -- S eR c i a 1 _?38.n t ~' ' `t _ ~,~_._,~ <br />Authonrnd Siyndh! Title Date <br />t ~ ~ FOR CDUNTY OFFICIAL'S USE <br />- ~~ NEBRAS'ItA DEPARTMENT OF REVENUE ~- White ante Canary Copies 7AXPAY tR -Pink Copy COUNTY UFFICE - Go!denruci Copy <br />. 4.494.71 Rav. 9-7g <br />- _ $upars¢da1 4.494-7a Rev. ~-Ta <br /> <br />