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t <br />_. _~ <br />itiio#ice of S#ate Yax Lien <br />rafka <br />~~ :Wa~":~ t • Read inmuctions on reverse side <br />tun Ser~ai Number , County ~ Date Sacia: 58<urrty Number <br />9/08/488 Hail ~ 8121/79 479-40-0840 <br /> <br />' <br />fil <br />wi <br />h <br />i <br />l Se <br />e <br />i <br />it <br />S <br />S 79 fp~~~qj~~ Q /~ <br />~~ Vl11~ <br />~ <br />Nebraska LD. Number t_ <br />en Type <br />,~Oeiginai en <br />ed <br />t <br />L <br />„~ Register of Oeetls pous <br />oc <br />a <br />cur <br />y <br />s <br />Number C7 <br />[l <br />3151581 ^ Renewal ~ County Clerk <br />- BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br />Crouse Home Services Inc. Earl R. Aswe an <br />Street Address Street or Other ailing Atldress <br />North Highway 281 Route 7, Box 249 _ <br />City - State Zip Code City State Zlp Code <br />Grand Island , Ne. 68801 Grand Island, Ne. 68801 __ _ <br />pursuani to the revenue laws of the Sfate of biebraska, notice is hereby given that taxes linciuding penalties,. interest <br />and additions) have been assessed and are due from the above taxpayer and remain unpaid after demand.'fhese init. <br />constitute a lien upon property in the county belonging to the taxpayer or hereafter acquired. Liens fur sales attd use <br />taxes only attach to the real property of the taxpayer located within the county or hereafter aegttired. <br />Tax <br />rata9orY <br />Number ~ <br />~ Tax Period Dats of <br />~a„nym Ammunt of Tax I <br />I ~ _- f- ~ <br />Penalty f Iniwast ! AddiEiom ~ T BMsnu M__..._.__.._! <br />Aafassnsafrt Or <br /> 4-1-78 thru I ~ <br />~ <br />~~ <br />21 b-30-78 8 17/78 115.46 ~ I 5.71 <br />8.12 _ <br />~ <br />___~_~._ <br />-- <br />--- - 119.29 <br />~~~___ <br />_ <br />.._ <br /> 7/1/78 thru ~ i . _ <br />~- <br />- <br />r ~ <br />_ <br /> ~ I 1_.~b i ___1,4Q___ ____.____ ._~.~_. __.._.~..~a~ _~...~,_._ <br /> <br />j '; I <br />i f <br />t I ! i <br />~ ' <br />I <br />~ E <br /> 1 <br /> ! ! I , <br />t <br />i <br />' <br />~ ~ k I <br />r nrf env c rtifY roar v,c Nanra,.,a Cwpdrx~*!ant qt Re.rnun n - - mp~aa3'- r. ==-he fa.er-u. u - €+.«fafe •~r KrG+-as+e ~~ '.±a ~d~~ <br />mindtsoR a1 4t < ! ,nf fl^ n la nil que~ dnq ! anpdyer haf fa~lad lU pdk !Re •d+T,UfIRt =aud df{rt abdmaR4 , - s N.;ti,_r ~J1 ~'!te raa A.tB: -3 <br />in extens~:^n £'! an eff `sc!-'reVien :[ saa-rBf Fa GU"Elntte!tntl pt~Ue:2y :?t f!:e Ststab ::..deygi ~:, .°a s rG 4v3 p=c~rxV•i tF,e i an ~+a~3. <br />Aulbor~.-ad 9rbture ~ fe(Sr -.._.._._.~....___.. ~._ _. _ ~..L. ...~._...--.,_,,.,, <br />4:S <br />FOR COISNTY OFFtC1AL`S USE ' <br />- NEBRASKA DEPARTMENT OF REVENUE -- Whtae atM Canary Cnp~es TAXPAYER -- Pink Capt CGt,NTt 'F F:CE .,,a-`:e:- - <br />a~aga~ra Ref. ire <br />- - SUpsrsedes a•8Ya~24 Rev 2-r$ <br />