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f <br />Notice of Sta#e'-Pax Lien <br />nebraska <br />department • Read instructions on revetx side <br />of revenue _ _ _ _ _ _ __ __________ <br />SoCiai 9acurltY Number ~~-_ ®"~~~~~ <br />Lien Serial Number County ~ Gate <br />9/09/601 Ha11 19/10/79 iVR <br />- Nebraska I.D. Number type n Fitetl With Spouse's Soriaf Securify- <br />prlgtnal Register of GeedslNUmber <br />3388530 ^ Renewal ~ County Cierk <br />BUSINESS NAME AND IDCATIDN ADDRESS TAXPAYER NAtNE AND MAILING ADDRESS <br />BUSine$s Name Name -'-'~'~-"~-~ __,., ~~-_~.._.,__-..~_..,T <br />Camelot Marketing Corp Camelot Marketin~c Ccrp. _ <br />Street ACdress Street or Other Maihne{ Atltlress <br />102 hest 3rd Street 1333_5 C Street _ ___ __ _ _ <br />Ctty' State Zip [ode City State T 2rp Codc <br />Grand Is}and, Nebraska 68801 OmahaiNebraska__b81a4 ~______-_____v~___ <br />Pursuant to the revenue laws of the Staie of Nebraska, notice is hereby given !hat taxes (includipg penalties, interest <br />and addiiions) have been assessed and are due from the above taxpayer and remain unpaid niter demand. These taxes <br />constitute a lien upon property in the county belonging to the taxpayer or hereafter acyuired. Liens fur sales unJ use <br />taxes only attach to the real property of the taxpayer located within the county or hereafter acyuimd. <br />Tax ~ i Date of ~ I <br />Catapory i T <br />d ~ AmounY of Tax ~ <br />Pert i --.-^. -. '- Baiarrco of <br />~ <br />Penalty Interest ~ Additiora i <br />ax <br />a <br />Numbs i AsaismeM ~ ~ <br />Assessment Due <br />;12-1-78 thru 1 i <br />- 7T [ 5 37 ': 22.96-_-_-- ~ --~~~-•~~ -------- <br />1-1-74 thru ~ t ~ <br />,~,Ll._.H~,.L-31.--.72- 7, ;3,/7~ i .x,73.71 T 57.37 t 17 23_-'--------j.-..__..lti#i8.31_____~_ <br /> <br /> <br />~ <br />r <br />~ I I <br /> <br />~ <br />~ <br />~ <br />~ ~ I ~ <br /> <br /> ___.. ~ -- <br />---~ - - <br />TofiaG (s 1.302.35 <br />- t nersbY s€tfity that the Mapraskd LyanartrnN+E or Revtnw Rar com Rltttl with the rtytnLt taw: of the Start ~t Na4easaa in the. rltter- ,. <br />'. mrRitien Oi tRt ern Ollni SROWn t0 be d'~e~ bnd 1Rfl tax Rdyet has fatted t0 RiY 4Rt amount dua atiir demand. :r tt•.is Nunn Q} State Tax Lean fi <br />- an aftdnsian #r an ~'iflir is d3fl•^, :, ;ar+:~3 tp t3+-s t:nuG :R¢ prfDrtty O! YRa $tatII'3 :R+t!Fe53 kn tt!d dt!~;~+ ,^.x^~` _t .-.. ,<4 faa~yt"- <br />~~i~ 1t~:8v` - -t++rs - - T4F la f C3* .3 - -_ <br />_ FDR COiJNTY DPFiC1At'S USE <br />NEBRASKA DEPARTMENT DF REVENUE ~ WRlte ;end Ceniry Cupirrs TAXPAYER -~ Prnk Eopy COUNTY O<"FtCE - Coiesrvad Capy <br />o-a+sa. sa Riy. 2-fa <br />Supirudas a•49a-73 Rev i3=>7 <br /> <br /> <br /> <br />