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x <br />nehraska <br />r~~at <br /> <br />t <br />~a$iC~ tai` ~~al~@' "~'~I~C ~.IIE'iti! <br />s Raa~d instructions on reyar;se side <br />Lien Serial Number County Oaie SaeEal Seeu e3tyr Num.Dar ~ ~ ~~~ <br /> ~~~ ~~~~''~ <br />9 09 b24 hall 9/24/79 264-56-5541 , <br />NabroSka I.D. Number ljen Type <br />inal <br />I Ori <br />f <br />3 C.,ien Filed With <br />® Re <br />ister of Oeeds Spouse's SCCial 5ecurit <br />Number <br /> <br />24534978 <br />g <br />'f~ <br />` <br />g ~ <br /> Renewal ~ County Clark - <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />r3usiness Name Name <br /> Arthur P.. Bl ai r <br />Street Address Street a Other Mailing Address <br />__ 304 Pheasant Drive <br />City State Zip Code City State Zip Code <br /> Grand Island, Nebraska 68801 <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that taxer (including penalties, interest <br />and additiotts; have been assessed and are due from the above taxpayer and remain unpaid after demand. These taxes <br />constitute a lien upon property belonging to the taxpayer, or hereafter acquired by the taxpayer, and located in the <br />above county. Liens for sales and use taxes only attach to the real property belonging to the taxpayer, or hereafter <br />acquired by the taxpayer, and located in the above county. <br />Tax <br />t~teOorY <br />Number <br />Tax Period Data of <br />Asaessmert <br />Amount o! lax <br />Panafry <br />~ <br />Additiom <br />~~~ ~ <br />Aaseasmarlt Dua <br /> 1-1-77 thru <br />- <br />332 00 <br />289.25 i <br />69.37 <br />I <br />690.b2 <br /> } <br /> j <br />t I I <br />~ <br /> 1 <br /> -~ ~- <br /> <br /> <br />TOTAL ~$ b90.b2 <br />_ 1 MraDy certify that the Nebraska Department pf Revanw nas complied with the revanw laws of the State of NaprasiO in tna tleter- - <br />minatlon a! thr amount ahpwn to Da due, antl tM taxpayer naz faltstl to pay the amount tlue attar tlemantl. If ibis Notice of State Tax Lian Is <br />an extension of an effective Ilan It serves to continue the prFOrity of the State's Interest In the affactatl property of the taxpayer. <br />',ir1~A ~`~ ~peci~l ager~.` 9=24-79 <br />irAUthflrisad 314 turo 'ride iota <br />FOR COUNTY OFFICIAL'S USE <br />- NEBRASKA DEPARTMENT OF REVENUE -White and Canary Cdpies TAXPAYER -Pink Copy COUNTY OFFICE -- Gokientod Copy <br />- 4>94.74 Rw, 5-Y9 <br />Supersede54496-Y4 Rw. 9-YIS <br />~_ <br /> <br /> <br />