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~---- - <br />o#ice of ~tat~ ~'a~c !Len <br />neDr~aeka <br />dalpaditment <br />'of rewiahue • (Read isepriuetiDtn or:. revanse side <br />~ X <br />.- <br />~ 1~_.~ ~__,~,._____...__.__._.._ <br />I <br />9/10/661 <br />~ <br />Hail <br />10-3-79 <br />~ 1 ~g-- ~~~~5 <br />~„05-7~Y8328 <br />NeDras;ca i.{), NpmLer L n Type ! tJan FI}etl With Spou18'z Social Security <br />Original ~ ~L`1 Register of Deeds Number <br />3103986 ~ Renewal ' ~; Ccunty Clerk <br />BUSINESS NAME AND LOCATi0i1t ADDRESS ~ TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br />The Car et ?Ran Donald 0. Hoffman <br />Street Adtlres5 Street or Othe: Mailing Adtlress <br />3022 West Hotash Highway 304 South Oak <br />City State Zip Cotle City State ZiD Code <br />brand Island Nebraska 68801 brand Island,_Nebraska 68801 <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 fram the above taxpayer and remain unpaid after demand. These taxes <br />constitute a lie:l 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 Lo the taxpayer, or hereafter <br />acquired by the taxpayer, and located in the above county. <br />Tax <br />N ~ <br />Tax Period pate of <br />Asssssmem <br />Amount of Tax <br />~ Penalty <br />~ interest <br />~ Additiora <br />Assassrnant Ow <br />{ <br /> 5-1-79 thru <br />- 1-7 <br />U 7 <br />75 <br /> 6-1-79 thru ~ <br /> <br />!?l 7-i-79 thru <br />7-31-79 ! <br />10 3 79~ <br />947.70 <br />34 18 <br />11 06 <br />4 <br /> <br />1 8-1-79 thru <br />8-3i-79 <br />1 3 7 <br />03 17 <br />15 56 <br />2.5 <br /> <br /> <br /> <br />TOTAL ~~ 1,77 52 <br />i hereby certify that the Nebraska Department of Revenue has complied wnh the revenue laws of the State of Nebraska In the deter- <br />minatton of the amount shown to be tlue, and the taxpayer has felted to Day the amount due after demantl. !f this NoRU of State Tax lien M <br />[t an extsnslon oOrt~en effective llen it~serpves~to cont~i~nue the, p~rio-rity of the State's Interest in Lhe atteCtetl property oP the taxpayer, <br />{~,,a~ G7r.~;~~.. -~M~'~t~~.'~~'" 5necial Agent 1a..3-79 <br />~. ~$~,AUtDOriied_514 me Title Wte <br />FOR t:OUNTY OFFICIAL'S USE <br />