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Plotice of State °i•aae Lien <br />~~ahraska <br />department • Read instructions on reverse side <br />Lien Serlai Number County ^ate Social Security Number ~ ' <br />9no/7o4 Ha12 1p-11-7 79-- ~-°71 <br />Nehraska 1.0, Number Llen Type LI Filetl With Spouse's Social Security <br />1788167 ~ Or:9ina1 egister of oa¢ds <br />r Number <br /> CJ Renewal J COUntY Clerk <br />, <br />i BUSINESS NAME AND Ll1CATIQN ADDRESS TAXi+AVER NAME AtdO MAIt.ING ADDRESS <br />nusrne55 Nama Name <br />Master Bilt Zac N,aster Bilt Inc <br />52reat Address Street or Other Mailing Ad Oress <br />521t Sonth Elebb load Box 208b <br />Ctty State Zlp Cotle City State Zip Code <br />Grand Island ;ie 689Q2 Gr¢md Island Ke b$8GI <br />Pursuant to the revenue laws of the State of Nebraska, notice es hereby given that taxes (including penalties, interest <br />and additionsS have been assessed and are due from the above taxpayer and remain unpaid after demand. These taxes <br />constitute a Lien upon properly belonging io the taxpayer, or hereafter acquired by the taxpayer, and lo:ated in the <br />above county. Liens for sales and use taxes only attach to the real property belonging to the taxpayer, or hereafter <br />acquired by the taxpayer, and located in the above county. <br />Tax <br />t:ataporY ~ <br />Number <br />Tax Period <br />I Date of f <br />rnbM <br />Ampunt of Tax <br />Penalty <br />interest ~ ~ <br />Addition ~ Betsnw of <br />h~sssnytrt Dry <br />n, <br />~, 7-I-79 t3iru <br />~e_~p-79 <br />~ 10-9-?9a <br />2,12©. G7 <br />2 1~~.07 <br />s <br />21 I <br /> <br />~ <br />Oct. 7_ 4 ~ <br />j- <br />j <br />i <br />i <br /> <br />~ <br /> <br />~ <br />_~ <br /> <br />I <br />A~ <br /> <br /> I <br />~ j ~ ~ ! <br /> <br />TOTAL ~S 2la26r89 <br />' thereby uKity that the Nehrask2 Deartment of Revareue Nas compiled vrith the revenue Taws Ot ine State of Naoruka m Lhe dltar- <br />mination Of Lha smouM snows So tx tlue, an0 the taxwyar has tailatl TO pay the amount Oue after tlamantl. If this Notice pf Stete Tax Uen fs <br />an aXtension Of an eitectfve lien it serves SO continue the priority of The Stele's interest in the atMCtetl property of the taxwyer. <br />.: ~. Asslt~uriied cam.; ~~ a n .,+ 14-1 l -7$._ <br />Tale Dat. <br />` fDR COUNTY DFFICiAt'S t]SE <br />NEBRASKA DEPARTMENT OF Rf VENUE -YJh rte and Canary Capies TAXPAYER -Pink Copy COUNTY OFFICE -Goldenrod Copy <br />4.494-76 Rev. 5-79 <br />Supersedes 4-494-74 Rev. 9-78 <br /> <br />I <br />t <br />