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i <br />i <br />' ~~nehraska <br />/epattment <br />e <br />N®tice ~f State Tax Lien <br />• Read iltatructions on reverse side <br />Lien Sariai NumDa! County Dare Saciai Security Number <br />~)72S' <br />9/71/758 Ha11 11-1-7s 79-- <br />i <br />Nehraika I.D. Numaer ~n 7yp0 <br />Original Lien Filad With <br />® <br />Register of txetls SDOUSe's Social Secullty <br />Number <br />1457322 i-t <br />G Ren0Wa1 n <br />tJ GaDntY Clerk <br />tAiSl111G3h NRMt ltNU IVt:A 1 tlHe AUYI'SCJD <br />$utineSS Name Name <br />CItY Stati ZiD Code City State ZtD Dade <br />I'rand Tciatxl NPhracka fiRR01 Crand Icldnd~ Ne 58801 <br />Putsusat to dte retrnue !arts of the State of Nebraska, notice is hereby ¢iven that taxes (including penalties, interest <br />and additioas) have hero assessed and ate due from the above taxpayer and remain unpaid after demand. These taxes <br />conslitate a }tea upon pmprrty belonging fo the taxpayer, or hereafter acquired by the taxpayer, and located in the <br />shave couaty. Liens for sales and use taxes onl}• attach to the teal property belonging to the taxpayer, or hereafter <br />acquired by the mxpayer, and located in the above Bounty. <br />Tax <br />lax Paxibd 6abM <br />~ <br />a <br />Amount of Tax <br />Pettatty <br />intarast ~ <br />Additions Balattaa of <br />Amt pw <br /> <br />21 t!i'i1 <br />9-30-74 <br />10/5/74 <br />1,3fi1.03 <br />68,05 ~ <br />6,81 <br />1,435.89 <br /> <br /> <br /> <br /> <br /> i ] <br />s <br />To~AL ~s 1„435.89 <br />t tnle®Y wtittY ~.' Yna ti0M0t14 t>Wrttniht Dt ReNnW has CamplHtl WUI tM rnenu Yrxe of the State of Nahrasea in the dter- <br />eeaaadioa of leis amouet snovm Io G Ow, shtl the ;a:payer Mt taitW to pay tM amtaort ow sitar oamand. !t tots Not3ct at Slab Tax Uen is <br />iq exSetaaoh aT sel eftehitw tiM it farvl6 th cantmw tM pnorny of tM StabY Mterat in tM atfyHSd WOpNty e/ tM taxpaYSr. <br />~ Cia1 gent 11-1-79 <br />+aaatlaraa^a TitN Pate <br />-. _ POR CQlRi7Y OPMt9AL5 t7tE <br />a$tA ~ t)F ttf -'Nas3i ac6 t'.anary Coyws TAXPAYER - Pa+k Copy COiiNT'Y t3FFtCf - GoWerrtod Copy <br />a<9a-Ta Rev. 5-T9 <br />°iuperSetles t•9f-TA Rlhr. 9-7a <br /> <br />