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<br />Notre of State Tax Lien <br />nebraska <br />~partment • Read instructions on reverse side <br />of revenue _ <br />Lien Serial Number County Date So<iat Security Nu mbtr <br />9, 7 i; 759 Nd71 7 ] -2-79 507-42-405° ~~°- ~(~~~~ga t- <br />NebraSke I.D. Number Lien Type Lien Flletl With Sbouse'S Social Security ~ i4) <br />® Original I~n Register pf Deeds Number I <br />77$8157 ~ Renewal ~u county Clerk <br />BUSINESS NAME AND LDCATfOflt ADDRESS TAXPAYER NAME AND MAOLINCi ADDRESS <br />Business Name ' Natne <br />_ =3aster Bilt Inc Donald 1. Madan _ <br />City State ~vo Code ~ City State <br />Puts7tat2t to the revenue lae+s of the State of biebraska, notice is hereby given that taxes (including penalties, interest <br />aad additions} have been assessed and are due from the above taepayer and retnain unpaid after demand. These tapes <br />• constitute a lien upon property belongi*tg to the taxpayer, or hereafter acquired b}' the tazpa}er. and located in the <br />above county. Liens for sates and use caves only attach to the real prot;eet} belonging to the tavpayes. or hereafter <br />acquired b}- the taxpayer, and 9ocated in the above cuunzy. <br />Tt' ~ i~ Ds2s of ; ~ Batenu of <br />i Nwri}4 ! Tax Ptrtod ~, Asseurrsant i Amour,s of Tax ~ Ptnatty Inttrtst ~ Aadinos '~ Aasasrnsnt Dw <br />- i~-7-i4 thru ii T -~- <br />91 ?5-3n_74 ~7-3}-79 2.473.5 I ~ 2 582.53 <br />'7-i-79 thru ~~ i <br />_97 ~q_3f1_79 ~7Lt-q-79 9x7?tl_ill infi_!?!1 _1Q.~~.--------~---~p'~3f.57 _ <br />I <br />jiiD-i-79 thrU ~-~ <br />21 ':1J-33-79 ' 70-9-74'. 30fi_ S2 ~ I --- ------ 3!36.8?. <br />~ ; i ~ <br />TOTAL IS 5795_L~_ <br />1 hirtD}' [t+ttty Ina2 ine TIeDliLta DepattmMi 8f ReVMW hat compiteQ Witn tna rtw.nw taws Jt iht Sta*_e mf Ntbfiiki In IM et[u- <br />militiDn Dt tt+t amount ChnM'R tp M dux, anti Ma Iitpi}'er rlas SaiiN to WY tM amauni Qua afitar QpmanQ, i+ toil Nai~'*~ of $iatt Tax LiM tt <br />Dn XLtkteipn O( ie eMK27M Sian it StrvC ID COntIn JD tM priprliy Jf Lhe $UttY ..IIOreR 7n int afftettQ ~ropertY of Ifia Lia9aYtr. <br />AKbD112tA lure 772 tL:e <br />~ FDR COUNri OFFICIALS IlSE <br />NEBRASKA DEPARTtdENT D!• REVENUE - ginita try Cinar} G•3P.as TAXPAYER -Pmt CAPy COUNTY ~FFlCE -Goldenrod Copy <br />439474 Rarf. 5-79 <br />=...a; m~t54-d9S-7Y Rev. 9-:8 <br /> <br /> <br />