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Notice of State Tax Lien neAraska department at revenue • Reed inetrudionf on revrne side _ __ ~_ Lien Serlai Number Lien Type Date Sd<lal Secur(ty Number 0/06J588 ~ patneMrat 6-13-84 505-72-3936 ~~~' '~`~~a.~ Nebraska I.D. Nb. County Lien Filetl Witn Spouse'z Sbc{e1 Security Register O} Deads Number 2483217 Hall []CduntyClark __ __ i BUSINESS NAME AND LOCATION ADDRESS 7 TAXPAYER NAME AND MAILING ADDRESS .__~_..g.__.__._._.~ .---~- Business Name V I Snuck Shop ___ __Ro_d_n_ey Lenz _ Str[et Address Strzet pr Otner MaHing Address 102 ~I. 4th 707 St. Paul Road 5 City State zip Codev--l~~--~Cityv ~J+_^~~~~~-State Zip Code Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that taxes (including penalties, interest and additionsy have been assessed and are due from the above taxpayer snd remain unpaid after demand.'r' -se-taxes constitute a lien upon property belonging to the taxpayer, or hereafter acquired by the taxpayer, and located in the above county. Liens for sales and use taxes only attach to the real property belonging to the taxpayer, or hereafter acquired by the taxpayer, and located in the above county. Tax i Gb~aor Tax PeNod Dat! of Amount at Tax Penalty ~ interest Additions Nwnha i Atawmtnt i i Balance of A»assmant Due ~1,4-1-79 thru j I i ' Ol j6-30-79 i 3133180 ll6.03 -+-- 5.40 ~ n 38 I 127.41 7-1-79 thr~u '1'1 1 ~/13180~ 107 76 5 40 ~ a 32 i O1 4-30-79 ~ ]17 08 ~ ^ . ' ~ I i I I ~ I ~ T ~ I j i __ i ~ I ~ 1 i I 1 } ' ' i i i 7 I I ror~l I (~ 244.49 i kareGy Certify itTax xne NeDrasiu Department of Rev¢nua t'Td3 < mp;tau wrtn the rC a laws o1 Pha Sla'.a of Nabrns!ca In the tlet[r- Rflnatlan of TRe brROUnl SfJWYtl T,lt by O !, and In¢ Fd Xpdy<T hd3 fdfiad 'o Day ERe a;TitruRt 6U2 dflar (Sam ar.4, !; i~~ls fYOt~<6 01 Std l[ TdX Lsen +s an <KilntrOR f>f y1 ltlft<,tt/j - at Y¢5 t0 COn](RU[ th[ DrtOrtly C+t tSeg i1a LC'3 l~~tGr¢St ~n iha .:li eii t S [C[ed OrUp¢rly Jt TRe tdXpaylr. ~~ -._~,,.,+~ ,r` _;....!r'r _ ~ `_ _ c{~veCL'.te 1_.9. nf' ~ __- --- 6-13-&p ~ PresdrarS,S~n{ture ~ .. T'u[ Da;e !- _ ~~~,__ ~- ~' _-_-.,_..._... _._ ~ ecial ~ ent -__ 6-13-80 _~ - ilYiRpltaW Se t,.re r t10 Ja[' j FOR COUNTY i7FFICiAL'5 USE I NF.$flASKA DEPARTMENT >1F RE'v EtvitF -- White ang Canary Caren ?AXPAYS:R - Pink Capy CpUti T"r GFFICc - Go7denrad Copy "~~parsada3 .: =$J:.14 Ras. ~~]$ ~j 3