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~ ` .R,a~,Paa~- <br />u.. Safial Namap tJUt Type Oat. - - .. 'sxaray rNrrsMa- - - .. - <br /> ~' <br />OI~/Tao- ~a. <br />..t 81131sn 5t~5a-ate, <br /> <br /> <br />.: -;:z <br />alaarafki-t.D. No. County - [.b¢Faed tyitli- '$pCHi Setaetgr - - .• <br />3296857 Hall ~""~"°' tuber _ . i. <br />County Glerk <br />BtJSlNESB NJ{MIE AND It>CATtDNP160RES5 TAXPAYER-NANEANFi1[iAtl~JlBtfR1~ <br />8usflt®S Name Name _ - - <br />Street ACaresa Street Or Other Mailing AOgres: - - - - <br />CnY State ZIP COde City - ~ - - - State - - ZIpCade - - <br />d <br />Putsaant to the revenue taws of the State of Nebraska, notice is hemby given thattax~-(indudiagpeasl~eY interest-.. <br />- and additions] have bem asaer~d sad are dne~from-the above taxpayerandremain nnpaidafter doritand.'77tese lasso'- - - <br />eottstihtte a lim upon property ~~bettmghtg to-the taxpayer, or-tiaeafter afxinued~by the Saatpaye'; ar+d-located-ia~tlte - - - <br />- above aottnty. Liens for sates and tt~ taxes onty,'affich•to tlta real property bdtin~gto the taxpayer,:or h6reaftec: - <br />acqused by ilre taxpayer, and located- ID the aboce,coanty. - _ - - - <br />Tax <br />CataOO+y <br />Nomhr <br />Tax Period <br />AZwmenr <br />Amount of Tax <br />Panghy <br />Intaap <br />AddltioPe _ <br />~ AlaetanwatOW- <br /> <br />_21 4-1-78 thru <br />6-30-78 <br />2 74 79 <br />30.72 <br />~ 1.54 <br />3.75. <br />36.01 <br />! <br />21 1 7-1-78 thru <br />9-30-78 <br />2 14 79 <br />181.92 <br />9.10 ~ <br />20.02 <br />211.04 <br /> <br /> i ~ ~ <br /> <br />I i j <br /> <br />I I <br /> <br /> TOTAL ~ S 247.05 <br /> I hereby testify that the NebrdSkd Department pf ReV¢nu¢ naS Campllatl With the re ue laws cf the State of Nebrdska In th¢ detef- <br /> mina[fOn Of the amount tno wn to b¢ tlue, dntl the laxpdyet nos falletl In pay to unt naa dtler tlemantl. It th li No[ite Of S[dte Tdx <br /> Lien is an extension Ofd lien If [ernes to contlnu¢ the prtart[q at the State s interest In [ne affettea Dro pertY Of the taxpayer- <br />~~" ~ Revenue Aaent 8!13/80 <br /> Preps f'S 51g TI[la Date <br /> i81 A ent 8/13/80 <br />- Aptnort sla a Tlue Dato <br />NEBRASKA DEPARTMENT OF REVENUE -White and Canafy Copier TAXPAYER -Pink Copy <br /> <br />COUNTV OFFICE -Goldenrod Copy <br />4~4g4-)4 Rev. 123^ <br />Su4 ^•seaea 4-49a-14 Rav.; v <br />u <br /> <br /> <br />