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80004746
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Last modified
1/13/2010 9:48:39 PM
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1/13/2010 9:48:36 PM
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80004746
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Notice of State Tax Lien <br />•Read itistructibra on reverse side <br />0108/777 ~ Orisinal 1 t <br />p Ren¢wa, 8/28180 + 506-50-2905 I <br />Nebraska !-D. Np. CountY uryryp~in Ftled Witb Spouaa's SpClal Security <br />,y Register of Deetls Number <br />2100460 Hall ^ CPUntY clerk <br />BUSINESS NAME AND LOCATION ADDRESS T <br />Builness Name Name <br />u 'r <br />Sirae[ Atltlress Street or Qther M <br />CItY State ZiP CPtla City <br />~~~ f~V <br />AND MAILING <br />Pursuant [o the revenue laws of the State of Nebreska, notice is hereby given [hat taxes (including penalties, interest <br />and additions) have been assessed and are due from the above taxpayer and remain unpaid after demand.'Chese taxes <br />' wostitute a lien upon property belonging to the taxpayer, or hereafter acyuired by the taxpayer. and located in the <br />above county. Liens for sales and use taxes oniy-attach to the real property belonging io the taxpayer, or hereafter <br />acquired by the Taxpayer, and iocated in the above county. <br />Tax <br />Category Fax Period <br />N bar Date of <br />Assessment <br />Amount of Tax Penalty j Interest I Additions Balama pf <br />gssessrparrt Due <br />4-1-$0 thru <br />21 i 6-30-80 1 <br />7 31 80~ <br />41.68 i 2.08 I .21 ~ <br />43.97 <br /> <br />I <br />I <br />i <br />1 I II ~ <br />~ <br /> I <br />-- <br />I ~ ' j I <br /> I i i I <br />- 1--- ~ <br />TOTAL i s 43.97 ___ <br />i he[eby certity that [hS NGpraskd D¢partment Uf Ravenna M1a3 c4mPt etl w~ttr tna ~e nue ws et the Mate Uf Natrraska ~n n¢ pesar- <br />atiprs U! th4 2mUUn[ hnwn tp ha pue, a the tazpEyer nE3 tdli;tl to G y tna a t Cuai altee tl manP is Notice Uf Sta[e i ax <br />Lien IS an ¢xtenslon Pt aryl~tettlvo Ilan it serv2s lv cnntlnue the pr mrl[v or tnv srdt9 i i.,serest in [ne attaCtabl G~opartr ~~ Inx •ax Peva;. <br />Sidi , ~j~ ~~~~ i 2evenue ;iaent 8128 e~ <br />-Irate Pr. er~sSj/rr, 1 Date <br />(('('fpr -f a <br />~ _~ aa~~_------~ecial Agent 8!28/80 <br />r Autnorleetl 519n title Data <br />r -t~~llllll FOR COUNTY OFFICIAL'S USE - <br />NEBRASKA DEPARTMENT OF REVENUE -White and Canary Coples <br />TAxPAYER - P,nk Copy CUUNTV OFFICE - foidenroa Cppy <br />~uu;~.e+~tes .~a 9a~]a vav. a <br />u <br />~ ~ ~ -~ <br /> <br />
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