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.~/~~P Notice of State Tax Lien <br />,~br~80 <br />Aapatment <br />f ..YYmu •pfud inatruetiena on revers YiAY <br />LIM SNIYI Number Lisn Typa Data Social Security Number <br />0/08/748 ~Ofig1na1 8/25/80 507-38-5628 <br /> Renewal <br />Nabrafka I.D. No. County Lien Filetl Wftb Spouse's SPCisI Security <br /> Register of Deetl Number <br />O1-3285332 Hell ^ cpPnty cl.rx <br />OVYIrveSI rvAINC ArvY LVI:A r fLrv AYYrSGbb .IYAT CIS rvAMC ANY MAtLfrvU AYUrSGAD <br />ausm.u rwme L ~ F 13t*nrnri ~. Name <br />Strst Atltlftli <br />or Dtber Mallin9 Atltlress <br />Glty Stale Zip Cotle <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that taxes lincluding penalties, interest <br />and additions) have been assessfd and arc due from the above taxpayer and remain unpaid after demand. These taxes <br />constitute a lien upon property belonging to the taxpayer, or hereafter acquired by the taxpayer, and located in the <br />above county. Liens for sales and uee taxes only attach to the real property belonging to the taxpayer, or hereafter <br />scqueed by the taxpayer, and located in the above county. <br />r.x <br />CataaerY <br />Number <br />Tax Paritxf AHramrt ! <br />Ambunt tlf iax P.nalty Insrst I 4dditioM <br />AapalntRp Dw <br /> <br />O1 7/1/80 thril <br />7 80 7 29 8 ~ <br />29.46 -0- -0- <br />29.46 <br /> I i <br /> ! i <br />I <br /> <br />___J <br />i <br />_~ -i-.-___.___. _..._ y_...-. . _._-~ <br />I <br />! i <br /> <br /> <br />rorAL <br />'y~ I <br />I s 29.46 <br />__ <br />YPy Cartlfy loaf InY Nebraaxa DYpartmMl UY RYVanr1Y n rnpnBtl w n the re <br />a Stale ut Ns <br />1 brd1xa in the deter <br />min <br />41n ul IbY • fnuwn to by tluY. antl tnY tax PaYYr naa lauetl lu Vay 1 anu f In+f <br />s <br />an <br />t <br />u <br />l <br />r <br />r <br />u <br />r <br />' NutilY :,1 State iq. <br />ta <br />Ins arrµ ten <br />Vr+r Wr <br />of <br />t <br />intar <br />Yfl <br />n <br />an YifactlYY nYn it N'rvef to contlnna the Vrrnr+Iy nr the <br />t x <br />UM x y <br />~ td~L~+^"~ ~~+st dew Aeuettue Anent <br />^. <br />~ <br />- <br />--_v_~_~T~._ ti ~If tna+a+paynr <br />812~j~R. <br />litl+ <br />~a=~~ Plftpfres~ a <br />1utE <br />~~ DatY <br /> <br />~s `fir __....._._.... <br />._..___~..... p ~~~/ <br />_e__YL6afL.eQ . <br />_..__ <br />_ <br />AYMor1aN SianaturY ~- " "+IIY . <br />Data <br />~- , FOR COUNTY OFFICIAL'S USE <br />~__.~__. e._~.._,..__ ___,.___._... . _... _.... ..... <br />NrHRA4KA DEPARTMENT OF NtivENUE Whrt. amf Gan.rv CnPl+I TAxpgrCN PmY CPPY t:OUN i~. apclce +,., tl.m oU CPPv <br />•a p x 1, <br />,,.n.~w.l.t i +vY ;a Nw I <br /> <br />L_ <br />U <br /> <br />