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t~ <br />- ~ - - edca <br />meat <br />z - -revenue <br />@. <br />:_ <br />i <br />i~otic® ~f ~ Tax !.i®n <br />•Refd iiutwetM1rxtroh rayWee aides <br />Lien 57arial Numaer Lien Type Date Sotael Seeur ty Number <br /> [~ Orl91ni1 ~- - <br />A Q (~ (~ <br />Nebraska f.0: No. Cdunty - Lien.Fitetl With potire't Soeisl-5ecutlty <br /> Regl3ter o/ Deedf Number _ <br />-2 ~ ~ County Cierk <br />r: (,_ sugtl <br />t--- = - i3uNna"s>: f4ama <br />~i1t~ Trueki <br />Street AddPeis <br />North High <br />NAMt ANV LVWt1lVN Atlt. <br />;txnRaLUr <br />iAAYA7E!( NAME ANU MAILING AQarNEan <br />of Other Mallln9 Atltltess <br />- Clty - Stake - Zip Cotle City State <br />- Nand River Ne 6888 I Wnnd R; nr Na fi$°~~ <br />Pursuant to the revenue laws of the State of Nebraska, notice is hereby given that taxes (including penalties, interest <br />and additions) have been assessed sad are due from the above taxpayer and remain unpaid after demand. These taxes <br />- cotretihrte a lien upon property bdangittg to the taxpayer, oe hereafter acquired by the taxpayer, sad located in the <br />above co3mty. Liens for sales and use nixes only attach to the real property belonging to the taxpayer, or hereafter- <br />. acquved by the taxpayer, and iowted in the above county. <br />Tex <br />Tut Periad Om of <br />Asimnant <br />AmtwnE of lax <br />Penalty <br />Interest <br />AdditiaM <br />Aa~aG Uw <br /> 1-~-$~ tl7rU <br /> 4-1-8Q thru <br /> <br />- - <br /> <br />- - j <br />i <br /> ~ I <br />I <br /> <br /> <br /> i <br /> <br />TOTAL 15 169 2g <br />' i hereby tertlfy khat the IVebraYke Oepartmen! o} Revenue hat Complletl with the revenue laws Ot the State of Nebraska in the detef- <br />- miNtian of the atnaaOt H10Wn to bB tlue, antl the taxpayer haY failetl to pay the amaunt duo attar tlemantl. If this Notice of State Tax <br />Lien if an exteMSOn or an effeCtiv en it Serves to Continue the priority of the State's interest In the alfxtetl property o} the taxpayer. <br />~~ - ~ Revenue Agent o~- y ~/ <br />PrsW Si ra Tltla Glte <br />e-- - ~~~~ Special Agent ~ - Y' "~'l <br />Auk 519nat~a Title Date <br />FOR COUNTY OFFICIAL'S USE <br />NE~tA9KA OEPARTaeENT OF REVENUE - yyltite and Canary Coplec TAXPAYER -Pink Copy <br />--. -- -. <br /> <br />COUNTY OFFICE - Goldenro4 Copy <br />4194-74 Rav. 32-75 <br />Supersedes 4-$94-74 Rev. 5.79 <br />U <br /> <br />