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r--' "~ <br />4 <br />~E>~~Cd T8X `.$~61 <br />sore stlwd irtfhwtbitasn reeerea tide "' ~ - V 11 ~ f (`' <br />F <br />i <br />- <br />LHn 9efla! tVumDer <br />Lien YYM <br />Dtta <br />SryElai 5awtity - mtpr -- <br /> ~} tAirinei - _ <br /> ~. Rertewat <br />t4elSTleka i.D. Ha. County L is Fifad WHS.- 5twuieR Exle! S~eurlty <br /> Re93strtr of Qeed umox <br /> <br />aUStl lftif NAfrnE AMt3 L OCaRTttAi1! AirtlffEBS ~ TAXPAYER-pAME-A#il MkiL#fYl#i ADOR~SY <br />Bwtness tdsma <br />Q~ISI#YS Gt7 <br />atreel Aov.em <br />1Q24 N 3v <br />City <br />St"i 7sla~. Ne ~j~842 I Crand Isiand~Ne_ 6884? <br />Pur~raat to the rereaau laws of-the Start ofNelxaska, notice it hueby given that raze: (iacludiag ptadtiea, interest <br />~ atklkioas) have ban asse~e#t sad` atz dare from the above tazpat yu end remain urtptid after detrnnd. These taxes <br />constitute a list upon property- tr# the taxpayer. or hueaftu atquaed by the taxpayu, sad locattd m the <br />above eonaty. [.leas for asks sad use taxes ~Y at~h to the trot property kelorrging to the taxpayu, or hereafter <br />saguired by the iazpayu, std locates is the ahov4 county. <br />CaNpty <br />sua!lbee Tax Period DAssw netict Atnutnt of Tett ~ Penalty ! Interstat Additiom Atoeemalt Dw <br /> 1t1-i-$t3 thru <br />_ ~ ~ <br />i i <br />k <br />j <br />~ <br /> -- <br />} <br />I - <br />- j <br /> <br /> - I - ~ ~ <br />TOTAL ~ S ~ q <br />I taroby cwdry tMt the fworaska Department of Rsyenua has campllM with the rerenua laws of the 5tete of iVettraska in the aatar- <br />minWlws of tM amount Shawn to txe CW, am! ine !axpaysf nos ta8ed !a say .rte amount sue attar aemana. If Mls NotiCa of State Tax <br />Llen !s en eYtenr70n at as efteet !Hn SerHi to COntiau0 the prianty of the Stite'i in[ereit Sn the atfKtad prayer?Y Of the Uxpayar. <br />~2evenue Agent .x-11-8'1 <br />isre erY 5! ure Tltfe Date <br />Special Agent _~ ~~$'/ _ <br />Autn4r7xed $lan - • - Tuts Date <br />fOR COUNTY OFF#C1AL'S USE <br />- HE_8HA$KA DEPARTMEttlT OF r#EVEMVE - Whlte artd Canary Capisss TAXPAYER -Pink Copy CUUMTY OFFICE -Goldenrod Copy <br />;d94-?4 Rev. 12-J9 <br />Supersedes 0-094.74 Rev. 5-79 <br />s~ <br />s <br />~~ <br />} F <br />