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y~ <br />Notice of State Tax Lien <br />nebraska <br />r artment eRed itntructiorts on raverw side <br />lJen Sella! Number Llen Type Date Social Security Number <br /> ® Orl9inal <br />1/09/951 ~ R.newal _ _gl <br /> <br />Nebraska I.D. No. <br />County <br />Llen Filed WIM <br />SpouseY Social Security e~ <br />~ ~ _sj)'`' [~ s <br /> Ra9lster of Daetls Number <br />2235722 Hall [$ cpnnty aerk <br />BUSINESS NAME AND LOCATION ADDRESS TA](YAYhX NAMt ANp MAILING AUYnepa <br />Business Name Name <br />Grand Island School of Business Grand Island School of Business <br />Street Adtlress Street or Othet Melling Adtl(KS <br />410 West Second Street Box 399 <br />City State Zip Coae Clty State 21p Coae <br />Grand Island NE 58801 Grand Island NE 68801 <br />This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for tmpaid [axes pursuant to the <br />revenue Iaws of the state of Nebraska. Notice is hereby given that taxes including penalties and interest, which are <br />shown below, are due from the taxpayer specified above and remain unpaid after demand. These taxes constinete <br />alien in the county fa teal and personal property belonging to the taxpayer tB hereafter acquired. <br />Tez <br />Catpory <br />NumMr <br />Tax Period Data of <br />Anessment <br />Amount of Tez <br />Penalty <br />Inn;est <br />Additiorts Balance of <br />gawament Dua <br /> <br />O1 5-1-81 thru <br />7 27 81 <br />58.82 <br />5.00 <br />.79 <br />64.61 <br /> 6-1-81 thru <br />1 <br />103 66 ' <br />5.00 <br />.88 <br />109.54 <br /> 7-1-81 thru <br />7 50 <br />5.00 <br />.67 <br />85.17 <br /> 4-1-81 thru <br />84 <br />24.99 <br />4.22 <br />529.05 <br /> <br /> <br /> <br /> rorAL $ 288.37 <br />- 1 haroby certify that the Nebraska Departm ent of Rwenue has c mplled with Ne revenue laws of the State of Neb raska In the deter- - <br /> minatlpn o/ the amount shown to be tlue, and the taxpayer has tailetl to pay the amount tlu a fter demantl. It this Notlte Of State Tax <br /> Lien if an a%tenslon of in a}feptly Ian If ;ervK t0 continue the ptlotltY of the steta's Inters;t I n tM afh<tetl property of the taxpayer. <br />sign <br />~ / Revenue Agent 4-9-81 <br />h <br />r to <br />p(e Tttle Data <br />e <br />e Special A-!cent 4-9-81 __ <br /> Autho(Iled 51 Yn TItIe Date <br />- FOR COUNTY OFFICIAVS USE - <br />NEBRASKA DEPARTMENT OF REVENUE - Wbite sntl Goldenrod Copise TAXPAYER - Plnk Copy COUNTY OFFICE - finery Copy <br />4.49474 Rev. 7•at <br />SuperNde; 4.644.74 Rev. Sda <br /> <br />f.~ <br />