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a~ora~ta <br />ti~sarrrnfitt <br /> <br />~~#'N~~e taf ~t~#e T~~c L.i~n <br />• And irowct;~pxi wt rtrrirti Sidi <br />Linn SariN Numt»r i L(Cn Type i Dace ixxias Sat:.r;ty N;;rr,;, er ! <br /> i ~ri9ina7 _ f <br /> [j Renewal 10-15-$1 '' 507 3$ 7028 ~ <br />s ~3 <br />/(ff a <br />~ ~ L <br />~~ <br />~ <br />NibrisW I.D. NO. County Liin FiieO With Spouse`s 5«lal sec„(ity ~ " ( <br />z r.. <br />^~ <br />~ <br /> Rag-rater of [}estls~Numbar <br />3349438 ball [g^.aunty Gerk <br />[ tdUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADOAESS <br />9usiness Name Name <br />~plrian g}3t3Et <br />5p 1 J Price <br />Streit AdrtresS ,_ Street or Other Mailing Atltlress <br /> h Ni h Street <br />City Slats Ylp CoOe City Stets Zip Cotle <br />_ _ _f:airlt~- 68824 Cairo PaE 68824 <br />This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpsi.l taxes pnrslrant to the <br />revemre taws of the state of Nebraska. Notice is hereby given that taxes including pernlties sad interest, which arc <br />shown below, are dlfe from the taxpayer specified above and remain unpaid after demand. These taxes constitute <br />a lien in the county for real and personal property belonging to the taxpayer or hereafter acquired. <br />Tilt <br />CarilerY <br />Nttm6n <br />Tex Period <br />DA~Mtt <br />Amount of Tax <br />Pendty <br />IntirRt <br />Additiottf <br />Aff~ pw <br /> 6-1-~j thru <br />9-18-81 <br />.78 <br />27x <br />8.53 <br />6.14 <br />290.45 <br /> 7-t-81 thru <br />9-18-81 _ <br />265.16 <br />8.20 <br />4.58 <br />277.94 <br /> <br /> <br /> <br /> <br /> <br /> TOTAL I ~ 568.39 <br /> r ndreby Certify that the Nebraska Department of Revenue nas <ompifetl with the re Wnue iiws of the State Of Nebrafka in the tleter- <br /> mination of the amount shown to be tlue, antl the taxpayer has falletl to pay the amount tlue attrr Oemantl. If thlf NOtlu O! Stet! Tax <br /> Llan is an exten4lOn or on effietive lien it serves to Continue the pflorlty of the State's <br />/ Intelei[ In in! at/ectetl property of Ma tixpeyer. <br />~p -- i ~ Revenue Aaent 10-16-81 <br />~e,N~_ <br />~~`( Preparer's S u _ { Tlt la Date <br /> .__~tteei al 1~gent 10-16-81 <br /> AuihGriaaO Sf ure Title Date <br />~ _ _ - ' ~~A COUNTY OFFICIAL"S USE i <br />_ NEBRASKA DEPARTMENT OF REVENUE - Whitr and Goldenrod Copies <br />TAXPAYER -Pink Copy COUNTY OFFICE -Canal Copy <br />4-494.74 Rev, 7-al <br />Supenetles 4.494-74 Rev, 5.80 <br />u <br />~ ~ <br /> <br />