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~~ <br />rya <br /> <br />•tsdd lruvneiiarea aet raieir sd. <br />Lien Series Number LIM TYDa Dite $oC}a} $itur#LY #Juinber <br /> <br />1 101041 <br />~ Renawa} <br />1(I-15=81 <br />507 54 4b~9 i <br />~ ~, ~ I~ ~~ ~ +.~ t ~ <br />Nebraska 1.0. Mo. County Lien Rned Vritn SPOUxe~ Soc}at Security <br /> <br />3534847 <br />Hal i (~ Register or Daed <br />~ cF~,ntY asrk umtxr <br />505 52 6743 <br />_~ <br />t;USINESS NAME AND LOCATION-ADDRESS TAXPAYER NAME AND MAILING ADDRESS ! <br />Business Name Name Edtnusld A & Sharnn K. Brown <br />Browns Repair Shoo ~ fJointiv & 5everailvl <br />Street Address ~ Stren ur otner Malting Aaaress <br />We t iii hwa 3 ~ Box i ~ <br />City ~ State ZID Code City State ZiD Code <br />good River, NE 68883 Wood River NE 68883 <br />This Notitx of State Tax Lien is issued 6y the Nebraska Department of Revenue for unpaid taxes pursuant to the <br />revenue laws of the state of Nebraska. Notice is hereby given that fazes including penalties and interest, which are <br />shown below, are due from the taxpayer specified above and remain unpaid after demand. These taxes constitute <br />a lien in the county far real and personal property 6eloiigirlg to the taxpayer or hereafter acquired. <br />Tax <br />t.aiaaory <br />Tax Psrlod <br />ADsaesment <br />Amount of Tax <br />~ Panahy <br />intaratt <br />Additiorrs <br />A Baaaeamartt Dw <br />Nlarther <br /> -1-80 thru <br /> _ i l 5.00 G 1.56 6.55 <br /> 10-1-80 thru <br /> -27-81 80.64 5.00 4. i9 89.83 <br /> 1-1=81 thru 1 <br /> - 7-81 73 97 5.00 2.76 81.73 <br /> I <br />~ <br />- <br /> - I <br /> <br />TOTAL I $ 178.12 <br />i hereby certify that the Nebraska Department of Raven ue ha5 GomFhed with the rewnua laws of the $WI! of Nebraska in the tleter- <br />minitiFn O{ tho amcun+. plfpnn fn !`S dFg, and *.he tdxpayer has fa!!etl to Fay the amouht due a{tar dantana. !t Lnts NQLiee pt $LiLe T'l±li' <br />Uen is an ektension of an effective ile ves to continue the priority o/ the State's Interest in the affactetl property of Ma taxpayH. <br />_ ~ /~ / ~it-yr <br />~ - ~ . ,~ -~,"~/J~ r Revenue Agent 10-16-81 <br />.~~~ ~ ~piret~s st :a I !~ ~7itte Gat. <br />_ Soecial Agent 10-16-8i <br />' Authurizea p»a Titia Dais <br />~~- -~- -- -- - ~ FF NTV OFFICIAL'S USE <br />NEBRASKA DEPARTMENT OF REV ENUE -White and Goldenrod Copies TAXPAYER -Pink Copy COUNTY OFFICE -Canary Copy <br />'.-~93'd Res- ?-6: <br />Supersedes 4-493.78 Rer, 5-@0 <br />J <br />I <br />~.~ <br />