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~e <br />~~Z <br />e Rem iafa9trut3d+xd ssn r o <br />{r}.gt ~rsaf Number ' f!n Type 1 Date ISacial Sxuri:y Number :, <br /> y~ Orle,na; 111 <br />~ ( j <br />1 l0 085 u Renewer 10-20-81 <br />lsleoraska i,D. Np. CaudtY Lisrz P3:~ Y:iFh Sisaus's Spc:at mar{ty ~ t {€ (1 ~ ~ ~ f~ <br />J li <br />~/ 1 <br /> ~.`~ Register of Dead Number ~ .i ,~, <br />< <br /> {„~", Lounty Clerk <br />J ®1lSit9ESS FAME AND LOCATION ADDAESS TaXPAVEA NAME AND MAILING AD6AE5& <br />avsineu Name Name <br />Filter On een of Gra nd Island - t ~ <br />5ttelt Rodress <br />4d7 March <br />Whet~lrar Street ar Otner Malting Atltlress <br />407 North Wheeler <br />Ctty Stale Ztp Coda City State Zip Cade <br />Grand Isl and. NE 68801 ~ Grand Island. NF 68801 <br />This Notice of State Tax Lien is issued by the Nebraska [3epartraent of Revenue for unpaid taxes pursuant to the <br />revenue laws of the state of Nebraska. NoSce is hereby given that taxes inehlding penalties and interest, which are <br />shown below, are due from the taxpayer specified above and remain unpaid after demand. These maces constitute <br />a lien in the county frn real and personal property belonging to the taxpayer ar hereafter acquired. <br />Tea <br />Cataaory <br />Tax Period I <br />A a>~t <br />Amount of Tax <br />Penalty <br />Inures[ <br />Additiors <br />A~e~itt ~~ <br />(iumttsr <br /> 2-I-81 thru <br />1 -81 4-7-81 151.00 5.19 6.68 162.87 <br /> 3-T-81 thru <br /> - - <br />~ 5-6-81 117.51 5.00 ~ 4.60 127.11 <br /> °i°vi tii u'- <br />-3 -8l <br />6-30-81~ <br />114.42 <br />5.00 <br />3.91 <br />123.33 <br /> 5-1-81 thru <br /> - 1- 1 7-31-81 117.53 5.00 3.43 125.96 <br /> <br /> f <br /> <br /> TOTAL ~ $ 535.27 <br /> t hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the deter- <br /> mination of the amoun <br />L{en IS an @Xt@nslan of t shown to be due, and the taxpayer has tailed to pay the amount tlw after tlemantl. If this Notice of State Tax <br />an etff!'[tg! II@141t ~-irV85 to Continue the priority of tFle Slate's InterlSL In the aftlCtld proplrfy Of the 2aXpayBr. <br />~g~ ~ ~?I ~' ~ Revenue Agent I Q ~ ~-t'J -'~~ <br />~,g ~ prepay . <br />ure tz ~ f Title Date <br />1 l <br />~ _ _ Q ~ GeCI al Arent <br />Q _ ~~~_-~~- _ _ ~~ .~ ~~ l_ <br />~ <br /> - As:iho:SZaed S'.c.^~s:e _ <br />3' Title 6ate <br />a run s.aev..'e V L'PFiC:A.. ~ U~ , <br />Nic8RA5KA DBPAATMENTOF REVENUE - Whiu artd Golaienrod Copies TAXPAVEA -Pink Copy <br /> <br />COUNTV OFFICE - Catnry Copy <br />4.49476 Rw- J-81 <br />Supersedes 4.494-Ja Rlv. 5.80 <br /> <br />