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rretlrask a <br />idepariment <br />of revenrle <br />Nance c~~ ~ta~e Teac Lien <br />~Aead irdtructiorts on ieverse ~side'~ <br />Llan Serial Number Lien Type 'Dale ~ Social Security Numbaz <br /> <br />12/01/263 ~ Renawat 12-16-81 81- i} t <br />6 ~ g'9 <br />Nebraska I.D. No. County Lien Fileo With Spouse's Social Security 1 <br /> ® Register of DeetlS Number <br />3875148 Hall ®cnpnty clerk <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAVER NAME AND MAILING ADDRESS <br />Busineu Name name <br />Mr. Lucks Mr. Luck s <br />Street Adtlress Street or Otner Melling ADtl ress <br />3311 West Stolley Park Road 3311 West Stolle Park Road <br />City State Zip Code City State Zlp Code <br />Grand Island, NE 68801 Grand Island, NE 68801 <br />This Notice of State Tax Liet! is issued by the Nebraska IDepartmznt of Revenue for unpaid taxes pursuant to the <br />revenue laws 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 constitute <br />a lien in the county for real and personal property belonging to the [axpayer or hereafter acquimd. <br />Tax <br />Gtsaory <br />Number <br />Tax Period Date of <br />Assessment <br />Amount of Tax <br />Penalty <br />Interest <br />Addltiofts ge~q of <br />Aseesrment O <br />W <br /> 7-1-81 thru <br />- <br />- <br />1 47 <br /> $-1-81 thru <br />1 <br /> <br /> <br />- i <br /> <br />_I <br />~------- - <br /> <br />.._ <br />r .__. - -- -- <br /> i <br />~__.. ~. I <br />roTAi_ I g 1,274.72 <br />i hereby rertlfy that the Nebraska Department of Revenue has com piled with the rewnw laws of the State of Nebraska in the deter <br />mUatidn pf the amount Shown to De tlue, and the [dxpayer has taileD to pay the am OUr1L Due after Demand, If thli NOLfp of State Tax <br />LIM Is an extension o/ an o/fecti - n i[ serves to continue the priority of tna state's Interest in the affected property of the tixpeyer. <br />~~ ~,._____~`._.._~ ~ Revenue Agent ,,_ f~-/~"=,~ <br />~~*g PraParor 5i a Title D#ti <br />~N~-.,-~~~.. ---"-"" S2ecial Aaent <br />R ApthorisW S! ure - - -- ~""®~ Title Oalrr <br />_ .!s ~ FOR COUNTY 4FFiCtA4'$ U$E <br />~...,...,-,---,,., 1~- ~ _ ~.._-_----,- - - ~-. ~. ~ _..-.~~~..._..,.._...~.»w._.~_ _. <br />N@9RA8KA DEPARTMENT OF R EV ENUE White and Goldtnrod copses <br />TAXPAVER - Plnk Copy <br />COUNTY OFFICE - Canery Copy <br />a-ava.ra say,, z.at <br />supert+de! e.4g4-7a Ney. ~-a0 <br />rf <br /> <br /> <br />