|
. . 1
<br /> .��r►{y ' • � -
<br /> ,'�1�' . .. .J. . -�'I:i;i:�..
<br /> �y.jy Y:'.j.4'e••�1. .
<br /> �.�,- . • , � . ��JT�Y�_' � - �r���."���'
<br /> .::ti�7�i . . , .. � .. . .�'I�YL��i:".
<br /> 1Ma.. .. .. . _ ._.... .
<br /> /i�R., ����
<br /> .. � , '� .y.]'D�4.'d��:�.1�.
<br /> / - �'"`6'_k_/�l";%_._
<br /> v :;�••-,.,:��
<br /> �y �.�x.
<br /> �.i `N.,.....
<br /> ` ��V • r..,� • ...- ���.
<br /> .. - � \� � � � �^ �« �. ..
<br /> "'7�
<br /> �: �
<br /> � J �� � '� � i'�ir . � ,
<br /> � � n � —+ ►n � � -
<br /> � —c
<br /> � � � ' � O M
<br /> �' � _ '" I � �� ..0 � x f� '
<br /> �1 � \ 1`� �• :;�;� � � � ~ �!
<br /> � _ ' yc,.:.
<br /> . f� (�� � l�) �l l ,.� � r- � . , +
<br /> �i� \' � .. � a\ r-- p � � ;��
<br /> (i�� �1 :�: ' `�
<br /> ta �' OD ''
<br /> � � ��• '�'' n j`�, �` ., .,. .. :F„,y
<br /> W �
<br /> � OO � �,��
<br /> �^�. � • ',.
<br /> " ,�, � '� w � w f�y;''?:J,�t�Fi�;��.�:r..
<br /> � �.ti� �w.
<br /> .,_�i�.�,�.`�.-�r..
<br /> � � �r NoticQ of State Tax Lien , --- _
<br /> �.=
<br /> � ���-�
<br /> � �. 6 '�.:-
<br /> ' awv� \ ,."',�-
<br /> •kPLEASE DO NOT WFRE IN THIS SPACE .: .:"�
<br /> � ..,,.;-�•:
<br /> � - —
<br /> Thts Notice of 5tate Tax Uen ts fssued by 4Be Nebraskr Qepartment of +r--
<br /> �'�:
<br /> Revenue for unpsW bxes pu�awnt ta the rcvenue I wws o f t 6e s�n t e o f ����
<br /> Nebrseka. Notke ts hereb�►given t6At taxes inciud[ng penAlties and �r_'-�==
<br /> � —����
<br /> interest,whkh�re showa fnebw, arc due tt+om We taxpayer specided ��
<br /> bebw�ad cemain napaid attiter dem�nd. These taxes constttute a lien in
<br /> , � t6e conoty for real And pe�soa�l Property belonging to the t�xpsyer or �=_"�`'"�*-
<br /> 6erwtter wc utred. � R
<br /> 8odal Secuity a Fedxal I.D.NumOr SpaMe'a sodal SecvrHy Numbw
<br /> �. NebnsluW�ntlAcallonNumber 4fenFiledYYM ��"��,.•,::
<br /> � � 36763985 nX �'�«ofDsid°pCOi""�'c1ef�` 504-86-1550 =_:„-
<br /> LJen 8wW NumMr Uon TyPe 1�te d Uen �Y ;�
<br /> �� 8 02 311 �� (�ca�Nnuauon ❑corrected 2-2-98 EiA�LL �':� -.
<br /> BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME ANO IMAIUNG ADORES9 _
<br /> � BwuwssNarr�s N� •
<br /> ARF.TT J BUGENI�IAGEN �'=
<br /> � str«�naasu. svee�«omer Mauinp nda�eu ,�u
<br /> 3036 1 2 S LOCUST s
<br /> ?' �y smn AD� G�Y Stata �D� ---- �•
<br /> ,• GRAND ISLAND NE 68801 ����
<br /> j; Bal�w�of -
<br /> b �� TrotPKiod � MtountotTax P�naMy IntM'wt Addition� AssM�rttOu�
<br /> fr
<br /> � _ _ 1467 366.75 238.01 2071.76
<br /> ,. �. ----
<br /> •; 45 5 809.15
<br /> �: — — _
<br /> �
<br /> w
<br /> s
<br /> , ----
<br /> S -
<br /> � , _
<br /> ,; T�TAL a 2880.91 -
<br /> I hereby ceN1y that tlie Nebreska�eParhnent of Reverwe has oa�Wed w0t�the revenue lawa of tM St�t of Nebrasko h the determk�atkn
<br /> of the amount aMwn ro bedue.aM the te�cpayer has falled to pay the amourK due aRer dernand.H thlf Noticeot SSOte Tax Uen fsan extenslon of �L
<br /> eneNectivAllen.ItEerveslocontlrWetheprforltyo}theeTet@'siMer Inlheaffsctedpropertyotihe�Yer. ���:,.
<br /> �,,�2 ��� .�i G,�,�L }:. -�F�:�:�.L
<br /> sign �,.��1?1 F�-r.-2�5�l-C ��1�- � � •� -y�' 3$ ' _- ..• - � �
<br /> r p� re1 No. •.'�;;:i
<br /> Prepgrw',y Slgrlature
<br /> here � � ,:�':�.f:'
<br /> ���Q� �h „
<br /> �� 8 oete
<br /> NEBRASKA DEPARTMENT OF REVENUE-Whtte and Gddenrod Coples TAXPAYER-Pink Copy N COU�O�FF��CE���74�Y b�
<br /> ��m��' �
<br /> _.. ._._..._.�.�...... _
<br /> . --: . „�
<br /> � _ _ __ _
<br />
|