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ADAMS COUNTY, N£
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Date3-z ~- Time/ o,,_,,,
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REGISTER OF DEEDS
RESERVED FOR REGISTEIf OF DEEDS RECORDING. SPACE
ADAMS COUNTY NE
~A aGE 1 OF 2 P~~GES
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Picric return tu;
s~r.,-rE cI~ N~sx.AS~.~
DEP1I~TI~IL:NT C?F' R?-~~'ErIIJT;
I a i ~ +,~rE~r 2t''r' s~r :s~r~; dt~i~
G1LA.ND ISLAND NE 5880.1
N i+t}reKka LJe!ypol rl.T•!!RL 43"
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3~.12~
rIHGTHY G.
03J19l208B 10:25 pM
IV4T~GE t~'~ ~TAT~ TAX LiE~V
1"L.G^'.JG UV IYV I ~Y IIL IIY 1111) VTF1Vi.
Thls Notice of State 'fax Liars is issuaci by the Nebraska Uspartment of
Revenue for unpaid taxes pursuant to ttre revenue haws of the state of
Nebraska. Notice is her®by given fleet taxes Including penalties and
Interest, which are shown balavtl, are duQ from the taxpayer specified
below and remain unpaid aftex c#srnanci. These taxes constitute a fien
in the county for real and persanal prr.-tperty belonging to the taxpayer
or hereaf#er a~ cquired• _ _
ebras a (dent icadon Number Federal Idamiti~tion Number
8983410
Lien aenai Numper~ tsb.~ a-iiea with social ~ecurrty n~umtier spuus~s 5oual Security NurnGer
~1 " J/ ~ ~ ,Register o? Ueods []County Clerk 325-54-1 U19
Date Gf Lien Lion Type y
0112712008 UOriginal Continuation ~Gorrectea I ,~dam5
I~ BUSINESS NAME ANb LQvAl"tUN ADDRESS ~ 'TAXPAYER NAME AND MAILING AGC+3?ESS
Business Naine Name
Timothy D. Price
Street Address ~~ ~ Street or Outer tJlailing Address ~~
_ 242 W. 2nd 5t. _ _
City "-'~ ~~~ Zlp Code Clty State Zip Code
1-1a5t!n4S, iVe. 68901
Tax
Category
Tax Periud
_ Date of ~
Amount Wf Tax ~ "-"-~
penalty
Interest
Additions
~
Balance of
Number Assessment _ ! A,ssessrrsent Qus__
01 u`~/u~/zuu/ 01/2712006 1,543.35 308.6$ 77.08 1,529.12
~5J31rc007
08/01!2007 ~'~~
01 01,'27/f008 1,1813,85 I 237.75 2$.73 1,455.:°•4
09;3032007 _ ~`'~
~~ 01 't0/Cs°U20G7 01!'2?!200£3 -- _-635.41 i i?7.08 -~~ $.77 771,2$
_ 10f3112007 _
r._._ 01 11!01/2007 01/27/2008 724.D0 ~ 144.Or0 5.2-~ ~'T-- 874..04 Vy
11/30J2007
01 08./01/2003 1)3106/200? ~~ 0.{l0 0.00 0.37 0.37
03/31/2007
--~----- - ._ .r-1..
~rtaTAL $ 5,030.13
I ncrebt~ c9rtfty tnat'.he Nc?praska 7epartmr;nr rf Revenue has complied with the revenue !a,vs o. the State „f Netra:,ka in the deterrninafion of the }
amount shoavr; ;o !:e due, and the taxpayer has f:aiied to pay the amount due after demand. If this Notice :)Y State Tax ~ ien is an extensi~or of an
effective lien, it sor~y.~rS tai continue the pr' i~at the state's intorest in the sffeoted property of tho taxpa,er.
~i Revenue A ant _ ,~ ~ ~~ ,~
~' ~ ~:*`~~1~~ 9 O 1i% c ~ 308 385-60?5
...~ ~,1~
Sl~ft Prapa-~re s .gnat re Trt~Te ~ -6ate Telephone t~4rrtrer
~+~-'~ ~- '~ ~ Senior F;evenue Agent ~ ~ [>
irorized Signature ~ Title ~ Date ~-
4-494 3 974 Rev. 2.2002 Supersedes ~-494=1974 fteu. 70.1995
~,
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03/19r'?008 KED L5. 38 ~~.,~. •':C~ .t?L rt429 1J:.C S>;Ctir^AR1' CF 9'PATS -~~= Adams
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