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ADAMS COUNTY, NE
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INST. N0._~~ ~ 2 ~
Date ~ _a ~ _0 ~ Timed 5.3 A/h
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~/ REGISTER OF DEEDS
RESERVED FOR REGISTER OF DEEDS RECORDING SPACE
ADAMS COUNTY NE
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~~''E~IIE NOTICE OF ~TAT'E TAX LIEN
usa w w. c s u s n u+er,. ;r t u. is a,w
This Notice of State Tax ~isn is issued by the Nebraska L?eparktrent of
Revenue for unpaid tarea pursuant to the revenue laws of the state of
Nebraska. Notice is herQby given thafi taxes including pena>!ties and
Interest, which are shptivn below; are due from the taxpayer specified
below and retrain unpaid after detrand. These taxes constitute a lien
in the county for real and. personal property belonging to the taxpayer
or h,3reafter acquired.
18$355tU
_____..~ __ r-- - ___-~.
Lien SeriatNumt~er Lien f i'ed With Social SPounty Number
72501977. ~P,egisteref Deeds ~CountyClerk ~XX ){,);-0508
X)',X-XX-3734
02/21(200$ ~ aUriglnal ~Contimiation ~Cvrreded ~ ~parns
~~BUSINESS NAME AND LgCATInN ADDRESS ~~~ TAXF'AYHR NAh1E AND. MAILING ADORE55 ~-
Rokaeft c ~ Chaflerls/ L Dewitt
1514 West 5th
Nactlnn~
RIB aorln.f
Tax -- - ---- -- ,-._- -- ~~ _ .
~
Category "fax Perlod Date of Amount of lax ~ Penalty Interest Additions E3alance of
~
Numter 4s5essroent Assessrrerst Due
amount srewn to be o , erxi '.he texasyer nas failed to pay tfte amount due after demand. If this M1;etice of 5tats "tax Lisn is an extension of on
effective lien, it sesv v cu«tit~ue the ioriiy of the state's interest in the affected proFerty ofShe taxpayer.
® • ~ ,~,~ Revenue Agent 0:?/21~2!JUS 3!;'8 632~12U0
3!~ Il Prep r ^" natu ~' % ails - Cafe ~~ Telephone hJuntber
here ~ ~ ~~- ~.'~%- Revenue Supervisor 02/2112ar]8
Authorize afure Tile _--- -~ t)aie _._..
4~9;-19N Rw+ 2-2001 E~persAdes ~;-19•I-1°74 Hec. 1 G--1395
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