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<br /> � �'' Notice of State Tax Lien r
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<br /> INDYVIDUAL INCnME TAx =
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<br /> SOC. SEC. M0. 52092b065
<br /> NEBR. ID�f��• N0. 3945b61?
<br /> SPOUSE SQ�. SEC. N�• 520080982 —
<br /> _ _ — TAXABLE Y�11R 1993
<br />_. .,: .. ' LIEN N0. 9T3780141
<br /> � COUNTY H'��L STEPHEN 8 a ANTO=NETTE M FERRO
<br />~;�,,�,�:,",.�,,;T DATE OP N�YICE 06/�i/9T 3322 RAYLINS ST
<br /> �� ' DATE OF A5SESSMENT 04/08/97 LHEYENNE iiY 82001
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<br /> �ti�=:,'T'�~'� THIS NOTICE OF STATE TA)( LIEN IS ISSUED BY THE NEBRASKA UEPARTMENT GF
<br /> . � � � � REY�NUE FOR INDIYIDUAL INC�ME TAX PURSUANT TO THE REYENUE LAiiS OF THE
<br /> � ` � -•��� STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN ?HAT INDIYIDUAL �NCGME —
<br /> _"!�.�i"_:
<br />--�,?""''� TAxES INCLUDING PENA�.TIES AND INTERESTs MNYCH ARE S�IOMN BELOM ARE DUE
<br /> `�``?� FROM TFIE TAXPAYER SPECIFIED ABDVE AND REMAIN UNPAID AFTER DEMAND•
<br /> -;'�,rfr�V�Y .
<br /> � .''�'' '� THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING TO
<br /> �� ��� ' • TNE TAXPAYER QR HEREAFTER 11CQUIRED.
<br /> = ;1
<br /> --�.w�i_:
<br />-�-�"°��4��:yi.., AMOUNT OF TAX • • • • • � • � • � • � + • • • • • 5�4•00
<br /> "'�"'��.�� � PENALTY . • • • • • • • • • • • • • • • • • • • • 126.00
<br /> "� �� INTEREST (COMPUTED TO 06/27/9T) • • • • • • • • • 138.10
<br />—,�'� ' " . TOTAL AMGUNT DUE • . • • � • • • • • • • • • • • ?68.30
<br /> ,..��,,,�;�
<br /> :.=���— I HEREAY CERZIFV THAT THE NEBRASKA DEPAR7'MENT OF REYENUE HAS COMPLIED
<br /> ��,�5�:� MITN THE REYENUE LANS QF THE STATE OF NEBRASKA IN THE DETERMINATIGN OF
<br /> -�����.+.• THE AMQUNT SHOMN TO BE DUE� AND THE tAXPAYER HAS FAILED TO PAY ?HE
<br /> __-,��*; : � AI�OUNT DUE AFTER DEMAND. IF THIS NDTICE �P STATE TAX LIEN IS AN
<br /> - . EXTENSION mF AN EFFECTTVE LIEN IY SERVES TO CONYINUE THE PRIGRI7Y OF
<br /> _� �� T �S INTE IN 7HE AFFECTED PRdFERTY OF THE TAXPAYER+
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<br /> , PREPARER�S SIG�IATURE tITLE DATE/TE EPH�NE �:�--,
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<br /> AUTH6RIYcED SI ATURE TI7LE DATE ��.
<br /> NEBRASKA DEPARTMENT OF REVENUE—WhRo and Canary Coples TAXPAYER—Pink Copy COUNTY—Cioldenrod Copy
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