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<br /> Notice of State Taac Lien � �
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<br /> ZNDIYIDUAL INCOME TAX
<br /> SDC. SEC• N0• 360481738
<br /> IOE�II. IDEwT� N�D• 219b04s3
<br /> S�OUSE SOC. SEC. N�. �6
<br /> TAXABLE YEAR 9T2270031
<br /> ��N �� H��L JAY D B�DOREK
<br /> COIJNTY
<br /> DATE OF NOTICE 08/l5/9T 405 E TTH
<br /> DAT� Of AsSESSMENT U�7��'g7 �RANA ISLAND NE 6880i
<br /> THIS NOTICE OF STAYE TAX LIEN Y5 ISSUED BY THE NEBRASKA DEPARTNENT OF
<br /> REVElN�E �OR IlWIVIDUAL INCONE TAX PURSUANT TA THE REVENUE �AMS 0� THE
<br /> STATE OF HE�RASKA• NOTICE IS HEREBY GIVEN THAT INDIVIAUAI. INCDME
<br /> TAXES INCLUDING PEMAL7IES AND INTEREST� MHICH ARE SHOiiN BELOM AR� DUE
<br /> FRON THE tAXPAYER SP�CIFIED ABOVE AND REMAIN UNPAID AF71�R D�MAND•
<br /> TFIESE YAXES CONSTITUYE A LIEN IN THE COUNTY �OR PRdPERTY BELONGING TO
<br /> TN� '�AXPAYER OR H�itEAFT�R ACOUIitED.
<br /> AMOUMT QF TAX � � • • • • � • � • � • � • • � � • gZlr9�
<br /> PENALTIP � • • � • • • • • • � � � • • • • • • • • 31�10
<br /> � �Nt�REST (COMPUTED TQ 08,/l5/97) • • • • • � • � • 18•Tl
<br /> 'fOTAL AMOUNT DUE • • • • • � • � • • • • • � • � 6�1�T1
<br /> Y HEREBY CERTIFY THAT THE NEBRASKA DEPARTME,NT OF REV�NUE HAS COMP�.IED
<br /> MItH THE REVENUE L.AWS Op tHE S7ATE OF NEBRASKA IN THE DETERMINATION OF
<br /> THE AM�UNT SHOMN TO 8E DUE� AND TH� TAXPAYER HAS FAII.ED T�9 PAY TM�
<br /> ' AMOUNT OUE AFT�R DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN
<br /> _____;�; EXTENSIO��S�INTER�STCINVT�IE�AFFECTEDRPROPERTY�FITHE TAXPAYERRITY a�
<br /> -;r� THE STAT
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<br /> ' � AUTHOR�ZE IGNATURE TI'�LE
<br /> �� DAZ�
<br /> N�gq/►$Kq pEPAHTME T OF REVENUE—Whke and Ct�nerY�opfes 7AXPAYEH--Plnk CcPY COUNTY'—(��rod Capy
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