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<br /> �� �. t�ot�ce of State Tax L�e� � _..;14f
<br /> t �a 221
<br /> , r • NOTICE OF STATE TA�C L'��1�? i
<br /> � � INDIV%DUAL INCOME T14I� , ,
<br /> IF �tOU INQUIRE ABOIIT 7�OIIR �
<br /> —� �,CCOUNT� REFER TO THESE NUMB�RS:
<br /> SOC. SEC. NO. SOE—$4-1544 RICKY L. HADENFELDT
<br /> � rIEBR. IDENT. NQ. 3082773b
<br /> _ SPOUSE �QC. SEC. NO. l�i,�(D�X�il��(QIpX 3I���, WEST COLLEGE STREE�', APT. 10 �
<br /> TAXABI�E �;AR 1988 GRAs1ti4D� TSLAND, NE 68803 �
<br /> LIEN NQ. 89230275 .
<br /> � car�:z� �,
<br /> D".�. OF L�IQ���E 031(35,s`�� - ` �
<br /> Z��� OF 1������EN�` Q�.j3��lr,'� .. � .
<br /> 'Z`��`�a. Ss�rT'�� gL�` ' �3'ATE fir� :�,+.�T IS TSSU��J &3Y it�E 31TEB��L�Fs " .. , ' .
<br /> aF� ' ;:c..s:�i ��=' ��� ���°�'ttE F��Tt �^r��TZDUATr IhCO2�iE �1� �bI��SIL�i�� �� '�� � ` ,
<br /> R:• :,,�� �ii: ��L^'. �it"E S�1`�`�,^ �� i�aEBRASF+Pi. NOTICE TS L�REBY GE�.*E?�
<br /> _ , . TH�i'�' �iZL�C��.1.i�'r. 3'�rCOME �r�'iz= ?2k�'�;IIIDSNCz PENP�LTIES AND INT�S�i',
<br /> � W'ff�'L$ A� ',s'`''zCI�F;.� �'ELOW� ARE I)LTE.'�'R�M THI's `d'AXPAYER SPECIFZED A$OVE
<br /> AND REMAIDI IINPAID AFTER �EMAND:. THESE TAXES CONSTITUTE A LIEN �
<br />_— IN TAE CDUNTY FO� PROPERTY B�'�►Q2�C�:�•NG TO THE TAXPAFEF OR
<br /> � HEREAFTER ACQUIRED.
<br /> AMOUNT OF TAX . . . . . . . . . . . . . . : . . . . . S 285.00 .
<br /> PENALTY . . . . . . . . . . . . . . . . . . . . . . . 14.2 5 '
<br /> INTEREST (COMPUTED TO 03/05/9d . . . . . . . . . . . 35.42
<br /> TOTAL AMOUNT DUE . . . . . . .� . . � � � � . . . . . 334.67
<br /> I HEREBY CERTIFY THAT THE NEBRASKA D13PARTMENT OF REVErJUE HAS �
<br /> COMPLIED WITH THE REVENUE LAWS OF TH�i STATE OF NEBRASKA IPi T'a3E
<br /> DETERMINATION OF THE AMOUNT SHOWN Tt�� BLa DUE, AND TNE TAXpAYE;R . ._
<br /> HAS FAILED T4 PAY THE AMOUNT DUE AP�1'BR DEt�IAND. IF THIS P:��'!'IC� , �-,
<br /> OF STATE TAX LIEN IS AN EXTENSI�N aE� Al`' EFFECTIVE LIEN I�' �SERVES
<br />- Tfl CONTINUE THE PItIORITY OF THE��TA'I�B!S 2h'TEFd�ST IN THE AFFE�i�D
<br /> PRO�TY OF THE TAXPAYER. �", �
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<br /> .,� • �_•�'i' • • •• • • •� �� �• • �i C i i i • •�� � � �• • •r Si • •� �� �• • • • • �� • ��'
<br /> �REPA}iE�t� S GNAi'JRE ITLE DATE •h�.
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<br /> . .. . . . .. . .. ... . ..... . . ... ... . . .. . . . . . . . . .. ... .. . .. .
<br /> „AUTHORIZ SIGN TURE TITLE DATE . .
<br /> �
<br /> FOR COUNTY OFFICIAL'3 USL
<br /> � G�rr.efi�
<br /> " �. -—---. _�._____ ------------- - --- . __. ..-- —- -- ------�
<br /> � NEBAASKA DEPARTMENT OF REV�NUE Q�FI€:ES
<br />� . u you havo�ny questiony regarding this noUco,pleaso con(ad Iho Nubrasha Department ot Revenuu,N Cl.Etor 3�61ES.Lmeoln,Nebraska G950J•481 U,or any of Ihe regional
<br />— oNicos listod bolow.In Nebraska you may atso dial toill�eo,your long d�stanco aaess number and BOP7/.'s•7b�R fCr as;istanco.
<br /> LINCOLN—(IO2)471•5729 GAANO ISLAND—(308)3S7•57:3 Hpp'�FI p�qnE....�3pg�,32.gg,p
<br /> CJMAHA�(102)595�2065 NORFOLK—(4U2)371-1620• 5COT7'SBLl1PF—(398)632-12Q0
<br /> _ .._--------- . . . — ----- -- — . _ — __..
<br /> NEBi#ASKA DEPARTMENT OF REVENUE—White and Canary Copies TA?CPhY�H+--Pink Copy COUN7Y—Gotdanrod Copy
<br /> . . .. _..._.....- --•- -.. �-..,,... .,o�
<br /> � S �"�lb )1T?AG'�!!!D lK7T�G'Lr(S) Or TllX LIEN (OR TE�IINl�TION) IS (J1RC) Tt� SE F2I,ED CXILY IiITH ? (-'-`�-
<br /> , '.i't!E R�GISTffiR fJ8*. 17�DS. �
<br /> THE i�Q!;t1'!�!�31(S� �S (11RE) C�r�' �O BE FORW�r:D fi0 fi�� C�JiT�t'�'Y C�ERK. ,
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<br /> __ DI57'RIi;"::�':fli:t dL ��QPIES: .
<br /> � ��
<br /> WHITE: TU BE VALIbAi.z.0 3Y Tix: I2$GIS'1'Ex� QF' DF:�D3 11Nb 1�.E::;I2NED TO THE � 7-�►�
<br /> � • DEPAATMENT bF' �J�.'t's�'. � �
<br /> GOLDENROD: 'i'O BE It�PT BY TF1E REG�S�ER OF DEEb5. h�
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<br /> -- � BILLING ZS TO HE OPICE F'Efi MONTH IIND THERE �JILL $c '+p PRE�PhYtf�NT OF F�ES. �L'
<br /> TI�ANlC Y�1J �'OR YOUR COOPERATION. '� {`'�
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