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r <br />Notice of $t4ite Tax Lisa <br />TICE OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br />IF YOU INWIRE ASdTvi+'T YOUR <br />ACCOST* REFER TO THESE NUMBERS <br />100174 � <br />SOC• SEC• ND• 508680140 ROBERT C E CHONITA C LADE SR <br />NEBR• IDENT• NO* 17103649 <br />SPWSE SOC• SEC* NO • 506682225 414 W LDU ISE bg801 <br />TAXABLE YEAR 1987 GRAND ISLAND NEE <br />LIM NO• 88225348 <br />I COWTV MALL <br />MATE OF NOTICE' <br />PATE OF ASSESSMENT 05/25488: <br />THIS NOTICE OF STATE TAX lUiEi� "iS ISa`s cw^ .97 �.�..'E NEBRASKA DEPA,RTRENT OF <br />REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE <br />F NEBRASK <br />STATE OA• NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME. <br />TAXES INCLUDING PENALTIES AND INTEREST s WHICH ARE SHOWN BELOW ARE DUE <br />p*OM THEE THE TAXPAYER CONSTITUTE AI LIEN INETHE COUNTY FOR PROPERTY BELONGING TO <br />THESE TAXES CONSTITUTE <br />THE TAXPAYER OR HEREAFTER ACQUIRED* <br />AMOUNT OF TAX • • • • • • • • • • • • • 269 <br />PENALTY • . • • . • • • 13.*45 45 <br />D w 12.28 <br />jRE1 ii1lt <br />TWAL AMOUNT DUE .. 294.73 <br />I HERESY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAMS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THE AMOUNT POW • 0 BE DUE* AND THE TAXPAYER HAS FAILED TO PAY THE <br />AMOUNT DUE AFTER DEMAND* IF THIS NOTICE OF STATE TAX LIEN IS AN <br />EXTENSION THE STATESSFINTER LIEN IT CONTINUE TAAX AYERRI <br />• <br />.;.....•.. •� Ing <br />DATE <br />!PAR. ROS S ;6NATURE T' <br />AIUTHORLZED' SI ATURE TT LE DATE <br />FOR COUNTY OFFICIAL'S USE <br />NEBRASKA DEPARTMENT OF RFIVENUE OFFICES <br />It you have any questions regarding tole not►ee. please contact the Nebraska 0•pufrram4 of Revenue, Box 04618, Lincoln, Nebraska 665011, pr Rny of <br />the you ha a any qa est•d s regar to Nebraska you maya)tb dial toll Tree, your lone rsastance &cost number and 600742.7474 for aselatance. <br />LINCOLN — (402) 47,1 -071 GRAND 18LAND W (800) 361. bV25 NORTH•PLATTE- — (300) 532-8250 <br />OMAHA — (402) 564 -2085 N0111FOLK — (402) 371 -1020 - SCOTTS BLUFF — (308) =4200 <br />NEBRASKA DEPAR- fMC-!w'TIOF' 1REV ENUE — White and Canary Copi" TAXPAYER — Plnk Copy COUNTY — Goldenrod Capy <br />7.145.79 Ravi-11-87 <br />L <br />�;� <br />n <br />r <br />o. <br />