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THIS NOTICE OF ST1dTS TAX LIEN IS ISSUED 3Y THE NEBRASKA DEPARTMENT OF REVENUE FOR INDM'V'UAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE 4 STATE OF NEBRASK . NOTICE IS HERESY GIVEN THAT INDIVIDUAL INCOME TAXES INCLUDING' F'ENALTIES AND INTEREST* WHICH ARE SHOWN BELOW ARE DUE FROM THE TAXPAYER SPECIFIED ABUVE AKJ kEMAIk UNPAID AFTER DEMAND. THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FQR PRO PERTY.'- &'eLONGING TO THE TAXPAYER UR HEREAFTER ACQUIkEUa .. AMOUNT OF TAX • • • • • • • w • • • • 424.OG PENALTY . • • w • • • . . + • • • • • • a • ► • . . • • 21.20 INTEREST (COMPUTED TO. 1/18/871 • • • • • . 40.17 TOTAL AMOUNT DUE • . • . • • 0 485.37 I: HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HA 'S COMPLIED WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF THE AMOUNT SHOWN TO BE DUE, AND THE .TAXPAYER HAS FAILED TO PAY THE AMOUNT WE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN ' EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF THE STATE'S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYCR• 20 a ".. . 0 *00000 . 000000 PREPARER @S SIGNATURE TITLE' DATE aw 2 -6 ... '' ••. • ••w.• • a••..• •..••... •......• AUTHORIZ SIG 41;;; TITLE DATE FOR COUNTY OFFIEIAfLIS USE I F It you have any questions re..arding this notice, please contact the Nebraska Department of Revenue. "9ox 94818. Lincoln. Nebraska 68509, oral y of nebratka Notice of State Tax Lien 89— LINCOLN — (4021471.2971 GRAND ISLAND — (30813848829 NORTH PLATTE -+ (306) 5328250 deltaftment OMAHA - (402) 554.2065 NORFOLK — (402) 371 -1620 SCOTTS BLUFF — (306) 6323637 NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy COUNTY — Goldenrod Copy otrsvenue THE ATTACHED NOTICES) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY W1'rtt- - "'-- THE REGISTER OF DEEDS. Nu TICE. OF S AT17 TAX LIEN THE DOCUMENT(S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK. INVIVLUUA L INCOME TAX IF YOU INQUIRE ABOUT YOUR ACC(XJ14T* REFER TO THESE NJM6ERS SOC. SEC• NO• 506203510 WILBUR3 F & GLADYS E BURTON NEBR. IDENT. NQ. 12294543 SPOUSE SOC• SEC• NO. 508070205 PO BOX 820 TAXABLE YEAR 1986 GRAND ISLAND YE 68801 LIEN NO* 87352043 COUNTY HALL DATE OF NOTICE 1:2/18/87 DATE OF ASSESSMENT 0-1/29/97 THIS NOTICE OF ST1dTS TAX LIEN IS ISSUED 3Y THE NEBRASKA DEPARTMENT OF REVENUE FOR INDM'V'UAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE 4 STATE OF NEBRASK . NOTICE IS HERESY GIVEN THAT INDIVIDUAL INCOME TAXES INCLUDING' F'ENALTIES AND INTEREST* WHICH ARE SHOWN BELOW ARE DUE FROM THE TAXPAYER SPECIFIED ABUVE AKJ kEMAIk UNPAID AFTER DEMAND. THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FQR PRO PERTY.'- &'eLONGING TO THE TAXPAYER UR HEREAFTER ACQUIkEUa .. AMOUNT OF TAX • • • • • • • w • • • • 424.OG PENALTY . • • w • • • . . + • • • • • • a • ► • . . • • 21.20 INTEREST (COMPUTED TO. 1/18/871 • • • • • . 40.17 TOTAL AMOUNT DUE • . • . • • 0 485.37 I: HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HA 'S COMPLIED WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF THE AMOUNT SHOWN TO BE DUE, AND THE .TAXPAYER HAS FAILED TO PAY THE AMOUNT WE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN ' EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF THE STATE'S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYCR• 20 a ".. . 0 *00000 . 000000 PREPARER @S SIGNATURE TITLE' DATE aw 2 -6 ... '' ••. • ••w.• • a••..• •..••... •......• AUTHORIZ SIG 41;;; TITLE DATE FOR COUNTY OFFIEIAfLIS USE I NEBRASKA DEPARTMENT OF REVEUUE OFFICES It you have any questions re..arding this notice, please contact the Nebraska Department of Revenue. "9ox 94818. Lincoln. Nebraska 68509, oral y of the regional offices listed bel "GN.:.In.Nebruka. you may also dial toll free, your long distance access number and 800.742 -7474 for assistance. LINCOLN — (4021471.2971 GRAND ISLAND — (30813848829 NORTH PLATTE -+ (306) 5328250 OMAHA - (402) 554.2065 NORFOLK — (402) 371 -1620 SCOTTS BLUFF — (306) 6323637 NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy COUNTY — Goldenrod Copy THE ATTACHED NOTICES) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY W1'rtt- - "'-- THE REGISTER OF DEEDS. THE DOCUMENT(S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK. j DISTRIBUTION OF COPIES: WHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE DEPARTMENT OF REVENUE. GOLDENRODS TO BE KEPT BY THE REGISTER OF DEEDS. BILLING IS TO BE ONCE PER MONTH AND THERE WILL BE NO PRE - PAYMENT OF FEES. THANK YOU FOR YOUR COOPERATION.