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mrdjriw'1"*e,.*1 Notice of State Tax Lien 89,_ 100740 RE14EWAL OF STATE TAX LIEN INDIVIDUAL INCOME TAX IF YOU INQUIRE ABOUT YOUR ACCOUNT, REFER TO THESE NUMBERS: SOC. SEC. NO. 480 -70 -9064 LARRY & DENISE L. SMITH NEBR. IDENT. NO. 27113736 SPOUSE SOC. SEC. N0. 479 -72 -8064 236 SOUTH PLUM STREET TAXABLE YEAR 1982 GRAND ISLAND NE 68801. LIEN No. 83217053 e CC LINTY HALL DAVE OF NOTICE 08 -05 -83 DATE OF ASSESSM.SNT =X=W3XXXX THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE SE""IWE LAWS OF THE STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME TAXES INCLUDING PENALTIES AND INTEREST, WHICH ARE SHOWN BELOW, ARE DUE FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING TO THE TAXPAYER OR HEREAFTER ACQUIRED. AMOUNT OF TAX . . . . . . . . . . . . $ 215.00 PENALTY. . . . . . . . . . . . . . . 10.75 INTEREST (COMPUTED TO 08 -05 -83 ft '%A TOTAL AMOUNT DUE . . . . . . . . . . . 234.99 I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETBIWNATION OF THE AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER HAS FAILED. TO PAY THE AMOUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN EXTENSION OF AN EFFECTIVE LIEN IT SERVES 110 CONTINUE THE PRIORITY -OF THE STATE'S INTEREST IN THE AFFECTED !i PROPERTY OF THE TAXPAYER. - 1�a 2- . ............ .. . , ......s .�,,.....�.:,.. . R IS SIGNATURE TITLE i?AJARE DATE CIO*! AUTHORIZEU'SIGNATURE TITLE ••�'• DATE FOR COUNTY OFFICIAL'S USE NEBRASKA DEPARTMENT OF REVENUE OFFICES It you have any questions regarding thli notice, please contact the Nebrasl•2 L7apattment of Revenue, Box 94818, Lincoln, Nebraska 6x509, or any of the regional office$ listed below. In Nebraska you may also dial toll fr:a, your long distance access number and •00.742 -7474 for assistance. LINCOLN — (402) 471.2871 GRAND ISLAND — (308) 381.5725 NORTH PLATTE — (308) 532.8280 OMAHA — (402) 564.208$5 NORFOLK — (4021371.1820 SCOTTS BLUFF — (308) 832.1200 NEBRASKA, DEPARTNIENTOF REVENUE — White and Canary Copies TAXPAYER — Pink Copy COUNTY — Goldenrod Copy , !!tC t1OLQt.t /tU rIVLt6.0 lit JLULL #CIA t_;E:ff IS LU UL t ♦', it:U wI LII UU up wit! r%CIiCJ LCr Vr _•.� Deeds and the County.Clerk. The Register of Deeds: is requested to "FOrward this docu' -ent to the County Clerk !Jhite Coov - To be validated by Register of Deeds and Countv Clerk, and returned to the 'lebraska Denartront of Revenue. d Car, ra?'Y Conk - To be kept by Ute Register of Heeds. us� fold____ enrol Copy_ - To be kent by tfle County Clerk, '` W Thank you for your cooperation.