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F <br />I <br />Notice of State Tax Lien 10111=0 <br />nebrasita <br />• Read instructions on tevarsa side 89..Im <br />Lien Serial Number <br />Lien Type <br />Crate <br />Social Security Number <br />Penalty • <br />intP»t_ <br />Ii Original <br />Balance ufi <br />Ass Balance t Quo <br />Numbry. <br />Number <br />88225282 <br />L Rone�2l <br />2 -24 -89 <br />507 -70 -2434 <br />Nebraska 6.0. No. <br />County <br />Lien Filed with <br />Spouse'S Social Security <br />19161417 <br />Hall <br />0 Regi+ter of °e °� <br />0-1483 <br />Coun Ty Clark <br />BUSINESS <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />Jerry W. & Laura L. Parsons <br />Street Address <br />Street of Other Melling Address <br />17614 East Temple Drive <br />City <br />State <br />Zip <br />Code <br />City State Zip Code <br />Aurora, Co. 80014 <br />T]tL.Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant; to the <br />neveuue fzwi of the state of !Nebraska. Notice is hereby given that taxes including penalties and interest, which are <br />sihown h+r j,v..; ar> ilue from the taxpayer specified above and remain unpaid after demand. These taxes constitute <br />a tiers in the i4iiuo -for real and personal property belonging to the taxpayer or hereafter acquired. <br />Tax <br />Tax Periat <br />Date 04. <br />Ass�i9^ea1 <br />Amount of Tax <br />Penalty • <br />intP»t_ <br />Additions <br />Balance ufi <br />Ass Balance t Quo <br />Numbry. <br />Number <br />I hefeby Certify tnat the Nebraska Department of Revenue has compiled •vith the revenue laws of the State of Nebraska In the deter- <br />- minatiun of the amount show•, to be due. and trio taxpayef rw failed to pay the amount duo alter demand. If this Notice of State T.,r <br />LICn IS n extension of Cf! �"o lien It SCIVef to continua 1T:2 priority of the state's. i�;ft'rCSt In the affected property Of the taxpayfr•'. <br />r. • <br />sign <br />jai ,ay rc c rvi So ,ri �.1<.ist <br />��� W p er'sSlgnatur <br />Revenue_ agent S tpervi sar 3- r <br />nathorized Signature Title pale <br />17-214 0.-;1JF4rY OFFICIAL'S USE <br />NEBRASKA DEPARTMENT OF REVENUE — White and Goldenrod Copies TAXPAYER - Pink Copy COUNTY OFFICE - Canary Copy <br />THE ATTACHED NOTICES) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH . <br />THE REGISTER OF DEEDS. V <br />THE DOCUMENT(S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK. <br />DISTRIBUTION OF COPIES: <br />WHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br />DEPARTI'tENT OF REVENUE. <br />LGOLDENROD: TO BE KEPI' BY THE REGISTER OF DEEDS. <br />BILLING IS TO BE ONCE PER MNTH A14D THERE WILL BE NO PRE- PAYMMIT OF FEES. <br />17MIK YOU FOR YOUR COOPERATION. <br />X <br />; <br />W <br />A <br />AF <br />R <br />N <br />