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X F Notice of State Tax Lien ��Itt�flt , of «wnu4 - NOTICE OF TAX 89" 1015.191 � IF YOU INQUIRE ABOUT YOUR ACCOUNT, REFER TO THESE NUMBERS: SOC. SEC, NO. 506 -94 -4407 KEVIN L. MASON NEBRi IDENT. NO. 28192524 SPOUSE SOC. SEC. NO. RURAL ROUTE 6, BOX 68801 TAMABLE YEAR 1984 GRAND ISLAND, NE 68801 LIEN NO. 882118451 COUNTY HALL DATE OF NOTICE 03 -15 -89 DATE.OF ASSESSMENT 06 -21 -88 THIS NOTICE OF STATE TAX LIEN IS ISSUP BY THE NEBRASKA DEPARTMENT OF REVENUE FOR INDIVIDUAL INCOME. TAX PURSUANT TO THE . REVENUE 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 • • • •. b • • • • • • • • • • b ' o $ 15.90 PENALTY • . • s o 5.83 INTEREST (COMPUTED TO �I3-15 -891 63.66 TOTAL AMOUNT DUE . . . '. ? d . , , 85 .3 9 I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED WITH THE REVENUE LAWS OF THE STATE OF NRASKA IN THE DETERMINATION OF THE AMOUNT SHOWN TO BE DLTE,, 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 TO CONTINUE THE PRIORITY OF THE STATE'S INTEREST" 19 77HE AFFECTED PROPERTY OF THE TAXPAYER. .� J. e. 3 -zy PREPP.RER' SJSICLvI� -T RE TITLE DATE as ♦ . • • • • .,. • ..• • • • • • • . e .. I .. . • • • • . 1 .. . . R .1� • • • ..... • AUTHORISED SIGNATURE TITLE DATE FOR COLIQTY OFFICIAL'S USE NEBRASXA DEPARTMENT OF REVENUE OFFICES If you nave any ouestions regarding this notice, please contact the Nebraska DeFSrfrent of Revenue. Box 94&1P., Lincoln, Nebraska 68509, cr any of the regional offices listed below. In Nebraska you may also dial toll free, your long distance access number and 4CG- 742.7414 for assistance. LINCOLN - (4021471.2671 GRAND ISLAND -1306) 311 -5725 NORTH PLATTE - (306) 63250 OMAHA - (4021554.20/b NORFOLK - (402) 371.1620 SCOTTS BLUFF - (301) 632.1200 ! NEBRASKA DEPARTMENT OF REVENU9 - White and Canary Copies TAXPAYER - Pink Copy COUNTY - Go!denrod Copy THE ATTACHED NOTICB(S) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH THE REGISTER OP DEEDS. THE DOCUMENTS) IS (ARE) NOT a'O BE FORWARDED TO THE COUNTY CLERK. DISTRIBUTION OF CC }YIL'S: WHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE DEPARTMENT OF REVENUE. GOLDENRGD: 70 BE KEPT BY THE REGISTER OF DEEDS. BILLING IS TO BE CNC:E PER MONTH AND THERE WILL BE NO PRE- VAYI4F.NT OF FEFS. TIUM YOU FOR Yt:UR CUUPFPATI0,'1. -_- t R = I