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�r <br />I M <br />k <br />i� <br />M <br />i <br />����Mw"t`vNr� Notice of State Tax Lien <br />'otlsertt�t►lt01 <br />off revenue <br />NOTICE OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br />IF YOU INQUIRE ABOUT WOW <br />ACCOUNT* REFER TO THESE NUM&M <br />89_101838 � <br />SOC• SEC• N0• 5iIE75i05AQ FLaR IAL�k i!i4 : PAIR A .SEx <br />NESS. IDENiT• NO• 1"5L,' <br />SPOUSE SOC. SEC• NO. 505118 s5 iL G <br />TAXABLE TEBR 1985k'l�➢r: N� '53a :;`::. <br />LIEN We 89049174: <br />COUNTY HALT. <br />DATE OF ,.AtXI>r 02128/89 . : - <br />PATE of SS T 01/26/99 <br />CS NtD TICE OF 'STATE TAX "I f ;' ISSUED 8Y THE NEB ' Ir>JE OF <br />its Ql1li1 ::1= R IMDIYIDUAL INC�!!E TL1i PuRSimmir TO THE.. 3 x9 " LAi�S':•? : % ' ` ' ti ,.'" <br />STATE Off. H"RASKA• IiiOT49 IS HERESY ,:14 VEN THAT INi9t02WAL IHCGO.' .... <br />TAXES LjjICL ZINC . PEliAt' ii`:S AND INTERS WHICH .ARE i> !dgumd. ARC: <br />FROM THE TAXPAY" SPECIFIED ABOVE AND ::REKUT i,%PAJ �AFTEi `OERAND• <br />THESE TAXES CON�41- E:. A LIEN IM THE COUNTY- im <br />THE TAXPAYER OR HFREAfTER ACQUIREIDe <br />AMOUNT OF TAX 'i • « s i • • s . . • •. r ::L ' s ::iiii'.t� t .; a : 1Yl�si` ; :, . '.',a a, <br />N *ALTY w: • . .. . . ;.. • ..y;. ...y: <br />INVFAEST (COMPUTED TO 02118189) . • • • • • • • • •. i. • • « 125.80 <br />TOTAL AMOUNT DUE • • . • • • • • s ar • e • • • • • . • • • 452.56 <br />I HEREBY 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 SHOWN TO 9E DUE9 AND THE TAXPAYER HAS FAILED TO PAY THE <br />AMOUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN <br />EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF <br />I SS TEREST IN THE ECTED P PEATY OF THE TAXPAYER. <br />000.0 0000. 0 .Soso.S ICNATURE T DATE <br />A • ••••• •••..... ..• 0000... ......... 0000.. <br />AUtHORI SIGNATURE TITLE DATE <br />FOR COUNTY OFFICIALISS USE <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br />If you nave any questions regarding this notice, please s:ontaet the Nobralka Daputmant of Revenue. BON 44416, Lincoln. Nabraaka 64309, or any of <br />tnt regional officat Ilstod below. In Nebraska you may silo dial toll fre0. your long distance scoots number and 900.742.7470 for assistance. <br />LINCOLN — (407) 471.2471 GRAND ISLAND —1301) 361.5728 NORTH PLATTE — (30) 6374280 <br />OMAHA — (402163442018 NORFOLK —1407) 371.1920 SCOTTS BLUFF — (3I01) 832.1200 <br />NEBRASKA 011PARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Coon CG,;•ti'rY — Goldenrod Copy <br />7.14:•'9 Rev <br />THE ATTACHED NOVICE(S) OP TAX LILY (OR TERMINATION) IS (ARE) TO BE rTLED -ONLY WITK <br />TH$ REGISTER OF FEEDS. .. <br />THE DMUMENT(&) ?S (ARE) NOT TO BE F0R441:s.�ED To THE C=-.:, 11ERV_ <br />DISTRIBUTION OF COPIES: <br />LWHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETUPI -EL TO THE <br />DEPARTMENT OF REVENUE. <br />GOLDEIIROD: TO BE KEPT BY THE REGISTEV OF DSF'DS. <br />PILLING IS TO HE ONCE PER MONTH ACID THERE WILL ICE NO PRP— PAYMMIT OF FEES. <br />TIIAIIr. YOU 'FOR YOUR COOPEWrIOTI. <br />k <br />M <br />ml <br />i => <br />BBBlFI <br />J <br />