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i �lv <br />Notice of Stats Tax Lion `• <br />89- -id2102 <br />mmut <br />NOTICE OF.S ;ATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br />IF YOU INQUIRE ABOUT. YOUR <br />ACCOUNT' REFER TO THESE NUMBERS <br />SOC. SEC. NO. 537807520 BEN VALDEZ <br />NEBR• IDENT. NO. 27316254 <br />SPOUSE SOC. SEC. NO. 515 NORTH VINE <br />TAXABLE YEAR 1984 GRAND ISLAND NE 68801 <br />LIEN NO. 89049187 <br />COUNTY R A LL <br />DATE OF NOTICE 02/18!89 4 <br />DATE OF ASSESSMENT IV15188 <br />THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF <br />REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAMS OF THE <br />STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME <br />TAXES INCLUDING PENALTIES AND INTERESTs WHICH ARE SHOWN BELOW ARE DUE <br />FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. <br />THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING TO <br />THE TAXPAYER OR HEREAFTER ACQUIRED. <br />AMOUNT OF TAX . a r . . s . . . . . . . . . . . . . . . . a 104.31 <br />PENALTY • . . • . 0 . . . . . . . . . . . . e . . . . . . . 5.Z2 <br />INTEREST (COMPUTED TO 02/18/89) • • • • • • • • • • • • 56.77 <br />TOTAL AMOUNI DUE . • • • • • • • • • • • • • • • • • • • • 166.30 <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THE AMOUNT SHOWN TO BE DUES AND THE TAXPAYER HAS FAILED TO PAY`,,THE <br />AMOUNT DUE AFTER DEMANDS, IF THIS NOTICE OF STATE TAX LIEN IS 4 <br />EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF <br />THE STATE`S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER• <br />.. ��A = Lull <br />..... .f •... ..••al a1 .0.000 0 0;......0 <br />PRE`PAREiR:S SIGNATURE TIT DATE <br />•... . ..• ... iY►i : a.71ia�. i a,•..... <br />AUTHO�IZ SIGNATURE TITLE DATE <br />FOR COUNTY OFFICIALS USE <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br />If you have any quast;ons regardln9 this notice, please contact the Nebraska Deoartment of Revenue, Box 94818, Lincoln, Nebraska 68509, or any of <br />the regional offices listed below. In Nebraska you may also 0161 toll free, your long distance access number and 800. 742.7474 for assistance. <br />LINCOLN — (402) 471 -2971 GRAND ISLAND — (308) 381.5725 <br />OMAHA — (402) 564.2066 AlUrtd'rd•R: - Afs2) 371 -1620 <br />NEBRASKA DEPARTMENT OF REVENUE — White and Canary Copies TAXPAYER — Pink Copy <br />1 <br />G <br />NORTH PLATTE — (308) 532.8250 <br />SCOTTS BLUFF — (308) 632.1200 <br />0 <br />COUNTY — Goldenrod Copy <br />7.145.79 Rev 11.87 <br />mmidE <br />