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Motive of State Tax Lien IMPIEWAL OF STEM 'E" 1,37011, t)gpaftrnent a fewnue INDIVIDUAL INCOME TAX 89•„102374 - IF YOU INQUIRE ABOUT YOUR ACCOUNT, REFER TO THESE NUMBERS: SOC. SEC. NO. 505 -58 -2305 RAY L. AND MARY A. MCCAIN NEBR. IDENT. NO. 11734302 SPOUSE .SOC. SEC. NO. 506-78 -9852 515 NORTH KIMBALL STREET TAXABLE 1979 GRAND ISLAND, NE 68801 LIEN _ 84055028 C�UN HALL BATE PF•NOTICE 02 -24 -84 DATE OF ASSESSMENT THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF REVEENUiE FOR INDIVIDUAL INCCOMS. TAX PURSUANT TO THE REVENUE LAWS OF-THE STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOA -E TAXES INCLUDING PENALTIES AND INTEREST':' WHICH ARE SHOWN BELOWe ARE DUE FROM THE TAXPAYER SPECIFIED ABO . AND REMAIN UNRAID AFTER DEMAND. THESE TAXES CONSTITUTZ.'.A LIEN IN THE COtM- Y FOR PROPERTY BELONGING TO THE TABMER OR HEREAFTER ACQUIRED. J. AMOUNT -,Q..F TA.}L ., ' . $ 300.42 PENALTY ._ ' . . , . a .02 INTEREST (COLD TIED TO 15 02- 24 -84� ' ' ' 115.02 TOTAL AMOUNT `DCE ..:. 479.53 4 HEREBY CERrTFY THAT THE NEBRASKA DEPARTMENT OF REVE'N'UE HAS )COMPLIED WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA— IN THE DETERMINATION OF THE AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER VAS FAILED TO PAY THE AMOUNT DUE 1FTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN EXTENSION 2T AN EFFECTIVE LIEU IT SERVES TO CONTINUE THE PRIORITY OF THE STATE'S TU TEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. . .. .. �.......:. ... .:..... ..... ............. SPARER' S 1 IATURE TI� * DATE AUTHORI D SIGNATURE TITLE DATE FOR COUNTY OFFICIAL'S USE If you have any questions rejaming tnls notice. pleafe contact the N014141, Oetsartment of Ravenue, Box 94819, Lincoln, Nebraska 68909. or any of Me regional offices listed below. In Nabrasks you may also dial toll free, your song distance a :usa number and 800.742.7474 for assistance. LINCOLN — (402) 471.2971 BRAND ISLAND — (309) 381.6728 NORTH FLATTE — (308) 6324260 OMAHA — (4021864 -2088 NORFOLK — (402) 371.1920 SCOTTS BLUFF —00111)632-112W NEBRASKA DEPARTMENT OF REVENUE •- White and Canary Copies TAXPAYER — Pink Copy COUNTY — Goldenrod Copy u.0 •.. .. R.■!LY •.VAi%- . V& 6-PA /146V ♦.� "JCJ L• ♦L.au'.1NHltU1. JIIVUI.0 114.. C111LU Mill LriJIU tltl. tWt71JlC.1% DEEDS AND T11E COUMPY CLERK. THIS IS TO TERt DAATE THE LIENS) FILED PRIOR TO JULY 17, 19M 11TH BCJTH OFFICES. 711E REGISTER OF DEEDS IS REQUESTED TO FOPMARD THE DOCUMENTS TO THE COUNTY CLERK. Zvi n: OISTRIBUTICIS OF COPIES: WH17'E: TO BE VALIDATED BY BOTH THE REGISTER OF I)EEOS IsPJD T1!E COU?ITY CLERV L AND PPTIJRiIFD T" 'Tilt: NF.PR4SKA nr * >rdT•rart7•r F : f�Jn71Jr. J CANARY: TO BE KEPT BY THE REGISTER OF DREDS. GOLDENROD: 7v,) BF. KPPT BY THE COUNTY CLERK. 7YIPPF: IS NO FF:E, TO ZIP (:HARD -P.1) F()R A '1'F F MINATION W)TICv. 7HANK Y-Al FOR Yf LIR CfY11'F PATTfJ1.