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�r <br />Notice of State Tax. Lien <br />ment <br />9=05WAU LIZ- 2-2171V= TM MEN <br />0 revtnue <br />INDIVIDUAL INCOME TAX <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNT, REFER TO THESE NUMBERS: <br />$•9- 102375 <br />SOC. SEC. NO• 505 -58 -2305 RAY L. & MARY A. MCCAIN <br />NEBR• IDENT. NO* 11734302 <br />SPOUSE SOC. SEC. NO. 506_78 -9852 515 NORTH KIMBALL STF.EET <br />TAXABLE YEAR 1980 GRAND ISLAND, NE 68801 <br />LIEN NO. 84055027 <br />COUNTY HALL <br />DATE OF NOTICE 02 -24 -84 <br />DATE OF.ASSESSMENT <br />THIS NOTICE OF STATE. TAX LIEN IS .ISSUED BY THE NEBRASKA <br />DEPARTMENT OF REVENUE. FOR INDIVIDUAL INCOME TAX PURSUANT TO THE <br />REVENUE LAWS OF T :STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN <br />THAT INDIVIDUAL - INCOME TAXES INCLUDING P't.�TIES AND INTEREST, <br />WHICH ARE SHOWN BELOW, ARE DUE FROM TEE TA ,�`iAt AYER SPECIFIED ABOVE <br />AND REMAIN UNPAID AFTER DEMAND. SSE TAXES CONSTITUTE A LIEN <br />IN THE -COUNTY FOR PROPERTY BELONGING TO THE TAXPAYER OR <br />HEREAFTER ACQUIRED. <br />AMOUNT- OF TAX 265.95 <br />13.30 <br />TN EREST (CCM- PU'TED TO 02- 24 -5.4b " : • 108.29 <br />,'DOTAL MOUNT DUE . . . . . ...,.. 387.54 <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS <br />COMPLIED WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE <br />AETERMINATION OF THE AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER <br />PAS FAILED TO PAY THE AMOUNT DUE AFTER DEMAND. IF THIS NOTICE <br />OF STATE TAX LIEN IS AN EXTENSION OF . AN EFFECTIVE LIEN IT SERVES <br />TO CONTINUE THE PRIORITY OF THE STATBeS IN'T'EREST IN THE AFFECTED <br />PROPERTY OF THE TAXPAYER. <br />• 0 o 0 . � A •. .' . ... .: ... . . 0 . 0 0 . 0 • . • ♦ • • .0 . <br />P ARER'S'SI NATURE ITLE DATE <br />*****,0* 0 1 i 0 0 *0 0 <br />AUT ORI2_ SI ATURE TITLE / DATE <br />FOR COUN2 OFFICIAL'S USE <br />NEBRASKA DEPAWY MENT OF REVENUE OFFICES <br />it you -nave any questions regarmng tnis notice, please Contact t *e Nebraska Department of Revenue. Box 441:E. Lincoln, Nebraska 685 99, a* any of <br />the regional offices listed below. in Nebraska you may also Clay tali (ree, your tong distance access number and 4CO- 742.7474 for assistance. <br />LINCOLN —1402) 47121171 GRAND IU AND — (308) 381.SM NORTH PLATTE 0011) 5324250 <br />OMAHA — (402) W20" NORFOLK — (402) 371.1620 SCOTT$ BLUFF — 13081' 8324200 <br />NE6RASKA DEPARTMENT OF REVENUE — White end Cellars Capin TAXPAYER — Pink Copy COUNTY — Goldenrod Copy <br />THE ATTACHED 110TICE OF STATE TAX LIEN TEM4INATIOt1. SHOULD HE FILED WITH BOTH THE - REGISTER Li <br />OF DEEDS AND THE COMITY CLERK. THIS IS TO TEPMINATE THE LIEN(S) FILED PRIOR TO JULY 17, 1986 <br />WITH BOTH OFFICES. <br />THE RE ISTER OF DEEDS IS L2EVUESS`TfiD TO FOWWARD THE DOC(RIViTS TO THE C0Ut1'PY CLERF.. <br />LISTRIED -110H CAP COPIES: <br />WHIT_ E: TO BE VALIVATED BY 130TI1 THE REGISTER OF DEEDS 11x31) THE COMITY CLEPF.. <br />AND P.ETUP13Eb TO THY IIEBP.T%SFA DEPART14FNT OF RE JEVUE. <br />CANARY: TO BF. KEPT BY 211E REGISTER OF DEEDS. <br />GOLDEt7F011: TO Par: VEPT AY THE COM:TY CLF.PY_. <br />711£PF. IS r:') PER Tel HE ("2Mfi ,F.iy FOR T. 'i'F:P!-tltiP'1'it37 <br />i <br />IIIANK YOU FOR Y07M +F)FEFAT'I(AN. <br />li! <br />r4 <br />