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r <br />1 <br />Notice of State Tax Lien <br />NOTICE OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX 90...•.105$� <br />IF YOU INW3IRE ABOUT YOUR <br />ACCOUNTip REFER TO THESE NUMBERS <br />SOC. SEC• NOe 523254881 THOMAS L E DONNA E DISNEY <br />NEBR• IDENT• NOe 3067T173 <br />SPOUSE. SCC* SEC. N0. 329628060 116 H OAK <br />TAXABLE YEAR 1989 GRAND ISLAND NE 68601 <br />LIEN NO* 90229609 <br />COUNTY HALL <br />DATE OF NOTICE 08117140 <br />DATE OF ASSESSMENT 05130190 <br />THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF <br />REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE <br />STATE OF NEBRASKA• WTICE IS HEREBY GIVEW THAT INDIVIDUAL INCORF <br />TAXES INCLUDING PENALTIES AND IINTERESTY WHICH ARE SHOWN BELOW ARE DUE <br />FROM THE TAXPAYER SPECIFIED ABOVE ARID RERAYM 'UNPAID AFTER DENANDe <br />THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING TO <br />THE TAXPAYER OR HEREAF 7ER ACQUIRED. <br />• AMDUNT OF TAX e 00 • • • • . . • • • . e • • . • . 0* . . 132mDC <br />PENALTY • • . a•� a . • . • • • w • • A s s • • • 'a • s e • • 6.60 <br />I EREST `CVWY.EV 10 OSA7i9011 • e •• e • • • • • 4 • • • 6026 <br />TOTAL AMOUNT DUE . . . . . . . . . . . . . . . . e . . . . 144.88 <br />I HEREBY CERTIFY THAT THE NEfWASKA DEPARTMEN7 OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LABS M THE STATE OF NEBRASKA IN TH!: DETERMINATION OF <br />THE AMOUNT SHOWN TO BE VUE0 AND THE TAXPAYER HAS FAILED TO PAY THE <br />AMOUNT DUF AFTER Dk- :MAMDe IF THIS NOTICE OF STATE TAX LIEN IS AN <br />EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO C13NTINUE THE PRIORITY OF <br />THE STATEIS INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. <br />Phi 1RER05 SIGNATURE TI E DATE <br />AUTJ!) X ] <br />t <br />arts mme-0 e. <br />SIGNATURE <br />..... <br />.. <br />FOR COUNTY OiFFICIALS3 USE <br />I <br />DATE <br />Oak <br />NE9_RAS_KA OEPARTMIEN TOP REVENIIDE �DfFICES <br />h you tyre arry"ema " rapardlny Ws not". plsms contact the NotwaW P4pn4na o lu4venuo, P.O. 9o■ Vwls, Uncoln. wxaska 6OW9 818. w" of the fog" <br />ofbcas listed Belem it wprasks you nsay Wso &W kW free, your long d stance iccas� rvncer and 800.742 -7474 for btswstanoa <br />L §6C(7tJU --(4=j 471 -S72! GRAND I%AND - -1308) 381 ±8715 + 1 NORTH PLATTE — (306) 53248250 <br />*MAMA — (40 56&1066 NORFOLK — (402) 371.1820 SCOTTS6LLIFF — (306) 632.1200 _ <br />NEORASKA DEPARTMENT OF REVENUE — WbW and Cwwv Cog" TAXPAYER — Puck Coov COUNTY -- Gok*vod Coov <br />THE ATTACHED IIOTICS(S) OF TAX LIEN (Olt Y'1ZRILYJ(A'1'ION) IS (ARE) TO FIE FILED ONLY WITH <br />THE REGXSTXR OF DEM. • <br />THE DOCUMENT(S) IS (ARE) NOT TO BE PORWAR11ED TO THE COUNTY CLERK. <br />DISTRIBUTION OF COPIES: <br />K <br />- -Aff <br />, <br />r <br />4 <br />WHITE: TO HE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br />DEPARTMENT OF REVENUE. <br />GOLDENROD: TO BE KEFT BY THE RW31STER OF nREDS. <br />BILLING IS TO BE ONCE PER MONTH AND THERE WILL BF NO PRF:- PAYMI-TIT QF F'F:F�. J <br />d <br />THANK YOU FOR YOUR COOPPRATION. �q <br />t4 <br />