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1 <br />-01 <br />Notloo of State Tax Lien <br />- NOTICE OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br />! 89- 104495 <br />IF YOU INQUIRE ABOUT Y wlk . <br />ACCOUNT, REFER TO THESE Nt"BERS: <br />SOC, SEC. NO. 506 -60 -6821 PATRICIAV: E <br />MR, ll)Z iT. NO. 30314429 <br />SPOUSE SOC. SEC. NO. T,1 <br />. 2 BA5�t`:1STH STREET : :'= • `:' <br />TAXABLE YEAR 1997 i ND ISLAND NTE 6E <br />LIEN NO, 8fft 83-205 . <br />COUNTY <br />DATE OF NOTICE <br />KATE OF ASSESSMENT <br />THIS NOTICE OF STATE TAX LIEN IS S.,BY TKO` NEBRASKA <br />DEPARTMENT OF REV$SUZ FOR INDIVIDUAL IK�CCMis ` W PURSUANT TO THE <br />REVENUE LAWS OF THE STATE OF NEBRASKA. Nm'?G'� YS HEREBY GIVEN <br />THAT INDIVIDUAL INCOME TAXES INCLUDING- :PT'.�TALTIES AND INTEREST, <br />WHICH ARE SHOWN BELOW, ARE DUE FROM. TRE` _TAXPAYER SPECIFIED ABOVE <br />AND REMAIN UNPAID AFTER DEMAND. THESE, TAXES . CONSTITUTE A LIEN <br />IN THE COUNTY FOR PROPERTY BW.4NGING Td THE TAXPAYER OR <br />HEREAFTER ACQUIRED. <br />AMOUNT OF TAX . . .. `, '�. F..'. • 29.98 <br />PENALTY . . . . . e.. a 0 .:. 6.39 <br />INTEREST (COMPUTED Tu 07/05/86 • • • -. ^+: 16.41 <br />TOTAL AMOUNT DUE ,. . • • . .._: ' `` ": 52.78 - - <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS <br />COMPLIED WITH THE REVENUE LAW15 OV THE STATE .07 NEBRASKA IN THE <br />— � DETERMINATION OF THE AMOUNT SHOWN. TO BE .DLT,;.,: AND THE TAXPAYER <br />HAS FAILED TO PAY THE AkO NT ETE AFTER ,..rENi•. * • IF PHIS NOTICE <br />OF STATE TAX LIEN IS AN EXTENSION OF A81-F ECTIVE LIM_ IT SERVES <br />TO CONTINUE THE PRIORITY OF THE STATV S5 `ZNTE 'I'. I *3 THE AFFECTED <br />PROPERTY OF THE TAXPAYER. <br />PAMPA ?.IS SIGNATURE TITLE DATE <br />AVTHOAIZE SIGNATURE TITLE DATE <br />Ad <br />•� L <br />ri <br />FOR COUNTY OF'F'ICIAL' S USE <br />k <br />P4160ASKA 01FARTURNT OF REVENUE OFFICtf ._- <br />;t s Er '8.4 0-10 QUIttlt•'t � I�.n, tnl{ motic *. p!NM cont6d Vie Nearsamo Ofo rtment of R•wue. Box 04614, L-mcom, NWgika 68;;$,. ;400 of <br />1'+• rM on•. off tM 111tH( 06tsnr. In rl►NrNN6 yJY m,y siso aw toli fros. your ton, olt/ant* attoM number vo 800.742.7414 for •tNtt.nto. <br />L10000LN , 18401471.7571 GRAND ISLAND - 17011751.6725 NORTH PLATTE - 0011 f 494 i <br />omb" •- 1455)1"8 ON NORFOLK - (807) 7111.1920 ICOTTS SLUFF - 1710111 !>, 1306 <br />! rADSIAhIA7 (}FMEVENUE�Nnt��nQ�rYl,�iplr. <br />T AX PAVER -- PrnkCopy COUNTY- GoldftrotiCcpy <br />TW A'f'1'WM#1 NW200M (* TAX. &4104 (OR T=9L MATl0H) IS (ARE) TO BLS tILtD ONM <br />mia man= w No=. 00_0_0 <br />7"K 14.1t.'UHRUT(Sj 15 (Alt ?) t' yr It0 BE FORWARDED 70 TIIF COMITY (-.1.F'PKs <br />bIulvllIlI lf.,J18 Or rnylr.Sl <br />wiflTre tl�ly) IlG VAIJI)W1'E:1) fly 111E.P031STER OF DF,F.DS AND RFTURIJEU TU TeF3 <br />Irr.PAR'rw.NT OF IrvFNUE. <br />G.444NW -'i is " 111: V137 By THE PIUISTE:R CIF riFELlic . <br />NII,I.IN t.r: ?'1 ICI? tit" T irl* "11 4'11 ATID TlIFt , W111. CtE IIU ME- I'AfMENT tip E'F:E:S. <br />TITAN#. Y €eFI 6fl R VrAlii r r+rlll.EA'TI +rl7. <br />i� <br />M <br />