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HilalMra <br />No#t * oft"' ax Lion <br />IMD3VIMAL lRoom TA2k <br />10534'1 <br />IF YOU INQUIRE ABOUT YOUR <br />ACCWMT# REFER TO THESE Pi(bWZRS rll <br />SOC. SEC. NO. .507-74r.1912 DAVID P. AND SHIELA K. BUSS <br />'. USSR: IDENT. NO. 17654351" <br />.0pocBE SOC. SEC* NO. 508 -52 "8122 1507: WEST DIVISION - STREET <br />TAMLE YEAR 1987 _,.: GRAND. ISLAND NE 58901 <br />LIEN NO. 8822OS49 <br />DATE .0r.-NOTICIP <br />.. �'��A'1'�•r` �SESSNEN7.' " . � :•' Q5 17 �$ ` . <br />TQIS ':FACE OP S'!'7►TE .. TALL LIEN IS ISSUED BY THE.... NEBRASKA <br />DEPART OF REV+END , : FOR INDIVIDUAL INCO!(E • TAX PuR$UANT' TO Tim <br />REVEN LAWS OF TIM. 41TATE OF NESPASKA. NOTICE. rt HEREBY GIVEN, <br />THAT XUDIVIDUAL IliC ;'I!AUS INCLUDING P8NALTINS' AND INTEREST' <br />1/HICB ARE SHOtaI!� BE :.'� DUE FROM THE TAXPAYER SPECIFIED ABOVE <br />AND REMAIN UNPAID X�.DEMAND. THESE TAXES CONSTITUTE A LIEN <br />IN TH4 COtlIM FQA ..PROPERTY BELONGING TO TER TAXPAYER OR <br />HE M ACQVI . . <br />AMOUNT OF TAX. :::. . . . . X03.00 <br />PENALTY . « « ..: ' '•.. ! . . . . . . 11.30 <br />INTEREST MONPi3'IIV TO 09/13I8� 11.30 . <br />TOTAL ANO01W., IXM- . ; . 151.90 <br />I HEREBY ;!9VY. THAT THE NEBRASKA DEPAR'T'MENT OF REVENUE HAS <br />COMPLIED WITH:THE REVENUE LAWS OF THE STATE OF.NEBRASKA IN THE <br />I� <br />- DETERK TION OF T k - AMOUNT SHOWN TO BE DUE, D THE TAXPAYER <br />HAS FA=D T4_..IyAY . AMOUNT DUE AFTER DEMAND. IF THIS NOTICE <br />OF STATE TAX IZEN ISAN ExMmSION OF AN EFkTCTIVE LIEN IT SERVES <br />'" <br />TO CONTINUE ULHE PRIORITY Oki &R <br />THE STATE'S I EST IN THE' - AFFECTED <br />PROPERTY OF THE TAXFAYER. <br />PREPARER'S SIGMA TITL <br />- E DATE <br />000 410 09 00 0 A <br />AUTHORI SIGNATURE TITLE GATE <br />FOR COUNTY OFFICIAL'S USE <br />7. <br />r yiau na.s any Questions reg4foing Will nOtlCe, pkNM C041441. "the Nebraek4 pep4rtment of Revenue, Box 94al4. Uncoln, Nebraska 44509, or any of. - <br />074gtonal otNna lbted Wow. In Nebraska you may a190 toi► free, your long dbtanCO aCCaaa number and 400. 742.7474 fw$mtanot. <br />LINOOLN •. (M01411,71571 DRANO INLAND — (3811 01 -SM FORTH PLATTE — (30) SU4 2$0 <br />OMANA + NSaI N4RMi NORFOLK — (102) 371.1$20 SCOTT$ SLUFF (30$) :22-/200 <br />NWtASKA 06PA ITMEMT 00 RIV$MUE —White and Canary Copies TAXPAYER — pink Copy COUNTY — Goldenrod Copv <br />Or .UK UM (C* T.iN1 ))IOM) IS (ARE) TO BE FILED G T UJIN <br />'i I�Ir/!!•t cr Di mm <br />THR DOC(1!LENT(S) IS (ARE) NOT TO BE FIDEM DED TD TIM ACM UTY CLF,RK. <br />DISTRIBUTIM OF COPIESt <br />WHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO 771E <br />DEPARTMENT nr nrvnzji -. <br />GUI ENROD: TO BE KEPT Ulf THE REGISTER. OF DEEDS <br />gIt ING IS TO BE OWE PER MONTH AND TIMRE WILL BE flo 1PRE- PAYMENT nF• PFE -,. <br />HANK YOU FOR YC1UR COOPERATION. <br />L <br />J <br />