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4 <br />No"= of ft! Lion <br />ORMUZ or <br />.. ICI- YIDiJ1kL I�1CON* I'AX <br />I� Y0U INQUIRE_ mom YOUR <br />ACCODMT, Y=n TO THESE -1i 3=aS s <br />80C.. awe- 110. S05-82 -6481 <br />�>t. IOEMT. NO. 21236477 <br />SPOOM SOC, SEC. NO. <br />Be CLARK <br />TAYA11Jri YEAR 9522 EAST 16Th STREET <br />1982 GRAM ISLAND, NE 68801 <br />LIM no* 89192564 <br />Cou"r HALL <br />DATE OF NOTICE 0925189 <br />DATE OF ASSESSMENT` n8I2o18 <br />THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA <br />DEPARTMENT Or REVENUE FOR _INDIVIDUAL INCOME TAX PURSUANT TO TEE <br />REVENUE LAMS OF TEE STATE OF NZEIPASKA.. NOTICE IS HEREBY GIVEN, <br />TEAT 1WMDUAL IliCC m TAXES IN€LMING PENALTIES AND -INTEREST;. <br />WRIC8 ARE S9 MN BEL W. AM DUE FROM THE TAXPAYER SPECIFIED ABOVE <br />AND REMAIN UNPAID AFTER. DEMAIM. THESE TAXES CONSTITiiTB. A LIEN <br />IN THE COUNTY . FOR PROPERTY BELONGING. TO THE TAXPJWRR OR <br />HER(t ACQUIRED. <br />AMOUNT 0Or:'TAX $ 41.34 <br />PENAL'x'X : ` ... . , 2.07 <br />INTEREST: (COiMUTED' TO 09/25/8§ • • • • •. :. 37.40 <br />TOTAL lN!(lttlfT DUL . . . . . 0. , . : .. 80081 <br />I IMMY! CERTIFY TEAT THE NEBRASKA DEPARTMENT OF REVENUE HAS <br />COMPLIED NZTH THE QWENUE LhVS OF THE STATE OF NEBRASKA IN THE <br />. 0ftZRMINATION OF TRZ AMOUNT SHOWN TO BE DUE, AND . THE : A;PAYER <br />PAS FAILED TO PAY THE" AMOUNT ' DUE AFTER DFJ1AND. IF THIS NOTICE <br />OF STAT$ TAX LIEN IS AN EXTRUSrCy 00--.AN EFFECTIVE .LIEN IT SERVES <br />TO CONTINUE THE PRIORITY OF T ,STRTE'S INTEREST IN THE AFFECTED <br />PROPERTY Os TM- TAXPAYER. <br />.. l'. :.......... 1 .: .. .. y .....: <br />PRElARER S SIGIiATURE TIT DATE <br />or <br />C,1'1'NORI SICTURE TIT`. DATE <br />FOR COUNTY OFF1 11T S J ] <br />N <br />n you nave any auaationa 01011"lna) this BOtita. plaa" Contact tRa faar "" iiUtlNtnl*"t of taa1ra A'a. Box 114M, I.16coln. r~aaka 68001. or any of - <br />IIN NOW" Offlaaa IkItN *Slow. In POWIS [a you May alq dial toll "", yoUr reNly aMtanrw are+Ma tlumtu► ana 600.742.7476 tot a 1 1- ane.. <br />L i ll"m N - I W411141871 GRAND ISLAND - 17001$114'725 NORTH PLATTE -17 1 W42E0 <br />�IYM— flMf 1M,fMi NORtrOLK — (IQ21271.ti20 <br />800Trt •&WIF —17051 013i1,110 <br />N11OAr(A 00RraARTlMStwT Oi REVENUE — NM►rt� and nnir Coplt+n TAN ►AVER — Iink Copy COUNTS/ — Gokbnrod Copy <br />110IlYA(0) O! UR LISNI (OR TElala RATION) IS (ARE) TO BE FILED 00MT MITII <br />'Ilsi �G sm (w t>REDS. ` <br />TNZ L10ClPUXT(S) IS (ARE) NOT TO BE MWAKIED Tp TIM COUISTIf CLERIC. <br />DISTPIl1fUTION OLF COPIl.Ss <br />: Td dE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br />DLPART"gHT ns' mr.vr2ORr!. <br />= TO BE KEpT' of THE RDGISTER OF DEEDS <br />SILLING ES 70 52 ONCE PLFR MOM AND 7VEp,E WILL BE HO PRE -PRYMT OF FEES. <br />TMANR YOU FOA YOUR COOPERATION. <br />M {j <br />1 <br />�i <br />. . _J- <br />