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= 14Qli�a' Alr a1"TATiS TIC L,LiSLR • INDIVIDUAL INCOME TAX - - = =iFr = ri�i,�.►Yiu�AbO+V-`r"zOV>�- - •,;,; -_.- ACCOVNS, REM TO TRUE NUMBERS: 90C: swe .. V. 549 -96 -9415 NIGUEL E. lam. CYNTt Ix K.� ROSAS liEeR. IDEMT. NO. 29035163 SIOOSE SEC. SEC. NO. 502 -06 =5325 P.O. BOX 363 TAXABLE YEAR 1984 WOOD RIVER„ NE 68681'. LIM NO • 8820135 -a COUNTY Hall DATE OF NOTICE 09 -15 -89 t DATE OF ASSESSMENT 08-08 -88 THIS NOTICE OF' STATE TAX LIEN IS ISSUED BY .Tom: _ . BRi4SKA DEPARTMENT OF REVENUE FOR INDIVIDUAL INCOME TAX PEj1`!-10 THE REVENUE LABS OF THE STATE or NzsRASXA. NOTICE �5,;:;;�$$UM GIVEN THAT INDIVIDUAL INCOME TAXES INCLUDING PENALTIES lUiD 'rW=RBST, MBICH ARE SHORN B8LOW# ARE DUE FROM, THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. 'THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BEIANGING TO Tk.E . `_.TAWAYEt OR HEREAFTER ACQUIRED, AIIOUNT OF TIUL • • $ 141.36 PAMTY 2>1TEitES!'. (COMPUTED T+0 68.31 TOTAL ANIOUIi'T DUE .; ...,. 236.46 I HEREBY CERTIFY THAT THE NEBRASKA DEFAR''L'MENT OF REVENUE HAS COMPLIED WITH THE REVENUE LWS OF THE STATE OF NEBRASKA IN THE • DE MR141HATION OF THE AM UNT SHOWN TO BE DUE, A M THE TAXPAYER HAS FAILED TO PAY THE AMOUNT DUE AFTER DEMAND. IF,-THIS NOTICE 'OF STATE TAX LIEN IS Ali , XXTEN,SION OF AN EFFECTIVE LIEN IT SERVES To CONTINUE TR£ PRIORITY,OF TRZ STATE'S INTEREST IN THE AFFECTED PROP$)tT'Y OF TEE TAXPAYER. 24, ,(n� • ...'.`. • ! ..�f li�'i'i • .� ire..... . PREPAREIi'S.SIGNATURE TIT DATE • • •.i ..�...••.• --f 5..••• •..•.• ••.•.• J.0, 'A"UT00R12E SI( INURE TITLE DATE roR COUNTY OFFICIAL'S un, I"VOW haV§ any auuatkM$roordlfrp.this nom, 01* M Cant4Ct tna Nebraska DoOartm•nt Of Revenue. 8018 94818, UACa1n,"tWbraaka 68304. Or any of 1! Srdaional otfkas littse Wow. tis NaCraaks You may alto dial tali free, your long dlstanca aeraat number and 800 - 742-7414 for attlttanca. LINCOLN — (40 ) 4714171 OFIAND ISLAND — 000► 381.0720 • NORTH FLATfE - (110) IN4M. OMAHA - 002100 2010 NORFOLK - (402) 371.1020 ICOTTIB BLUFF - (0001 M-1200 NOW KA DMARTIMENTOF REV EME -Whip tied Canary CoviN TtxRA:OR —Pink Copy COUYT 1/ — Gok!•ntod Copy in (9) cr TAx LIEN (OR TDSUMTI0E1) If (ARE) TO BE FILED cj Y NsTs Li �s »aNelttOe &V dgo - T= DOC( PMr IS) IS OARS) NOT TO BE FOWARDE) 4D MM E1.A1H _" t_r "y DISTRI8=01 OF COPZESs L"ITC: TO BE VALIDATED BY THE REGISTER OF DEEDS AHD RETUMED TO THE J DEPARrIon nr RFvr•.1w11-. GOLDMMD: T'O BE KEPT BY THE REGISTER OF DEEDS BILLING IS TO BE OWE PER MONTH AND THERE WILL BE NO PRE- PJ%V=iT OF FEES. � THANK YOV TOR YOUR COOPERAT141.