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atke of tart flax Lies <br />NOTICE OF STATE TAX LIEN, , <br />- 21iDfVID[TAf, I1�CONE T1�iX 105516'. ' , <br />ACCO[J"". REFER TO THESE, NtEI8ER8s -- <br />..508 --34•- 2.131- .. ROBERT- J1.:1UNIMRS .. .. - <br />- JIM. 10M. -NO. 14420722 - .... _ <br />SPOttsi SOC. SEC. NO. 7 <br />L� 114 • UE0T STATE <br />TAX& Ts" 1977 GRAND I8LMW, NR. 68801 <br />LIM NO. 0`2316060 >: <br />Comm 1AY.L <br />DATS OF NOTICE 06 -11 -87 - <br />OATS OF ASSESSMENT <br />>;'t` Id ; fOTICE OF . STATE LIEN . .I$StiED B!Y..: 711$ ; 3 8 tk X r� r,(�{ <br />DE>t 9 OF REVENUE FOR TAE:; :POR51fJ <br />- "-AzVZWM LAW OF THE STATE OF NEP11A S O - "; ,, , 1TIC8 IS 1 `oIVER ; '> • <br />TEAT INDIVIDUAL INCOME TAXES INCLUDIIRG: °:IALTIES AND "I•''Y'EREST '` ; <br />': <br />WHICH ARE.SHOMN BELOWp •ARE -DUX FROM THE TAXPAYER SPECIFIED_ADM <br />AND SIN UNPAID AFTER DEMAND, THESE TAXES CONSTITDTS A tItH <br />f IN THE COUNTY FOR PROPERTY BELONGING TO THE TAXPAYER. OR' <br />HEREAFTER ACQUIRED. <br />AMOUMT OF TAX . . • • . • ,. . . . . , . • 196.07 <br />�•�`�; <br />PEHAa'S . a 49„02:;• <br />INTFJMT (COMPUTED TO 11 -12 -8i <br />TOTAL AMOUNT DUE y: <br />I ROMY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE <br />COMPLIZD WITH THE REVENUE _Lip WS OF THE STATE OF NEBRASKA IN IM <br />DETERMINATION OF THE AKOUN.T SHOWN TO BE DUE, AND THE . TAXPlI U- R <br />HAS FAILED TO PAY THE DUE AFTER DEMAND. IF THIS NOTICE <br />OF STATE TAX LIEN IS AN Eli SIGN OF AN EFFECTIVE LIEN IT SERVES <br />TO CONTINUE THE PRIORITY OF THE STATE• S INTEREST IN THE AFnom <br />PROPIMY OF THE TAXPAYER. <br />PREPS SIGNATURE TITLE „..: DATE <br />�; .. ..... ... .... ..... <br />. . ..�. ..... <br />Aluv axis SIGNATURE TITLE DATE <br />FOR COUNTY OFFICIAL`;S'USE <br />If you have a�!y Questions raprdMS this notice. p1eMS cxr apt tM <br />rsaittiliaa9 department of Revenue. Box 94518. t.lncvin. NabrasR,M 44509. or any of <br />the rglofw otfkcas listed below. In Newaslis you may also dial toil frea5. yoi+r long distante access number and 800.742.7414 for asak4nce. <br />U W*Ll1`-'^ 14621 4714071 GRAND ISLAND — (lan/) 3114721 MMTH PLATTE — (sou LU41 D <br />OMAHA — "M 01A101111 NORFOLK —1402) 37144 0C!OM SLUFF — 13061072.1M <br />�v IM0i10JUKA OEPAATMENTOF REVENUE —Whits and Canary C40M TAXPAYER — Pink CopV COUNTY — Goldenrod Copy <br />• <br />THE ATTACHED NM'CE OF STATE, . TAX . LIEU TE WUNATION SHOULD BE FILED WITH BDZI 7W l�IF1'!3R <br />1W ��-,'Nm C0= Cam. THIS IS TO TERMINATE THE LIEN(S) FILED PRIOR TO JULY 17, 1986 <br />"1!11 2024! Omcn. <br />THE ROCISTER OF DEEDS IS REQUESTED-70 FORWARD THE DOCUMENTS TO THE COUNTY CLERIC. <br />DISTRIBUTION OF COPIES: <br />WHITES TO BE VALIDATED BY BOT11 THE REGISTER OF DEEDS AND THE COUNTY CLERK <br />AND RETURNED TO THE NEBRASKA DEPARTMENT OF REVENUE. <br />CAXARYs TO BE KEPT BY THE REGISTER OF DEEDS. <br />GO?DItmaw: TO BE KEPT BY THE COUNTY CLERK. <br />THERE IS NO !EZ TO BE CHARGED FOR A TERMINATION NOTICE. <br />THANK YOU FOR YOUR COOPERATI011. <br />i <br />.1 <br />f� <br />