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, 71 <br />Hofte of Stdo Tax Lim g,10551 9 . t. <br />INDIVIDUAL INCOME TAX <br />( IF YOU INIQUIRE ABOUT YOUR <br />ACCOUNT,, ' RZrZR TO TRESS NUMBERSs <br />SEC• SW' jp '110• 506- 460742 THOMAS A. WAGONER <br />KIM. IDBMT'. no. 17450128 <br />9P008E SOC:- SBC. NO. P.O. BOX 1585 <br />T1Xh*La YEAH 1988 GRAND ISLAND, NE 68802 <br />LISM N.D. .89223463 <br />COUNTY HALL <br />DATi OF NOTICE 09 -13 -89 <br />DATE. OF ASSESSMEMT.. Q4 -89 <br />TN1I8 <br />NOTICE ON! $'','f'B'; I�;''�`_ ISSUED BY THE NENIRASNCA <br />DZPA12MRM? <br />OF RCS FOR INDIVIDt1AL :COME "TAX PURSUANT TO THE . :'• • ;'.< :.•, ":' ' <br />REVENUE LAWS OF ifft STATE OF NEBPASXA `:. 'NOTICE IS HEREBY GIVEN <br />THAT INDIVIDUAL INCOME TAXES INCLUDING, ;PENALTIES AND INTEREST,., <br />WINCH ARE SSOMN BELON t ARE DUE - FROM TALC` TAXPAYER SPECIFIED ABOVE <br />AND 1tZMAIN UNPAID AFTER DEMAND. THESE TAXES CONSTITUTE A LIEN <br />INl1 THE MUM .FOR PROPERTY BELONGING TO THE TAXPAYER OR <br />HiREAFTER ACQUIRED4 <br />AMOUNT OF TAY • R ':::: ;$ 565.00 <br />PENALTY 28.25 <br />INTEREST (COMPIOTR! TO 09- 13 -80 31.42 <br />TOTAL -AMOUNT DizB IR' 624r. 67' <br />I musy CERTIFY. THAT THE NEBRASKA DEPT. OF - REVRIM HAS <br />COMPLIED WITH THE .1UEVENUE LAWS OF THE STATE 00 NEBRASKA INNS THE <br />DETERMINATION OF TNLS AMOUNT SHOW TO BE D='# MO T= TAXPAYER <br />HAS FAILED TO PAY THE AMOUNT DUE, AFTER DEMAND, IF,THIS NOTICE <br />OF STATE TAX LIEN IS AN EXTENSION OF AN EFFECTIVE LIEN . IT' ,SERVES <br />TO CONTINUE TR8 PRIORITY OF THE STATE'S "INTEREST IN,'. "E'APPECTED <br />PrtmI zR T S' %Or-T*• TAXPAYER,,,,s TYRE DATE <br />�t G� <br />. . . i� • • • • • • • • • • • • • • • • • • • • s 4 • A'#-* -• • • <br />AUTWRIZZD IGNA URE TITLE DATE <br />FOR COUNTY OFFICIAL'S USE <br />If "010" of low 11141". In this you may � dom WOO Mai. vow M dwin iii "a n yinw Mi i�oouis� 7s�s 0". ' a any w <br />LVOCOW - MMI i7/i71 ORAw ALAN[[ - fxw >•f 4P= NORTH MATT! - OW rpifl0 ` <br />aM►Y - MMi Mi,Mi NORFOLK - (Nt) 371.106 scorn aLurp -am Mim f <br />NMwA KA 0~701W OF NEV&Wf1- VP ft wed C9 wy Peon TAXPAYER - [ink Cagy COUFITY - GaWwwod tfty- <br />Tm ATrA=m w4mcom W "A LIL' i (Olt I IS (ARE) TO dE FILED 0=. iRZfl <br />go rawimm w Now. <br />THE DWEMerr(5) is (RRE) NoT io BE FOMWAMED r Tim Cm ria i CLERK. <br />DISTRZIM ION OF COPIES: <br />WHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RMRNED TO THE <br />DEPARTMENT OF REVENUE. <br />GOLDEiRW: TO BE KEPT BY THE REGISTE9 OF DEEDS. <br />NILLING IS TO BE ONCE PER !O!1'I'H AND THEM WILL BE NO PRR- PAYMENT OF PFFS. <br />TNMZ Y00 !•OR YU'JR CnOPEPATI0". <br />L <br />k <br />1 <br />r� <br />.r. <br />x <br />_j_ <br />