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,- - I � <br /> t <br /> r— _ �, - Notice of State Tax �ien �9„ 10644� � , <br /> � NQTIC� O� S7ATE TAli LI�I <br /> IMDIYIDUAL IN�t)NE TA7t <br /> IF YOU INQUIRE AdOUT YtwR <br /> ACCWNTs REFER TQ TNESE NtN18ERS <br /> �,SOC• SEC. NO• 5QA?67141 KOflCER J SCtilIIT <br /> tl�ilt. IDEM?• t10. 19977697 39585 ' <br /> S�OIISE SO�. SEC. NO. P 0 BOX t00t1 <br /> TAlU��� Y+�AR 19@� �,1t�COLN N� b�st1� <br /> �iEN No• a�2�5�a <br /> cot�sY w►« <br /> . DATE OF NOTICE 11/20/89 <br /> DA7� OF ASSESSliENT 05!!D/89 <br /> TNis 110Ti�E aF STA�E �Ax I.iEN Is Issu+to eY 'dHF NEeRAS1cA �EPAItT!lENT oF <br /> REYENt1E FOR ItiDIUIOUAL INCOi� TAX PUitSUANT TO THE REYENlIE LAMS OF THE <br /> � STATE OF NEBRASKA. NOTICE IS lIEREBY CIYEN THAT INOIVIDIIA� INCOME <br /> � TAl�ES I!lCLUDINC PENALT3ES AND INTERESTs YHICN ARE SHOiNi HELlQM ARE DUE <br /> FR[�M THE �AfIPA�ER SPECI�I�Q ABOY� Al1D REMAIN Ut�PAID AFTER OElUim. <br /> TNESE TAXES CONSTITUTE A LIEN IN TNE COUIITY FOR PROPERTY BELONCINC TO <br /> �MF TA�tP�1YER OR HERtAFTER ACWIIfiEO. <br /> wM�UMT OF T,UI • • • • . . . . . . . . . . . . . . . . . . . TB.00 <br /> PENALTY • • • . . . . . . . . . . . . . . . . . . . . . . . 3.QQ � �� <br /> INTEREST �COpPIJtED TO 11/2C/89� . . • . . • • . . . . . . . 6•38 , :.�; <br /> TOTAl. AMtIlJNT DUE . . . � . • . . . . . . . . . . .� . . . . 56.18 _�_,:,._; <br /> � I, i�EREiY CERT3FY 'fHAT THE NEHRASKJI DEPARTNENT t� REYEMtifi HAS COMPLIEa �- <br /> � <br /> MIT�. 'TNE R�iIEMU� LA115 ElF THE STAT� OF NEBRASKA IN THE DETERMINATION O�F <br /> . TiiE A!lOIINT SNOiIN TO 8£ WE� AND THE TAXPAYER HAS FAIIED TO �AY THE <br /> AMOUNT DUE AFTER DcNAND• IF THIS NOTICE OF STATE TAX LIEN IS wfi • <br /> EXTEMSItIN OF wN EF�EtTIy"e LiEM IT SERUES �tl COMTINUE THE PRI#)RI7'Y tIF � � <br /> ?HE S?ATE�S ItS�EREST IN THE AFFECTED PROPERTY OF 7HE TAXPAYER. ' °4 <br /> ; - <br /> , ,� <br /> ` .��.��r...... .� . � ..�.. �1:�?:��....... <br /> � PREPARER'S SICNd17URC TI7LF�� DA7E <br /> �,� l� �,,<� �� ��i-a�-� . <br />. . •�� •�� •����i •������• •���• •������• •������ri������• .. ' <br />� ' Aii'riA�RIYE SICN�TURE TI7LE ' DATE `�'" <br /> � , , 4� <br /> . �• Y`= <br /> ;• <br /> • �� �� CV�n ���CT�.�s �S� : . <br /> � � <br /> . � _ <br /> , C <br /> �' � , C <br /> "� NEBRASKA DEPARTMENT OF REVENUE OFFICES <br /> 11 you have any quesUOns�eparding this not7ce,ptease contacl the Nebraska Department of Revenue.P.O.Box 94818,Lincoln.Nebraska 69509-4818,or any of fhe regbnal <br /> o8ioes I�sted betow.in Nebraska you may afso dial toU iree.your long dstance access number and 800-742J474 tor assistance. <br /> LINCOLN—(402)471-5729 CiAAND(SLAND—(308)381-5725 NOATH PLA1TE—(308)532-8250 <br /> OMAHA—(402)595-2065 NORFOLK—(402)371•1620 SCOTTSBLUFF—(308)632-1200 <br /> NE81iASKA DEP'ARTMENT OF REVENUE—White an�Canary Copies TAXPAYEA—Pink Copy COUNTY—Goidenrod Copy � � <br /> 7-ta5�79 Rev.9-89 � <br /> S�psra�tles 7•14579 Rsv.tr.g7 I <br /> I ' <br />. � • � � <br /> f� <br /> tQ <br /> IA <br /> �,. � <br /> � � <br />