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� � I . I � Notic• of State T�x Lian r.*. d;pNtm�nt o rw�nu� � INDIVIDUAL INCUME TAX � . IF YOU INQUIRE ABOUT YOUR �� Q�Q ( V ACCOUNT, REF�R TO THESE NUMHERS: SOC. SEC. NO. 5Q6-96-6863 RICHARD A. SMAHA NEHR. IDENT. NO. 2535089? SPOUSE SOC. SEC. NO. 1307 HOPE STREET TAXABLE YEAR 1986 GRAND ISI.AND, NE 68801 LIEN NO. 89179251 COUNTY �L DATE OF NOTICE 11-10-89 DATE OF ASSESSMENT OS-29-87 TAIS NOTICE OF STATE TAX LIEN • IS ISSUED BY THE NEBRASKA ' DEPARTMEN3' OF REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO 7:HE " REVENUE LAWS OF THE STATE OF NEBRASKA. NOTICE IS I�EREB'�l GIVEN THAT INDIVIDUAL INCOME TAXES INCLUDING PENAI�TIES AI�iD INTEREST, WHICA ARE SHOWN BEI+OW, ARE DUE FROM THE TAXPAYER SPECIFIEH� ABOVE AND REMAIN UNPAID AFTER DEMAND. THESE TAXES �CONSTITUTE A LIEN IN TI3E COUNTY F�R PROPERTY HELONGING TO THE TAXPA�ER OR ' HEREAFTER ACQUIRED. AMOUNT OF TAX . . . . . . . . . . . . . . . . . . . . $ 52.00 • PENALTY . . . . . . . . . . . . . . . . . . . . . . . 2.6 0 INTEREST (COMPUTED TO 11-10-8� ' ' ' ' ' ' ' ' ' ' ' 18.73 TOTAL AMOUNT DUE . . . . . . . . . . . . . . . . • • �3.3 3 i iizFc�"8� a.�R�I�'x T�iA'I' fiiiE ivEai�Snes L�Fi�3Ffiin"�'ivl GF tc�"v"Eivu� hi�S I •�- COMPLIED WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE - DETEP,MINATION OF THE AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER = gAS FAILED TO PAY THE AMOUNT DUE AFTER DEMAND. IF THIS NOTICE � ° , OF STATE TAX LIEN IS AN EXTENSION OF AN EFFECTIVE LIEN IT SERVES � " , TO CONTINUE THE PRIORITY OF THE STATE'S INTEREST IN THE AFFECTED � � . PROP.�RTY OF THE TAXPAYER. �� , - . � • ,,�1�22� �-�Sr 1�"��l��!/ • •� �� •��w��• •� • •• •� � • ��• � • • • • � • •� • • •• • • • • • � �• • � � p PARER':S' SIGNATURE TIT DATE � # i� ; . � = � �1.�� ` . . .. . . .. .. . . . .. - . . . . . . . .. . . . . . . .:. . �: . �UTHORIZ SIG ATURE TITLE DATE t��' , FOR COUNTY OFFICIAL'S USE � NEBRASiCA DEPARTMEiIiT OF REVENUE OffICES ' It you havs any qwftlonf r�y�rdi�9 thb notlt�,pl�sf�cont�Ct th�N�br�sk�O�partm�nt of R�v�rtu�,Box 94a30,Llncoln,N�bnfks 6l509,ot sny of th�nyionat oftica 11tt�0 b�tow.In N�br�sk�you may slso�lal toit frN,your lon9 tllstanu aeuss numb�r antl 800-742-7474 for autstane�. LINCOLN-(40II)471•2l71 ORAND ISLAND-(30e1381•67Z5 NORTH PLATTE-(308)632-82b0 I OMAt1A-1�021664•�OfS NORFOLK-140?1371•1820 SCQTTS BLUPF-(�)g�.�ppp � NESRASKA OEPARTMENT OF REVENUE-Whit��nd Ctn�,�r„Co iu___.._ TAXPAYER-Plnk Copy ._COUNTY-Gold�n►od Copy �,. _ _. ,--_-__ THE ATTAC!!�D !rC'1'�CE�S� �? TA7C LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY i�iYTH , TdiE R19GISZ'L"R OF UEED$. Q THE DOCUMENT(S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK. ' DISTRIBUTION OF COPIES: � � WHITE: TO BE VALIDATED HY THE REGISTER OF DEEDS 11ND RET[7RNED 7'O THE � DEPARTMENT OF 12�17ENUE. - GOLDENROD: TO BE KEP'r BY TFiE FtEGISTF.R O�' DBF,DS. n = BILLING IS TO $E ONCE PER MONTH At7D THER� WILL BE iJ0 PRE-PRYMENT UF �'�;F.S. � �;� _ � TH11NK YpU FQR YOUR CI�OP�k11TIC)N, r. � L.� �