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:� 1 � I i I ��t Notice of State Tax l.ien r ----�--- - .- _IVO I E OF STATE TA7{ LIEN ------- - ------- � r TNDIV3Di3AL 1NCOM� 1'�iX �9�. 10656Q IF YOU INQUIRE ASOUT YOUR ACCOUNT, REFER TO THESE NUMBERS: SOC. SEC. N0. 506—�0-8651 VANCE AND JUDY M, OHME NEBR. IDENT. NO. 29057908 SPOUSE SOC. SEC. NO. 266—70�0291 102 N�RTH CLEVELAND STRE�T TAXABLE YEAR -1988 GRAND ISLAND, NE 6$803 LIEN NO. 89237171 COUNTY HALI, DATE OF NOTI�E 11/30/89 DATE OF ASSESSMENT 06/07/89 THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF REVENUE FOR INDIVIDUA� INCOME TAx PUR�UANT TO THE REVENUE LAWS OF THE STATE OF NEBPASKA. NOTICE IS HEREBY GIVEN - THAT INDIVIDUAL INCOME TAXES INCI,UDING PENALT�ES AND INTEREST, WAICH ARE SHOWN BELOW, ARE DUE FROM THE TAXPAY�R SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. THESE TAXES CONSTITUTE A �,IEN IN TAE COUNTY FOR PROPERTY BELONGING TO TH� TAXPAYER OR HEREAFTER ACQUIRED. AMOUNT OF TAX . . . . . . . . . . . . . . . . . . . . $ 179.00 � PENALTY . . . . . . . . . . . . . . . . . . . . . . . 8.9 5 ' INTEREST (COMPUTED TO 11/30/8� . . . . � . . . , . � 15.73 . . . TOTAL AMOUNT DUE . . . . . . . . . . . . . . . . . . 203.68 ; - �. = - I HEREBY CERTIFY THAT THE NEHRASKA DEPARTMENT OF R�VENUE HAS COMPLIED WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF THE AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER - _�3AS .FA�LED TO PAY THE AMOUNT DUE AFTER DEMAND. IF THIS NOTICE � �OF STATE TAX LIEN IS AN EXTENSION OF AN EFFECTIVE LIEN IT SERVF�u �'1'O CO�I �DiUE THE PRIORI'�Y OF THE STATE'S INTEREST IN THE AF`FECTED '' � �PROPER� �F THE TAXPAYER. � � �: . i . � _ ' 4 �"'�'"„"_ � ��:... � �1��.. .. ... . .� �`s.��. . .�1.�J�,Z. . . .. ' •PREPARER�'S SIGNATURE TITLE� � DATE � � � � � l�-/-�'1 ��"Y; : . C� . . .. . . . . . .� . .�. .. . .. . . . .. .. ... . .. .. .. . . .. . : �=. ,..�: AUTHORIZ SIG ATURE TITLE DATE . FOR COUNTY OFFICIAL'S USE � NEBRASKA DEPARTMENT OF REVENUE OFFICES . il you have any quest�ons regarding this notice,please contact the Nebraska pepaAment of Revenue.P.O.Box 94818.�ncoln,Nebraska 69509-4818,orany o1 Me regional ofCkes 6sted betow.ln Nebraska you may also dial toll tree.your long distance axess number and 800•742-7474 for assistance. UNCOL,y—(402)4715729 GRANQ(SLAND—(308)381-5725 NORTH PLA7TE=(308)532-8250 OMAHA—(�02)5�5�2065 NORFOLK—(402)371-1620 SCOTTSBLUFF—(30d)632-1200 _ NEBAASKA DEPARTMENT OF REVENUE—White an4 Can�tY.CGOies TAXPAYER—Pink Copy COUNTY—Gold�nrod Copy THE !►TT�HID UOY'IC�(S3 O� TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILID CNLY M=TH Y :- =T - , 'PHE �I'i��Yi� OE DE�OB. TFiE.DOCUMENT(S) IS (ARE) NOT TO $E FORWARDED TO �HE COUNTY CLERK. • . DISTRIBUTION OF COPIES: •— ` WHITE: TO $E VALIbATED BY THE REGISTER OF DEEbS AND R£TURNED TO THE � � DEPARTMENT OF REVENUE. I ,� GOLDENROD: Ta BE itEPT BY Tt1E REGISTER OF DEEbS. '�, """"'� � - BILLING IS '1'0 BE ONCE PER MONTH AP�D THERE WILL BE NO PRE-PAYI7ENT pF FEES. �� TNANK Y011 FOR YOUR COOPERAI'ION. r' � ,> . � . L_ �