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10/17/2001 16:28 FAX 14024714429 NEBRASKA UCC <br />Ilewnibraska <br />19 1 tmenll <br />.1p".1 gnu e <br />Notice of State Tax Lien 81-002067 <br />NOTICE OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br />f0tj INQUIRE ABOUT YOUR <br />3UN*fv REFER TO THESE NUMBERS <br />SEC* I NO, 506508390 <br />i. IUENT. NO- 12611203 — <br />JSE SOC• SEC• Wo 5065OZZOO <br />ABLE YEAR 1977 <br />4 Now 81016020 <br />4TY HALL <br />OF NOTICE 01/16/81 <br />ROBERT L E SHARON L BOHNART <br />BOX 33 <br />DONIPHAN <br />Z004/0 I" <br />NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF <br />z <br />NUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE <br />rE OF NESRASKA• NOTICE IS HEREBY GIV EN THAT INDIVIDUAL INCOME <br />=_S INCLUDING PENALTIES AND INTERESTP WHICh ARE SHOWN BELOW ARE DUE <br />4 THE TAXPAYER SPECIFIED ABOVE AND kEMAIN UNPAID AFTER DEMAND. <br />SE TAXES CONSTITUTE A LIEN IN THE COUNTY FUR PROPERTY BELONGING TO <br />,TAXPAYER OR HEREAFTER ACQUIRED. <br />AMOUNT OF TAX . a 366o30 <br />PENALTY e, • o 9 • a • ee • • • 16031 mm <br />INTEREST 0 • 0 0 0 61030 <br />TOTAL AMOUNT DUE * . . . . 445e91 <br />.......... <br />a-REBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />i THE REVENUE LAWS OF THE STATE OF NEBRASKA IN, THE DETERMINATION OF <br />AMOUNT SH%.--'WN TO BE DUET AND THE TAXPAYER HAS FAILED TO PAY THE <br />JNT CUE AFTER DEMAND* IF THIS NOTICE OF STATE TAX LIEN IS AN <br />ENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF <br />STATE'S IN ST IN THE A TED PROPERTY OF THE TAXPAYER. <br />ee ilge <br />'AREK1S S TUk E DATE <br />iTFRIZED SIGNATURE TIT DATE <br />FOR COUNTY OFFICIAL'S USE <br />MY -4 'Si AM <br />J09 <br />- '77 <br />NEBRASKA DEPARTMENT OF REVE ES <br />OF <br />7F Al <br />have any cuestions regaraing this notice, please contact %he Nebraska 0e2artment 43A pox NafieUka 6as0o• orany c <br />.c." u�. - 'r <br />otai toll fret, your long diltarc% or d lr�7 -7474 Dr as <br />illonal offices tisad below. in Nobralk2 YOL May alSO . *cc&&& nu or lalhd*�O- C' sistance. <br />-OLIN — (402) 471.2971 GRAND ISLAND —13081 384-4279 NORTH PLATTE — (3081632,3251 <br />NORFOLK — (402) 371-1620 F — 1_3081 632 <br />.3113- <br />AMA — J4021 554-2065 <br />PARTmENT OF REVENUE White and Canary Copies TAXPAYER . Pmk Copy COUNTY — Goldenrod COPY <br />,EBRASKA DE — 7-14 <br />j <br />