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JIJL 3� '99 06�41AM U.C.0 DIVISION � P.2/� <br /> - • ���326 <br /> o� � � � � ����. �� <br /> �. <br /> . <br /> � .�� fi�E6 <br /> 99 107666 �� �C£�'Y <br /> 99 JUI. 29 A�1 `�3�t�� <br /> 5EC��_STAi� <br /> � Noti�e of State. Tax Lien <br /> �lr <br /> n�bn�k� <br /> dp�rl�n�n[ <br /> Af hV�fIH� <br /> � PLEASE DO NOT WRITE iN THIS SPACE <br /> INDIYZDUpL �NCOMF T!v( � <br /> SOC. S�C. N0. 55361J942, <br /> NEBR. IDENT• N0. 38408343 <br /> SPOUSF SOC• SEC• �NO. , <br /> TAXABLE YEAR 1996 ��$�� �NZ A���� p�rra <br /> LZrN fd0• 99�3�r0�88� MANUEL � �" <br /> tQUNTY HALL ��� <br /> DATE d� ItiaTIC� 05/l�►/1999 50Z0 W HWY 3G C4 <br /> DATE oF a55�55M�Nt 02/ll/i999� ALDa N� 6881C <br /> THI5 N�7ICE 0� STATE TAX �I�N �S ISSUED BY TH� NEBRASKA D�PARTMENT OF <br /> R�V�NU� FQR INpIVIDUAL INC4ME 7AX PURSUANT TQ ZNE REVENUE LAWS G� THE <br /> STATE �F NEBRASKA• NCITIC� IS HER�BY GIY�N THA� 2NDIVID�AL INCOM� <br /> TAXES SNCLUDiNG P�NAI.Ti�s ANn INTE�tES7• WHiCH ARE SHawN s�LOW AR� Du� <br /> �ROM THE TAXPAYER SP�CIFIED ABCYE AND REMAIN UNPA�D AF7ER D�MAND* <br /> THES� TAXES caNSTiTuTE A LIEN iN TH� cOUN7Y FoR PRGP�RtY SELCNGII�G Tn <br /> YN� TAXpAYER aR HEREA�T�R ACQUIRED. <br /> AMOUNT 0� TAX • • � • • • • • • • � � � � � + � • 347•00 <br /> Pe'NAL'CY . • . . . . � * . . . . . . . . . . • : • + . 86.75 <br /> iNt�R�ST tCaMPUTED To 05/i4/2999) . � • • • • • • • 64.85 <br /> L AP1DUAi �US . . . . . • . . • • . • • • • • • 498.60 <br /> TQ�'A T <br /> Y HEREBY C�RTIFY TFiAT TkiE NEBRASKA D�PARTM�ENT OF RtYENG� HAS COMPL�ED <br /> wiTH THE REVENUF LaWS GF TKE STAT� oF NE�RASKA iN TH� D�TERMiNATiON QF <br /> THF AA�oUNT SHOWN TQ BF DUEi AND TIiE TAXPAYER HAS FAIL€D TG PAY THE <br /> ANIOUNT DUE AF=�� DEMIAND• IF THIS NOt�CE QF STAT� TAX L�EN IS AN <br /> EXTfNSION OF AN E�rFECTIV� L3fN, IT SERYFS TO CONTINU� tHE PitYORITY 0� <br /> . TNE STATE�S �NTEREST IN THE A��ECTFD PRGPERTY CF THE TAXPAYER. <br /> � � � � �3�S��e 7 -- . <br /> ..... . .. ?+r:.. . ::.::::��+ . ....... +::7:i.7 .........: <br /> PR�EDPARER• 5IG AtURB 7IT ! �//1 /1 DAT�/TE�EPHt7l3E <br /> i����, •���• • •�i��i`i4 ��� ��ii�'•i.�����1�� (��N� <br /> � DAT� " , <br /> AU7HQRI D SiGNATUR� T TLE � <br /> NEBRASKA DEPARTMENT OF AEVENUE—White and Canary Copies 7AXPAYER—Pink Copy COUN'TY--Goldenrod Copy <br /> vrinrae wkh soy��a��y�d p+� , �-�a5•79 qev�1 D-95 S�plt86tllS 7-1��79 Rev.S91 <br />