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THIS NOTICE (IF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME TAKES INCLUDING PENALTIES AND INTEREST, WHICH ARE SHOWN BELOW ARE-DUE FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING ID THE TAXPAYER OR HEREAFTER ACQUIRED. - AMOUNT OF TAX . . . . . . PENALTY . . . . . - - • 608.00 INTEREST (COMPUTED TO 06/09/95) 152.00 TOTAL AMOUNT DUE . . . . . . ' . • ' ' • . . 169 -74 • ' ' ' • . . • • . 929 -74 I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF THE AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER HAS FAILED TO PAY THE AMOUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN EXTENSION OF AN EFFECTIVE LIEN IT SERVES 7C CONTINUE THE PRIORITY OF THE STAY •S INTEREST IN THE AFFECTED PROPERTY IT- THE TAXPAYER. ARER•S 5IG TURF TITLE "� /......•`•• GATE /TELEPHONE AUTHORIZED SIGNATURE TIT LL- " " " "- "'••••` 6 --•••- DATE \ FOR COUNTY OFFICIALGS USE �V 1` < -' ) C /� .: m z p� �\ �1 4n �I1yrA•1 cn 03/30/2004 12:13 FAX 14024714429 NEBRASKA LCC IMB03/003 NEBRASKA DEPARTMENT DF REVENVE— White erq Carry Copies aoo� 030 6 � m � m Notice of State Tax Lien 85_ o "Tt 105115 INDIVIDUAL INCOME TAX .yip —!' / !V O SOC. SEC- ND. 456237666 L91 d NEER. IDENT. NO. 37479520 SPOUSE SOC. SEC- NO. o TAXABLE YEAR 1991 LIEN NO. COUNTY 9516000 19 JUAN M CALDERA DATE O F NOTICE DATE OF ASSESSMENT H A LL 06/09/95 611 E 1157 B 04/28/95 GRAND ISLAND N£ 68801 THIS NOTICE (IF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME TAKES INCLUDING PENALTIES AND INTEREST, WHICH ARE SHOWN BELOW ARE-DUE FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING ID THE TAXPAYER OR HEREAFTER ACQUIRED. - AMOUNT OF TAX . . . . . . PENALTY . . . . . - - • 608.00 INTEREST (COMPUTED TO 06/09/95) 152.00 TOTAL AMOUNT DUE . . . . . . ' . • ' ' • . . 169 -74 • ' ' ' • . . • • . 929 -74 I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF THE AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER HAS FAILED TO PAY THE AMOUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN EXTENSION OF AN EFFECTIVE LIEN IT SERVES 7C CONTINUE THE PRIORITY OF THE STAY •S INTEREST IN THE AFFECTED PROPERTY IT- THE TAXPAYER. ARER•S 5IG TURF TITLE "� /......•`•• GATE /TELEPHONE AUTHORIZED SIGNATURE TIT LL- " " " "- "'••••` 6 --•••- DATE \ FOR COUNTY OFFICIALGS USE TAXPAYER -Pink CWV CCUNfY- Odderaf C^PY srk q.r. 6Bro1 f �V 1` < -' ) C /� .: m z p� �\ �1 4n �I1yrA•1 cn `F"' 9 z NEBRASKA DEPARTMENT DF REVENVE— White erq Carry Copies Pt. m m ,s N TAXPAYER -Pink CWV CCUNfY- Odderaf C^PY srk q.r. 6Bro1 f /� �'K.TV\ 4n � cn 9 z v c � m � m n o "Tt I x m L91 d o r � Ii1 N n TAXPAYER -Pink CWV CCUNfY- Odderaf C^PY srk q.r. 6Bro1 f