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O5/24/2002 13:48 FAX 14024714429 NEBRASKA TOO rU 003/003 <br />E <br />inJto : _ r,oad nc �dsnt r e nul. dcd On <br />'119p-L <br />!ratrer:,ent <br />'iC 5.1q J!08' � <br />200205688 y <br />Ra3is;er of <br />Nz2 Cwnly, Nebra5kaa <br />Or Notice of State Tax Lien <br />n4 <br />.....�W e, PLEASE DO NOT WRITE IN THIS SPACE <br />I ND! V1DU AL INCOAB TAX <br />ACC. SEC. NO, 506 520775 , <br />N' DA. IDENT. NO, 37304518 <br />SPL'USE SOC. SEC. N::. <br />F1XAbLt YEAR 1546 `- <br />LIEN NO• <br />COUNTY DAVID TINT' <br />DATE OF NUTICE �7dr %U , /37 36 LILLMAN DR APT 46 <br />CATE Or ASSe55Mc'N7 C5/2C/97 COUNCIL LLUFFS IA :I5 <br />y% , <br />THIS NOTICE CF STAT4 TAX LIEN I;i ISSUED EY TYL NEbkASKA UEPARIMEN7 OF <br />Rk VENUE FQk INDIVIDUAL INCQME TAX PURSUANT Tu THC RFVENUC LA'tiS OF Tii. <br />STATE �F tied °s:KA. N-i,T7 E E H4m' -Y U1VEN <br />f THAT 1,0 i titLL" W A <br />E <br />TAXES INCLUDING FENALTIcS AND INTEREST, WHILH A @ SHDNN bE LO, AR E <br />DUE <br />FRO'.'-0 THE TAXPAYER SPECIFICD ABOVE AND REMAIN UWF.AID AFTER JEHAND• <br />THES° TAXES CONSTITUTE A LIEW-IN THE COUNTY FOR PROPERTY 3CLOAGINb TO <br />Tfl1_ TAXP'AVFk OF, FEA_L k?"tN ?CVUjRc'D. <br />AMOUNT Of TAX . . . . . . . . . . . . . . . . 433.00- - <br />PENALTY . . . . . , . . . 24.,5 <br />INTEREST CCOiiPLTEDTO O8 /O8 /911 . . . . . . . . . 13.70 <br />TOTAL AMOUNT DUE . . . . • 520.85 <br />, HERE3Y CERTIFY THAT 7HENEb RASKA DEPART riEt TL i- REVENU= 'lAE COHPLIEC <br />HITN THE REVENUE LAWS OF THE STATE OF N=3dASL I:1 THE C£TERMINATICN O- <br />f"L AR3ONT S11C,4N TO EE DUE, AND THE TAXPAYER HAS FAILEL TO PAY TH: <br />;;MOUNT DUE A.rTE.R DEHANC. IF THIS NOTICE C- STATm TAX. LIEN IS AN <br />ERTENS'_C14 OF AN fFFEC7IVE LIEN 17 SERVES TO CONTi NLE THE PR;OkITY GF <br />4 STATE15 INTERES7 IN THE AFFECTED YRCP_.F.TY OF THE TAXPAYER, <br />F irF. R' Y'� 5AGNATUF,"Z —, 11 LE DATE /TELLPrONE <br />+F <br />r .. 1:fd�'�ia5- ., :r.: f •,d�'.au%��.�C'�7r," ...'d: 5...;:..... <br />AJTnI -Rt.tj ..,GFA.UAt TITLE' GATE <br />NEBRASKA DEPARTMENT OF REvEVOE —Write and Caraiy Copies TAXPAYER —Pink Dopy GGUNTY-- GolCenrW Goa'p <br />erm,e „;worm. oa rxwre<oc.r vs -n e.�.a +s a: =• =m, . -r<o-rs a =,.sai <br />