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<br />.~ebraSka
<br />, department
<br />of revenue
<br />
<br />Notice of State Tax Lien
<br />
<br />I
<br />
<br />NOTICE OF STATE TAX LIEN
<br />JNDIVIDUAL INCOME TAX
<br />
<br />88- 100309
<br />
<br />IF YOU INOUIRE ABOUT YOUR
<br />ACCOUNT, REFER TO THESE NUMBERS
<br />
<br />soc. SEC. NO.
<br />'NEilR. IDENT. NO.
<br />SPOUSESOC . SEC. NO.
<br />TAXABLE YEAR
<br />LIEN NO.
<br />COUNTY
<br />DATE OF NOTICE
<br />DATE OF ASSESSMENT
<br />
<br />505642326
<br />11859415
<br />501682998
<br />1986
<br />81219180
<br />HALL
<br />08/01181
<br />OS/20/81
<br />
<br />STEVEN J t NANCY M MILBOURN
<br />
<br />PO BOX 1051
<br />GRANO ISLAND NE 66801
<br />
<br />THIS NOTICE OF STATE TAX LIEN IS ISSUEO BY THE NEBRASKA DEPARTMENT OF
<br />REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE lAWS OF THE
<br />STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME
<br />TAXES INCLUDING PENALTIES AND INTEREST, WHICH ARE SHOWN BELOW ARE DUE
<br />FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND.
<br />THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING TO
<br />THE TAXPAYER OR HEREAFTER ACQUIRED.
<br />
<br />AMOUNT OF TAX . . . .
<br />PENALTY. . . . . . .
<br />INTEREST (COMPUTED TO
<br />TOTAL AMOUNT DUE ..
<br />
<br />. . . . . . . . . . . . . . . . . . . 681.00
<br />. . . . . . . .. . . . . . . . . . . . 34.05
<br />06/07/61) . . . . . . . . . . . . . . 29.18
<br />. . . . . . . . . . . . . . . . . . . 144.83
<br />
<br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED
<br />;WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF
<br />THE AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER HAS FAILED TO PAY THE
<br />AMOUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN
<br />EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF
<br />THE STATE'S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER.
<br />
<br />.. ~.!1vA......
<br />
<br />PRttARER'S SIGNATURE
<br />
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<br />TITLE
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<br />,f...............
<br />DATE
<br />
<br />..L;~.:;~r:..
<br />
<br />DATE
<br />
<br />FOR COUNTY OFFICIAL'S USE
<br />
<br />NEBRASKA DEPARTMENT OF REVENUE OFFICES
<br />
<br />If you have any Questions regarding this notice, please contact the Nebraska Department of Revenue, Box 94818, Lincoln, Nebraska 68509. or any of
<br />the regional offices listed below. In Nebraska you may also dial toll free. your long distance access number and 800-742-7474 for assistance.
<br />
<br />L1NCOLN,- 14021 471-2971
<br />OMAHA - 14021 554,2065
<br />
<br />GRAND ISLAND - (3081 384-6829
<br />NORFOLK - (4021371.1620
<br />
<br />NORTH PLATTE - (3081532-8250
<br />
<br />SCOTTS BLUFF - (3081 632-3637
<br />
<br />
<br />
<br />
<br />TA:~~~~~~tn!<.CoPL. COUNTY - Goldenrod <:o.I>Y
<br />" ,,_~ION) IS (ARE) TO BE FILEDoNr.Y
<br />,;,!~I~~~ CLERK. ' -
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<br />~~!~~\~~~itt.I~*t:::EEDS AND "=RNEDTO
<br />
<br />
<br />,,>.,.o,.~~:'l:'OBE~ONCE'iPERMONTHANn'rHERE.WILLBE NO PRE':"PAYMENT OF FEES.
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