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I ,:1 "': L l~ebraSka department 01 revenue Notice of State Tax Lien 88-..1 100560 I NOTICE OF STATE TAX LIEN INOIVIDUAL,INCOME TAX IF YOU INQUIRE ABOUT YOUR ACCQUNT~ REFER TO THES~ NUMBERS soc. SEC. NO.. NEBR. IDENT. NO. SPOUSE SOC. SEC. NO. TAXABLE YEAR LIEN NO. COUNTY DATE OF NOTICE DATE OF ASSESSK~NT 5082685[)0 21906205 OONAlD 0 & SALLY A BEASON POBOX 1866 GRAND ISLAND 1977 87226304- HALL 08/14.137 07/13/67 NE 08802 THIS NOTICE OF STATE TAX lIEN IS ISSUEu 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 TAXES 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 TO THE TAXPAYER OR HEREAFTER ACQUIRED. AMOUNT OF TA}( . . . . . . . . ... . . . . . . . . . . .. . .. . 270.13 PENALTY .. . .. . . . . .. .. . . . . . . . . . . .. . . .. . .. .. 13.51 INTEREST ( COftPU TED TO 08/14.187>> . . .. . .. . . c- . . .. . .. . 354.24 TOTAL AMOUNT DUE . .. . . . .. . . . . . . .. . .. . . .. . . . 637.8& I HEREBY CERTIFY THAT THE NEBRASKA OEPARTMENT 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 DE~ND. IF THIS NOTICE OF STATE TAX LIEN IS AN EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE 1H E PRIORITY OF THE STATE'S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. .. !~llJ...... ...~~~..1l(1I4 ..... PR(;~ER'S SIGNATURE TITLE ~... ~w- T~.~" 1. .-"? Q.",; . .. ~ ~~. . .. . . . DATE .I.;;J:.:~~ .. DATE FOR COUNTY OFFICIAL'S USE " i\ NEBRASKA DEPARTMENT OF REVENUE OFFICES If you have any Questions regarding this notice, please conUct tne Ne~fask. Department of Revenue. Box 94818. LinCOln, Nebraska 68509, or any of the regional offices listed below. In Ne~raska you may also dial taU fre-e. your 10nl) distance access number and 800.142-7474 for assistance. LINCOLN - (4021471-2971 OMAHA - (4021 554.2065 GRAND ISLAND - 13081 384-6829 NORFOLK - 14021 371-1620 NORTH PLATTE - 13081 532.8250 SCOTTS BLUFF - (3081 632.3637 NEBRASKA DEPARTMENT OF REVENUE - WhIle and Canary Cople, TAXPAYER - P,"~ Copy COUNTY - Goldenro(j Copy ----L.lA!>.,19 THE ATTACHED NOTICE(S) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH THE REGISTER OF DEEDS. THE DOCUMENT(S) IS (ARE) ~ TO BE FORWARDED TO THE COUNTY CLERlC DISTRIBUTION OF COPIES: WHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE DEPARTMENT OF REVENUE. ~ GOLDENROD: TO BE KEPT BY TIlE REGISTER OF DEEDS. BILLING IS TO BE ONCE PER MONTH AND THERE WILL BE NO PRE-PAYHENT OF FEES. THANK YOU FOR YOUR COOPERATION.