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<br />l~ebr"Sk" <br />, department <br />, of revenue <br /> <br />B8-.-~ 100'179 <br /> <br />Notice of State Tax lien <br /> <br />I <br /> <br />NOTICE OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br /> <br />If YOU INQUIRE ABOUT YOUR <br />ACCOUNT, REFER TO THESE NUMBERS <br /> <br />SOC. SEC. NO. <br />NEBR. IDENT 0 NO. <br />SPOUSE sac. SEC. NO. <br />TAXABLE YEAR <br />LIEN NO. <br />COUNTY <br />uATE OF NOTICE <br />DATE OF ASSESSMENT <br /> <br />505543468 <br />lb591585 <br />506684801 <br />1986 <br />87226121 <br />HALL <br />08/14/31 <br />OS/29/87 <br /> <br />ROBEKT R ~ BETTY L GREENE <br /> <br />2315 it IHV ISION <br />GRAND ISLAND <br /> <br />NE 68803 <br /> <br />THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT UF <br />REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE <br />STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN fHAT INDIVIDUAL INCOME <br />TAXES INCLUDING PENAlTIES AND INTEREST, WHICH ARE SHUWN BELOW ARE DUE <br />FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAIO 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 ICOMPUTEU TO <br />TOTAL AMOUNT DUE .. <br /> <br />. . . . . . 439.00 <br />. . . . . .. 53.95 <br />. . . . . . 1.0.37 <br />. . . . . . 513.31. <br /> <br />. . . . . <br /> <br />........ <br /> <br />..... <br /> <br />.....6.. <br /> <br />08/14/87) <br /> <br />........ <br /> <br />. . . . . <br /> <br />........ <br /> <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTHEMT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS UF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THE AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER HAS FAILEU TO PAY TrlE <br />AMOUNT DUE AFTER DEMANO. 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 AFFECTEC PROPERTY OF THE TAXPAVER. <br /> <br /> <br />..~~l~~~....... ..~t~l1~~.~~~...... <br />PREPARER'S SIGNATURE TITLE <br /> <br />u~~ - ~tf? /Jr- ..-- J;~,::u.rJ..{2 -d::: <br />AU~IGN~ TI~. ~ <br /> <br />z - / (}' fit) <br />................ <br /> <br />DATE <br /> <br />..tf. /.~.-f:.K:... <br />DATE <br /> <br />FUR COUNTY OFFICIAL'S JSE <br /> <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br /> <br />If you have any Questions regarding !"us notice. ,)Iease c.ontact ~ne NeD'as..'! Di:p,anment ~. ~~~en....e. BoY 94818, Llnc.olO. Neor3sk.!l 685009. 0' any of <br />the reCjJlonal offices listed below. In Neor.1SkiS yOu rylJy d!SO alai toll he~. ,ou' ;01'\::;: ~lS'!.:!Irc:(> ac.:CH n....mher and 800-742-747'::' 'Of aSSlstanc.e <br /> <br />LINCOLN - 14021 471-2971 <br />OMAHA - (4021 554-2065 <br /> <br />GRANO ISLAND - 13081384-6829 <br />NORFOLK - 140213711620 <br /> <br />NORTH PLATTE - (3081532-8250 <br />scons BLUFF -- (3081632.3637 <br /> <br />NEBRASKA DEPARTMENT OF REVENUE - Wh,te "n[j Candry c.o.l::~_ TAXPAYER P,nk Copy <br /> <br />COUNTY -- GOldenrod Copy <br /> <br />L <br /> <br />THE A'l"l'AOtED NO'l'ICE(S) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WI'm <br />THE REGISTER OF DEEDS. <br />THE DOCUMENT(S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERIC <br />DISTRIBUTION OF COPIES: <br />WHITE: TO BE VALIDATED BY TIlE REGISTER OF DEEDS AND RETURNED TO THE <br />DEPARTMENT OF ~ENUE. <br />GOLDENROD: TO BE KEPT BY TIlE REGISTER OF DEEDS. <br />BILLING IS TO BE ONCE PER MONTH AND TIIERE WILL BE}JO PRE- Pl. Yl1ENT OF FEES. <br />, THANK YOU FOR YOUR COOPERATION. <br /> <br />I <br /> <br />I r"-' <br />i <br />I <br />I <br />, <br />i <br />i <br />;~ <br />f <br />I <br /> / <br /> h <br />