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Notice of State Tax Lien 88- 1()1215 NOTICE OF STAT~ TAX LI~N INDIVIDUAL INCUME TAX I IF YOU INQUIRE ABOUT YOUR ACCOUNT, REFeR TU THESE NUMBERS soc. SEC. NO.. NE8R. IiJENT. NO. SPOUSE soc. SEC. NO. TAXA8lE YEAR LIEN NO.. COUNTY DATE OF NOTICE 506966863 25350897 507947852 1985 86242152 HALL 08/30/86 K ICHARu A SMAH.L\ 107 N MAD! SON GRAND ISLAND NE c3k,iCl THIS NOTIC E or: STATE TAX LIEN 1 S IS SUED BY THE NEBRASKA DEPARTMENT uF REVENUE FOR INDIVIDUAL INCQt1E TAX PURSUANT TO THE R EVENllE LAW S DF THE STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME TAXES INCLUDING PENALTIES AND INTERfSl, ~HICrl ARE SHOWN dELOW Ak~ UUE FROM THE TAXPAYER SPECIFIED ABOVE ANG REMAIN UNPAID AFTER DEMAND. THESE TAXES CDNSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING Te THE TAXP~YER OR HeREAFTER ACQUIRED. AMOUNT OF TAX .. . .. . .. . .. . .. . . . .. . . . . .. . . .. . . 136..51 PENALTY . . . . .. . . . . . . . .. . .. . . .. . . . . .. . .. . b.b3 INTEREST ( COMPUTED TO 08/30/Bb) . . .. . . .. . . . e . .. . . 1.17 TOTAL AMOUNT DUE . . .. . . . .. . . . . .. . . . . .. . . . . 150.51 I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATlON OF THE AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER HAS FA I LEu ro PI!. Y THE AMOW~T DUE AFTER DEMAND. IF THIS NuTICE OF STATE TAX LIEN IS AN EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY UF THE STATE' S INTEREST IN THE AFF ECTED PRUPERTY OF TH E T AXPA YER. .J. hnO .~~. ..... PRE~R'S SIGNATURE ~r ~c /J ~eI .. '. ~ 0 AUTHOR lEU SIGNATU E .&uhW..~~~...... TITLE ' T~.~. ~ -q~~~ ................ DATE ::5 -11-8"~ .ct.............. DATE FOR CUUNTY OFFICIAL'S USE NEBRASKA DEPARTMENT OF REVENUE OFFICES If you have any questions "-e~an;Sln9 this noth;e, please <;Qnta<;t the NeDraska Oepar-tmenl of Revenue, 6011: ~4ela, l..in(;OIn. Nebra~ka 66:J09, or any of the re910nAI offlt:Q~ IIded below. In Nebra~ka you may al~o dial toll free. your tong distance a~cc5.5. number and aOO-74.2-14?4 for as~istance. L1~MlloJ - I.tMI.t;UIl,1 CRANb ISLANb - I~OQI M4-G92A NORTH PLATTE - 13081 532-8250 OMAHA - (4021 554.2065 NORFOLK - (402) 371.1620 SCOTTS BLUFF - (308) 632-3637 N~.!lJiAS~_~~A~'r"MENr:_OF REVEN,U.E -. Whiteand Ca,nary Copies TAXPt-.YER::. Pmk Ct;>py COUNTY - Gold"nrod Copy 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) NOT TO BE FORWARDED TO THE COUNTY CLERIC DISTRIBUTION OF WHITE: L GOLDENROD: COPIES: TO BE VALIDATED BY THE REGISTER OF DEEDS DEPARTMENT OF REVENUE. TO BE KEPT BY THE REGISTER OF DEEDS. AND RETURNED TO THE BILLING IS TO BE ONCE PER MONTH AND THERE WILL BE NO PRE-PAYMENT OF FEES. ~1K YOU FOR YOUR COOPERATION. -. _ .i.....: "" , I . t". ..J '~J ~) I . 'J j j -' ~