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<br />~ <br /> <br />IJ~Cbr"~k" <br />deparlmc,,1 <br />I of .evenue <br /> <br />I <br /> <br />\ <br /> <br />Notice of State Tax Lien <br /> <br />88- 102081 <br /> <br />) <br /> <br />NOTICE Of STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br /> <br />l <br /> <br />-\ <br /> <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNT, REFER TO THESE NUMBERS <br /> <br />SOCo SEC. NO. <br />NEBR. IDENT. NO. <br />SPOUSE soc. SEC. NO. <br />TAXABLE YEAR <br />LIEN NO. <br />COUNTY <br />DATE OF NOTICE <br />DATE OF ASSESSMENT <br /> <br />J <br /> <br />506606678 <br />13()Zl176 <br /> <br />LLOYD WILLIAM KELLY III <br /> <br />1986 <br />87226199 <br />HALL <br />08/14/87 <br />OS/29/87 <br /> <br />3025 STOLLEY PARK RD APT 141 <br />GRAND ISLAND NE 0.8801 <br /> <br />TrlIS ~OTICE UF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF <br />REVENUE fOR INDIVIDUAL INCOME T AX PURSUANT TO THE REVENUE LAWS UF THE <br />STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME <br />TAXES INCLUDING PENALTIES AND INTEREST. WHICH ARf SHUWN 8~LQW ARE DUE <br />FROM THE TAXPAYER SPEC.IFIED ABOVE AND REMAIN UNPAID AFlER DEMANO. <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 />PEN.lTY .. . . . . . · <br />INTEREST (COMPUTED TO <br />TOTAL AMOUNT DUE .. <br /> <br />,\-:i <br /> <br />. . . . . .. . . . . .. . .. .. .. .. . .. .. 192.66 <br />. . . .. . . . .. . .. .. . .. .. . . . . .. 9..03 <br />08/14/81) .. . . . . .. . . .. .. . . .. .. 8.94 <br />. . . . . . . .. .. . . .. .. .. . . . . . 211.2.3 <br /> <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTME~T OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />ntE AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER HAS FAILED TO PAY THE: <br />_ANOUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN <br />EXTENSION Of AN EFFECTIVE lIEN IT SERVES TO CONTINUE THE PRIORIlY OF -) <br />THE STATE'S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. <br /> <br /> <br />.~.~........ <br /> <br />PREPARER'S SIGNATUR~ <br /> <br />.f{2~ a A ':d: 6J () '::. <br />A~D ,~~E <br />I.... '. <br />'Y_ <br /> <br />. ;':. <br />. !~ <br /> <br />T~~...S.~~..~.!~ .. <br />TITL~-T-' <br />~~.~ <br />TITLE <br /> <br />flS'~$ <br /> <br />.....~.......... <br /> <br />) <br /> <br />DATE <br /> <br />. .f.::ff:q f:.... <br />DATE <br /> <br />FOR COUNTY OFFICIAL~S USE <br /> <br />,,) <br /> <br />_/ <br /> <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br /> <br />If you have any que:s.Uons regarding th.:i notice. pleas.e contact the NetHi!'5ka Dep~n.nenl of Re\,(!nue. 80;1; 94816. Lincoln, Nebraska 68509; or any of <br />the ,egional offices listed below. In Nebraska you nlay also dial toll free, your long distance- ac.cess r'lumOer and 800-]42-7474 for assi$tance. <br /> <br />LINCOLN - (4021471-2971 <br />OMAHA - 14021 554-2055 <br /> <br />GRAND ISLAND - (3081 384-6829 <br />NORFOLK -14021371-1620 <br /> <br />NORTH PLATTE - (3081532-8250 <br />SCOTTS BLU F F - (308! 632-3637 <br /> <br />;.1' <br /> <br />TAXPAYER - Pink Copy <br /> <br />COUNTY... GOldenrod Copy <br /> <br />NEBRASKA DEPARTMENT OF REVENUE - White and Cana,\' Cop,e, <br /> <br />THE ATTACHED NOTICE(S) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH <br />nlE REGISTER OF DEEDS. <br /> <br />o.t <br /> <br />THE DOCUMENT(S} IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK. <br /> <br />L <br /> <br />DISTRIBUTION OF <br />WHITE: <br /> <br />GOLDENROD: <br />BILLING IS TO BE <br /> <br />COPIES: <br /> <br />TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br />DEPARTMENT OF REVENUE. <br />TO BE KEP1' BY THE HEGISTER OF DEEDS. <br /> <br />ONCE PER MONTH AND THERE WILL BE NO PRE-PAY~1ENT OF FEES. <br /> <br />THANK YOU FOR YOUR COOPERATION. <br /> <br />L <br />