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<br />I <br /> <br />'lI~ebraska <br />department <br />of reve nu e <br /> <br />Notice of Stale Tax Lien <br /> <br />88- 102082 <br /> <br />. \ <br /> <br />Nunc::. ~JF' ~TATl lAX LIEN <br />Hk]l V I DUf"l INCut4L TAX <br /> <br />l <br /> <br />IF YOU lNQUIRE' ADOUT YLll'i<. <br />ACCOUNT, ReFER fU lHt-S,- NU:.'tf:'::.k:.;. <br /> <br />soc. SlG.. NC'. <br />NEBR. !ufNT. NU. <br />SPOUSE SOC. S~L. ND. <br />TAXAOLE Yf:AR <br />LIEN NO. <br />COUN 1 V <br />DATE OF NOT ICE <br /> <br />.' (~oC '.Jt. ::.1 '-, <br />]."JC L 117 (. <br /> <br />L LCIY 0 h IL Ll M~ K l LL Y III <br /> <br />l')b it <br />.jt-O~0':,92 <br />r-jALL <br />1.1;::./19/8(;, <br /> <br />30Z5 STOLLEY ~ARK kD APT 141 <br />GRAND ISLAI\:U NE 6b001 <br /> <br />THIS NOTICE UF STATE TAX Llf:N IS L:.~UED ':,Y ThE tlEdRASKA li.PARH\ENT OF <br />REVENUE FOk INU!VICLAL INCUI>1E T.\X PUi'.SUANT [L, Tht kEvrNUE L':IWS uF THE <br />STATE UF NEBRASK.\. IWTICE is rlt:rU::&'1 (dVEN lhAT INDIVIOUAL HH.:uME <br />TAXES INCLUDIN(, PfNALT l!::~, AND INl fF.E ~1 t \'II-ll L.H ARt. SHOWN f.f::LD1>.' AKr OUf <br />FROM THE TAXPAYc,~ SPI::-C.lflFI:.; A..,,"IVl' MW i'.f-HAIL JNF'AlU AfTlE .:.h:MANU. <br />THESE TAXES CONSTIIUTi: " LIdo! iN The CJUNTY F;..t~ h~;jPU,lY :kLCNGINl~ TLl <br />THE TAXPAYER GR hf-RtAFTcR AC";UH.t-D.. <br /> <br />, <br />.. <br /> <br />" <br /> <br />t:') <br /> <br />AMUUNT nF TAX . . . . .. .. . . . . . . .. . . .. .. . . .. .. .. . 0->.79 <br />PENA L TY . . . . . .. .. . .. . . . . . . . . . . . . . . . 4.19 <br />INT EH E$ T (COMPUTF-O TO u2/1','/8o) . .. . . . .. . .. .. . '-1.96 <br />TOT A L AMOUNT DUE . . .. . .. .. . . .. . . .. . .. . .. . .. . 91.94 <br /> <br />I HEREBY Cb\TIFY THAT HiE N:::P.R;\Sk.... l.[Pi\~,TMENT Uf- ,i{2VtNUtc ~IAS COMPLIED <br />WITH THE R[V~NUf LAWS LJF Tn;;' STAlL UF NdjRASKA IN THl DLT!::.t-.MINAT.iiJN UF <br />THE AMOUNT SHO\-jN Tu Bf aur, AND THb TAXP..\YEF', HAS FAILED TV PitY THi: <br />AMOUNT DUE AFTER Ld:.MAj\lll. IF THIS NUTlCf: CF STATI: TAX L1EN IS AN <br />EXTENSION OF AN r::f-r-LCTIV::: ULN IT SI:KVt:S TO CONTINUE THE PRIURITY GF <br />THE STATE'S INTEKE:Sl iN THE. l\fi-=ECTfl Pi\.OP~RTY OF THE lAXPAYl:Koo <br /> <br />.~~.~~......... <br /> <br />PREPARER'~ ~lGNATUR~ <br /> <br />.~Q. -CJ.fO 1~ <br />AU~D s~~~ <br />-'- '.. <br />., <br /> <br />T.~..~~J~; <br /> <br />T lTL.::. <br /> <br />~.1~;~I!: 9 ~_. .', <br />TIlLE ~.~ <br /> <br />r? ~ {I.t:... }!. ... .. <br />DATL <br /> <br />.I <br /> <br />.. ..'1.-.:2. ~:? K:.. <br />DATE <br /> <br />FC.'R Ct1U1\:TY OFfiCIAL'S US.:: <br /> <br />..J <br /> <br />j <br /> <br />~ <br /> <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br /> <br />If you IlAve any quenloru regarding tll;s noli~e, please contact tile Neb'Uka Oe"arlment 01 Revenue, Box 94818, LinCOln, Nebraska 68509. or any o~ <br />the regIonal offices listed below. In Nebraska you may also dialto\llree, your long di.t.n~e ac~ess number and 800.742-7474 lor ...Istan~e, ...' <br /> <br />LINCOlN- (4021471-2971 <br />OMAHA - 14021 554-2065 <br /> <br />GRAND ISLAND - 13081 3B4.6829 <br />NORFOLK -(4021371-1620 <br /> <br />NORTH PLATTE - 13081532-8250 <br />SCOTTS BLUFF - (3081 632-3637 <br /> <br />NEBRASKA OEPARTMENT OF.REV_~!:!UE.- White_and Cena'~' C!"P'~' <br /> <br />TAXPAYER - Pink Copy <br />. ~ ._--.........--:..--~-------- <br /> <br />COUNTY - Goldenrod Copy <br /> <br />THE ATTACHED NOTICE (5) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH <br />THE,REGISTER OF DEEDS. <br /> <br />THE DOCUMENT(S) IS (ARE) NOT TO BEFDRm~lIDED TO THE COUNTY CLERIC <br />DISTRIBUTION OF COPIES: <br />WHITE: <br /> <br />GOLDENROD: <br /> <br />TO BE VALIDATED BY THE REGISTER OF DEEDS Jl.ND RETURNED TO THE <br />DEPARTMENT Or;' llliVF.NI1r:. <br /> <br />TO BE KEPT BY THE REGISTER OF DEEDS <br /> <br />BILL~NG IS TO BE ONCE PER MONTH AND 'mERE WILL BE NO PRE-PAYHENT OF FEES. <br /> <br />THANK YOU FOR YOUR COOPERATION. <br /> <br />'1 <br /> <br />L <br />