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I I l~ebraSka department 01 revenue Notice of State Tax Lien 88- 102083 l NOTICE OF STATE TAX LIEN INDIVIDUAL INCOME TAX IF YOU INQUIRE ABOUT YOUR ACCOUNT, REFER TO THESE NUMBERS soc. SEC. NO. NEBR. IOENT. NO. SPOUSE SOC. SEC. NO. TAXABLE YEAR LIeN NO. COUNTY DATE OF NOTICE 506606678 13021176 LLOYD WILLIAM KELLY III 1982 86081035 HALL 03/22/86 3025 STOLL EY PARK RD APT 141 GRANO ISLAND NE 68801 !,I'I f i,,' "1. THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAW S OF THE STATE OF NE8RASKA. 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. 03/22/86) .............. 188.98 9.45 78.72 277.15 AMOUNT OF TAX . . . . PENALTY . . . . . . . INTEREST (COMPUTED TO TOTAL AMOUNT DUE .. . . . . ... ............... ..eo.. .............. . . . . . .............. I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED WITH THE RF.ENUe 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 DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN EXTENSION Of AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF "THE STATE"S INTEREST IN TH~FFECT1 PRO~ERTY OF THE TAXPAYER. ..~L~........ ~...~.~. .~:ff.~!....... PREPUERIS SIGNATURE TITLE DATE ~'A~ ~ ) .~.I}, ~ p .' TITLE ~.~ ,/_...,~ -~ g/ ..'1..~.........1t DATE J -' 1-.- FOR COUNTY OFFICIAL'S USE j i-. :1;, ~.I NEBRASKA DEPARTMENT OF REVENUE OFFICES It, you have any Questlons regarding this notice, please contact the NebraSka Department 01 Revenue, BOl< 94818, Lincoln, Nebraska 68509, or any of the regional o!llces listed below. In NebrUka you may alSO dial tOIlI<e., your long distance access number and 800-742,7474 for assIstance. LINCOLN.-14021471.2971 OMAHA - 14021 554.2065 G RAND ISLAND - (3081 384-6829 NORFOLK - 14021 371-1620 NORTH PLATTE - 13081 532-8250 SCOTTS BLUFF - (3081 632.3637 rilE.BRAS.KA DEPARTMENT OF REVENUE - Wtlitp and Canary Copies TAXPAYER - Ponk Copy COUNTY - Goldenrod Copy 7.145.79 r" -"- THE ATTACHED NOTICE(S) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH "THE.REGISTER OF DEEDS. ~ L THE DOCUMENT (S) IS (ARE) NOT TO BE FOmoJARDED TO THE COUNTY CLERlC DISTRIBUTION OF COPIES: WHITE: lU BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE DEPARTMENT OF REVENUE. GOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS. BILLING IS TO BE ONCE PER MONTH AND THERE WILL BE NO PRE-PAYMENT OF FEES. THANK YOU FOR YOUR COOPERATION. L