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<br />'lI~ebraska <br />department <br />of revenue <br /> <br />I <br /> <br />Notice of State Tax Lien <br /> <br />88- 10208t! <br /> <br />. 1 <br /> <br />, <br /> <br />NOTICE Of SlAlE TAX LIEN <br />INDIVIDUAL INCOME TAX <br /> <br />l <br /> <br />IF YOU INQUlkE ABOUT YOUR <br />ACCOUNT, REFER TO THESL: NUMBERS <br /> <br />sac. . S EC .. NO. <br />NEBR. IDi:NT. NO. <br />SPOUS E SOC. SEe. NO. <br />TAXAB LE YE AR <br />LIEN NO. <br />COON T Y <br />DATE OF NOTICE <br /> <br />5U660667S <br />130 211 76 <br /> <br />lLOY D \HLlIAM K ELL Y I II <br /> <br />1981 <br />86024023 <br />HALL <br />01/24/86 <br /> <br />3025 STOLLEY PARK fW APT l't1 <br />GRANO ISLAND Nt: 68801 <br /> <br />1 <br />,- <br /> <br />THIS NOTIC f: OF STATE TAX LIEN I S ISSUED BY THE NEBRASKA DEPARTMENT OF "J <br />REVENUE FUR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE lAWS OF THE <br />STATE OF N~BRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIOUAL INCOME <br />TAXES INCLUDING PENALTIES AND INTEREST, WHICH ARE SHOWN BElOL~ ARE OUE ~j <br />FROM THE T AXP^VER SPECIFI ED A~OV E AND kEMAIN UNPAID 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 />PENAL TY . . . . . . . <br />INTEREST (COMPUTED TO <br />TOTAL AMOUNT DUE .. <br /> <br />D.... <br /> <br />...... <br /> <br />....~... <br /> <br />113000 <br />22.9U <br />70.U3 <br />205.93 <br /> <br />,) <br /> <br />..... <br /> <br />...... <br /> <br />........ <br /> <br />01/24/86) <br /> <br />. . . . . . <br /> <br />......... <br /> <br />..... <br /> <br />...... <br /> <br />.....e-.. <br /> <br />I HEREBY CERTIFY THAT THE NEBRASKA OEPART~ENT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS OF mE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THE AMOUNT SHOWN TO BE DUE, AND THE TAXPA VER HAS FA! LED lD PAY THE ,) <br />AMOUNT DUE AFTER l'EMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN <br />EXTENSION OF AN EFFECTIVE LIEN I T SERVES m CONTINUE THE PRIORITY OF <br />THE STATE'S INTf;REST IN THE AFFECTED PROPERTY OF lHE TAXPAYER. U <br /> <br />.~ <br /> <br />....~.~...... .. <br /> <br />,PilE PARER 'S SIGNATURE <br /> <br />;r, ~~f!:! <br />. , . y <br />.. . <br />..... ...- <br /> <br />4UTHt1' lED SIGNA URE <br /> <br />r.~.J.~. J:/*- <br /> <br />TITLE <br /> <br />~fJpJ.:~ <br /> <br />TI TL E ' <br /> <br /><I ~LJ- ~t <br />................ <br /> <br />. ..) <br /> <br />DATt:: <br /> <br />. .i-d~.:?K:... <br />DATE <br /> <br />FUR COUNTY OFFICIALtS USE <br /> <br />.) <br /> <br />j <br /> <br />..I <br /> <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br /> <br />If you have any questions regarding thll nOllce, please conlact the Nebrnka Department of Revenue, Box 94818, Lincoln, Nebraska 68509, or any 01 <br />tne regional offices listed below. In NebraSka you may also dial toll tree, your long distance aCceSS number am' 800-142-1474 'or assistance. -.I <br /> <br />LINCOLN - (4021471.2971 <br />OMAHA '- (4021 654.2065 <br /> <br />GRAND ISLAND ~ 13081 384-6829 <br />NORFOLK - 14021 371.1e20 <br /> <br />NORTH PLATTE - (3081632-8250 <br /> <br />SCOTTS BLUFF - (3081 632-3637 <br /> <br />j <br /> <br />TAXPA V!'R.::- Pink ~5'1'Y-... _ COUNTY - Goldenrod Copy <br /> <br />NEBRASKA DEPARTM~NT OF ~E\I~~~~:-_'V'I!lit!..~nd CanarY_f.opies <br /> <br />THE ATTACHED NOTICE(S) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH <br />THE REGISTER OF DEEDS, <br /> <br />~ <br /> <br />THE DOCUMENT(S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK. <br /> <br />DISTRIBUTION OF COPIES: <br /> <br />WHITE: TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO THE <br />DEPARTMENT OF REVENUE. <br />GOLDENROD: TO BE KEPT BY THE REGISTER OBOBEDS. <br /> <br />DILLING IS TO BE ONCE PER MONTH AND THERE WILL BE NO PRE-PAYMENT OF FEES. <br /> <br />THANK YOU FOR YOUR COOPERATION. <br /> <br />L <br /> <br />J <br /> <br />L <br />