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. .~ebr.'k. deportment of revenue Notice of State Tax Lien 88- 10~,~Ol NOTICE OF STATE TAX LIEN INDIVIDUAL INCOME TAX IF YOU lNQUIRE 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 DATE OF ASSESSMENT 377363370 31626149 507560Z41 1984 87261013 HALL 09/18/87 07/01187 CLIFfORO C & VERA M PEM8ERTON 2020 PROSP ECT GRAND ISLAND ~;:: 6~803 THIS NOTICE OF STATE TAX LIEN IS IS~UED BY THE NEBRASKA DEPARTMENT OF REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE STATE OF NEBRASKA. NOTICE IS HEREBY GI'~N THAT INDIVIDUAL INCOME TAXES iNCLUDING PENALTIES AND INTEREST, WHICH ARE SHOWN BELOW ARE DUE FRO" 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. I HEREBY CERTIfY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED WITH THE REVENUE LAWS OF THE STATE Of NEBRASKA IN THE DETERMINATION OF THE AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER HAS FAILED TO PA.Y 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 THE AFFECTED PROPERTY OF THE TAXPAYER. .~~~......... ~:ARER.S SIGNATURE ~iE.; AMOUNT OF TAX . . . . PENALTY . . . . . . . INTEREST (COMPUTED TO TOTAL AMOUNT DUE .. . . . . . . . . . . . . . . . . . . 136.00 . . . . . . . . . . . . . . . . . 34.00 09/1 BIB 1 ) . . . . . . . . . . . . . . 'to.Z2 .. .. .. . . .. . . . . . . . . . . . ,16.22 9 () - 9--~_n.-:J e.~.'1~._~l TITLET. '(IU ~ ~\) A_ ~ . TITLE ~.~~ S.;!~ ;.f!........ DATE 5'-11- rg~ ................ DATE FOR COUNTY OFFICIA.L'S USE NEBRASKA DEPARTMENT OF REVENUE OFFICES " you hive any Question. reCjJlrdlng thlt notlctt, pllase contlct the Near.Skl Deplrtment or Rlvenue. BOle 94818, Lincoln. Nebr,sk.a 68509. Ot any of ''''e reQlonl1 offiCii listed below, In NlbrUkl you may allo dial toll free. vour long dlnance Iccen number and 800.742.7474 for aSlin.nee. LINCOLN - 44021471,2971 OMAHA - 14021 554.2065 GRAND ISLAND - 13081 384-6829 NORFOLK - 14021 371.1620 NORTH PLATTE - 13081 S3N1250 SCOTTS BLUFF - 13081 632.3637 COUNTY - Geld.nrod Copy 1-1"5,79 NEBRASkA DEPARTMENT OF REVENUE - White and Canarv Copl.. TAXPAYER - Pink Copy THE ATTACHED NOTICE (5) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH THE REGISTER OF DEEDS. THE DOCUMENT (S) IS (ARE) !!9! TO BE FORWARDED TO THE COUNTY CLERIC DISTRIBUTION OF WHITE: COPIES: TO BE VALIDATED BY THE REGISTER OF DEEDS DEPARTMENT OF REVENUE. TO BE KEPT BY THE REGIS'rER OF DEEDS. AND RETURNED TO THE GOLDENROD: BILLING IS TO BE ONCE PER MONTH AND THERE WILL BE NO PRE-PAYMENT OF FEES. TIiMIK YOU FOR YOUR COOPERATION.