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<br />.. ~ebraska <br />department <br />of revenue <br /> <br />Notice of State Tax Lien <br /> <br />NOTICE OF STATE TAX LIEN <br />INDIV IDUA L INCOME TAX <br /> <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNT, REFER TO THESE NUMBERS <br /> <br />88- 102485 <br /> <br />SQC. SEC. NO. <br />NESR. IDENT. NO. <br />SPOUSE soc. SEC. NO. <br />TAXABLE YEAR <br />LIEN NO. <br />cournv <br />DATE OF NonCE <br />DATE OF ASSESSMENT <br /> <br />481583095 <br />212.68770 <br />48~07117 <br />1984 <br />81093004 <br />#1/1(.4- <br />04/03/87 <br />o V 16/87 <br /> <br />PAUL R E PATRICIA A DARLING <br />1922 W 1ST ST <br />GRAND ISLAND :.;< <br /> <br />!-8801 <br /> <br />THIS .NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF <br />REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE <br />STATE OF NEBRASKA. NOTICE IS HERESY GIVEN THAT INDIVIDUAL INC04E <br />TAXES INCLUDING PENALTIES AND INTEREST, WHICH ARE SHOWN BELOW ARE DUE <br />F"DM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. <br />THESE TAXES CONSTITUTE A LIEN IN THE COONTY FOR PROPERTY BELONGING TO <br />THE TAXPAYER OR HEREAFTER ACQUIRED. <br /> <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />WITH THE REV~UE LAWS OF THE STATE OF NEBRASKA IN THE DaERMINATlCW OF <br />THE AMOUNT StoWN TO liE DUE, AND THE TAXPAYER HAS FAILED TO PAY lHE <br />AMOUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN <br />EXTENSION OF AN efFECTIVE LIEN IT SERVES 10 CONTINUE THE PR.IORITY Of <br />THE STATE IS INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. <br /> <br />.~t&.~..... <br />&~:: <br /> <br />AMOUNr OF TAX. . . . <br />PENALTY . . . . . . . <br />INTEREST (COMPUTED TO <br />TOTAL AMOUNT DUE .. <br /> <br />. . . . . <br />..... <br />041'03/87) <br /> <br />470.25 <br />117.56 <br />129.51 <br />n7.32 <br /> <br />. . . . . . . . . . . . . . <br /> <br />..... <br /> <br />.............. <br />. . . ~ . . . . . . . . . . <br />. . . . . . . . . . . . . . <br /> <br />j~.~~.~~. <br />nTLr".-'h <br />~.fi) rl- tJ ~ . <br />TITLE ~~ <br /> <br />6r /..?-f'r <br />................ <br />DATE <br /> <br />s--,~ - Sl> g <br />..... :w'. .fJ...... <br />DATE <br /> <br />FOR COUNTY OFFICIALIS USE <br /> <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br /> <br />If you have anv Questions regarding thl5 nollce, please contact the Nebraska Department 0' Revenue. BoliC 94818. LinCOln. Nebrasl<a 68509. or any of <br />the reglon.l.offICOs listed balow. In Nebraslt8 you may also dial toll 'ree, your long dlstant:c aCCQU number and 800.742.7474 for o2IS1lstancc. <br /> <br />LINCOLN - 1402t 471.2971 <br />OMAHA- l40il 554.2065 <br /> <br />GRAND ISLAND - (3081 384~B29 <br />NORFOLK - (402137,.,620 <br /> <br />NORTH PLATTE - 130111532-8250 <br /> <br />SCOTTS BLUFF - 1308l 632-:1637 <br /> <br />COUNTY - Goldenrod Copy <br />7.145.79 <br /> <br />TAXPAYER - Pink Copy <br /> <br />NEBRASKA DEPARTMENT OF REVENUE - White and Canary Copies <br /> <br />THE ATTACHED NOTICE (5) OF TAX LIEN (OR TERMINATION) IS (ARE) '1'0 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 CLERIC <br /> <br />DISTRIBUTION OF COPIES: <br />WHITE: TO BE VALIDATED BY THE REGIS'1'ER OF DEEDS AND RETURNED TO THE <br />DEPARTMENT OF REVENUE. <br />GOLDENROD: TO BE KEPT BY THE REGISTER OF DEEDS. <br /> <br />BILLING IS TO BE ONCE PER MONTH AND THERE WILL DE NO PRE-P^Y~IENT OF FEFS. <br /> <br />THANK YOU FOR YOUR COOPERATION. <br />