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<br />.~"'brlskl <br />~Irlmenl <br />of revenue <br /> <br />Notice of State Tax Lien <br /> <br />", ~ <br /> <br />...,IICE DF STATE TAX UEH <br />lNOIVIDUAL INCOME TAX: <br /> <br />IF YOU INQUDE AIiIJUf YOUR <br />M:COUNT, REFER TO tHESE NUMBERS <br /> <br />88- 102812 <br /> <br />soc. Sg. NO. <br />NEaIt. IOfNT. NO. <br />SPOUSE soc. SEC. ND. <br />TAXAILE YEM <br />LIEN NO& <br />CIUITf <br />DATE OF NOTICE <br /> <br />506589821 <br />12990922 <br />508641899 <br />198~ <br />.5235090 <br />HALL <br />oa'Z3n5 <br /> <br />CHMLES E I. PATTI A ILUSC..E <br />, ., <br /> <br />210 N PIPER 9 <br />GRAND ISLAND <br /> <br />NE6.IDS . <br /> <br />lHlS NonCE OF STAlE TAX LIEN IS lSSlED IY THE NEMASKA DEPAItl'MENT OF <br />HVEMUE FOR INOI VIDUAL IACtME TAX PUltSUMT TO "'* REVENUE LAMS Of 1ME <br />srAIE .. HHRASIU. NOTICE IS HER.EIY GiveN 11MT Dl)IVIOUUo. INeCIE <br />TAXES IJC:LUDtNG PENALTIES AIlI) INTEREST, IIMICM ARE SH.... BELOW AR.E DUE <br />ROM THE TAXPAYER SPECIFIED MOVE MD RatAIN U"AJD AFTER OEMMI). <br />tHESE TAXES COHsnTUTE A LIEN IN THE CQlJtTY FOR PROPERTY IEUltGIII5 TO <br />1HE T..AYER OR tEREAFTER ACQUIRED. <br /> <br />AIII.T OF TAX . . . . . . . . · <br />PlllALn . . . . . . . . . . . . <br />INTEREST CC.-uTEO TO 08'23,.5. <br />lOTAL NlJUNT DUE ....... <br /> <br />. . . . . . . . . . . . . . 275.2. <br />. . . . . . . . . . . . . . 13.76 <br />. . . . . . . . . . . . . . 13.73 <br />. . . . . . . . . . . . . . 302.78 <br /> <br />I HEAEIY CEltTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS CCJIIPLIED <br />,,"" THE REVENUE LAMS OF lttE STAn OF NYItASM IN 1ME OElE1tMDlATIOII OF <br />1HE ......T StGWN TO IE DUE, AND THE TAIN YER HAS FAI LED 10 PAY THE <br />MOUMT DUE AFTER DEMAND. IF THIS ..nCE OF STATE TAX LISt IS AN <br />EX1'INSION OF AN EFFECTIVE LIEN IT SERVES TO CONTDIUE lHE PIllralTY OF <br />1ME STATE.S INTEIlIEST IN lHE AFFECTED PROPftTY OF THE TAXPAYElt. <br />..~~~~....... <br />..,.....O.s SlGHA1URE <br /> <br />~~UE <br /> <br />Z~.~.~~. <br />Tln:~. T- <br />~.(l. rI-: QArlAA~-f~~' <br />TITLE ~/"'~."""II' <br /> <br />s- U.p-- <br />......~~........ <br />DAlE <br /> <br />r..,--31-~~ <br />.~...4.......... <br />DAn <br /> <br />FIll COUNTY OFFICIAL'S USE <br /> <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br /> <br />If you ttave .ny Ques.tlons relilardln9 this notice, please contact the NObraska Department 01 Revenue. Box; 94818, Lincoln. Nebraska 68509. or I"Y c <br />the reglonll oUicelllsted below. In Nebralka you millY olso dial toll free. your long dlUance accen number Bnd 800-742-7414 for anistance. <br /> <br />LINCOLN - (4021471.2971 <br />OMAHA - (4021 554.2065 <br /> <br />GRANO ISLAND - (3081 384-6829 <br />NORFOLK - (4021371.1620 <br /> <br />NORTH PLATTE - 13081 532-8250 <br />scans BLUFF - 1308J 632-3637 <br /> <br />NEBRASKA DEPARTMENT OF REY,ENUE - While and Ca.~.!!:L~~.ples <br /> <br />TAXPAYER ~ Pink Copy <br /> <br />COUNTY - Goldenrod Copy <br /> <br />THE ATTACHED NOTICE(S) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH <br />THE REGIS;l'ER OF DEEDS. <br /> <br />~ <br /> <br />THE DOCUMENT (S) IS (ARE) NOT TO BE FORWARDED TO 'l'HE COUN'l'Y CLERK. <br /> <br />DISTRIBUTION OF <br />WHI'l'E: <br /> <br />GOLDENROD: <br /> <br />COPIES: <br />TO BE VALIDATED BY THE REGISTER OF DEEDS <br />DEPARTMENT OF REVENUE. <br />TO BE KEPT BY THE REGISTER OF DBEDS. <br /> <br />AND RETURNED TO THE <br /> <br />BILLING IS TO BE ONCE PER MONTH AND THERE WILL BE NO PRr~-p;\n\EN'l' OF FEES. <br />THANK YOU FOR YOUR COOPERATION. <br />