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<br />lr;ebro.kO <br />dtplrtment <br />of revenue <br /> <br />Notice of State Tax Lien <br /> <br />88- 103101 <br /> <br />T~RMINATION OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br /> <br />l <br /> <br />IF YOU INQU1RE A~DuT yaUK <br />ACCOUNT, REFER TO THES~ NUMBERS <br /> <br />LIEN RELE:AS!:: NO. <br /> <br />:;OMb074...! <br />17450128 <br />230549070 <br />198b <br />8121':122':' <br />Jd166350 <br />HALL <br />Ob/10/!i8 <br /> <br />THOMA~ A G BERNADETTE M WAGONER <br /> <br />soc. SEC.. NO. <br />NEBR. luENT. NO. <br />SPOUSE SUC. SEC. NO. <br />TAXAbLE YEAR <br />LIEN NO. <br /> <br />PO BO)( 1585 <br />bRAND ISLAND <br /> <br />NE 68802 <br /> <br />COUN TV <br />OATE [JF- NOTlU <br /> <br />PURSUANl TO Tt-IC: ftE-VeNUE LAWS uF THE 5TAH UF NE:B~ASK^" NOTIC!: IS <br />HEREl>Y t:.lVEN bY THE NEbRASKA DEPARTMlNT uF KlVE:NUE THAT THE <br />STATE TAX LiEN WHICH HAS Bt:~N UULY FILfU AGAINST THE ABOVE NAMEU <br />TAXPAYER FOK It~lVIUUAL INCOME TAXES IS TERMINATED. <br /> <br />1 Hf:!U:.JY CERTIFY triAT THE NEBRASKA Dr:Pt.RfMl:t{f OF REVENUI: HAS COMPLIED <br />WlTl1 IHl:. Rl:VENU~ LAWS Of- 11-11" STATE OF NEBRA::.KA IN THE DETERMINATION OF <br />lHI S Tl/'M I NA T1 UN. <br /> <br /> <br />ll~J..~~.~.u. <br />T1 TLEr 1- <br />L (7. - t 9__A -~:; <br />TITLE ~..~~ <br /> <br />.k.-;. tf.-.!.t... ... <br />DATE <br /> <br />..1~~....... <br /> <br />PRE.FARi.:R"S 5H:'NATUKL <br /> <br /> <br />{{k~LL~ , o':T~~; <br /> <br />..4; (1.-.f.r::.... <br />uATE <br /> <br />F~R COUNTY OFFICIAl"S USE <br /> <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br /> <br />I' )"OU i'1Jlu .ny Question. rog.rdl"; thl, notice, plNM contlct tn. N_Dr..kl OePIr1m.". of Rn'.nu.. 80. I"Sll, Uncoln. Nlbraska 6150SJ. or ;ny of <br />tn. reg'onal olf1c.. tlsted below. In Nlbrllka you may also dill toll ".. your Ion; dllt.n~ I~" numb.r and 100-7"2.1474 for lulnance. <br /> <br />LINCOLN - 1411214"-21171 GRAND ISLAND - (3011.,-672S NORTH PLATTE - 13081532-8250 1 <br />OMAHA _ 14021 8M.ZIlIa NORFOLK - 14021371-1620 &COTTS BLUFF - (3081632.1200 _' <br /> <br />NEBRASKA DEPARTMENT OF REVENUE - WhIte and Cono'v Cop,.. TAXPAVE~ - Pink Copy COLINTY - Gold9nrod CoPV <br /> <br />THE AT'l'ACHED NOTICE (S) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH <br />THE REGISTEH OF DEEDS. <br /> <br />THE DOCUMENT(S) IS (ARE) NOT TO BE FORI'iARDED 1\.) THE COUNTY CLEEK. <br /> <br />DISTRIBUTION OF COPIES: <br /> <br />"''lUTE: <br /> <br />TO BE VALIDATED BY THE REGISTER ')F nEEDS AND RETURNED TO THE <br />DEPARTMENT n. PF.VF.Nll:-. <br /> <br />TO BE KEPT Bt THE REGISTER OF QEEDS <br /> <br />J <br /> <br />GOLDENROD: <br /> <br />BILLING IS TO BE ONCE PER MONTH AND THERE WILL RF ~lO IHr:-I'^H',F~n I i';~E~. <br />TIlANX YOU FOR '{OUR COOPERATIOtl. <br /> <br />L <br />