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I~nebraska ~lIrtment of revenue Notice of state Tax Lien 88-104283 NOTICE OF STATE TAX LIEN INDIVIDUAL INCOME TAX IF YOU INQUIRE ABOUT YOUR ACCOUNT, REFER TO THESE NUMBERS soc. SEC. NO. NEBR. IDENT. NO. SPOUSE soc. SEC. NO. TAXABLE YEAR LIEN NO. COUNTY DATE OF NonCE DAT~ OF ASSESSMENT 507620105 14225050 5 0658 S 83ft. 1985 87310065 HALL 11.106.187 081'211'87 LARRY iii 6. SHERYL Ju LAMBRECHT RT 2 BDX 65 WCOO RIVER NE 68883 THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME TAXES INCLUDING PENALTIES AND INTEREST, WHICH ARE SHOWN BELOW ARE DUE FROM 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. AMOUNT OF TAX . PENAL TV . . . . . . . INTEREST (COMPUTED TO TOTAL AMOUNT DUE .. . . . . . . . . . . . . . 3't5.0() . . . . . . . . . . . . . . . . 86.25 11.106.181) . . . . . . . . . . . . . . 15.43 . . . . . . . . . . . . . . 506.68 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 PAY THE AMOUNT DUE AFTER DEPlAND. IF THIS NOTICE OF STATE TAX LIEN IS AN EXTENSION [F AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF THE STATE.S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. ..1 ~ tQ.,.L!.... ... . PREPARER.S SIGNATURE ';U~D .s:.: .l~.lfn~.~.. TITLw-~n ~W1fl./lh'd~J-'jf~ TITLE ~~ f 10_ "3 -r-r- ~,.............. DATE ~} - J' .. ~, ;:/ . _. .. . . .. R....... .. ... DATE FOR COUNTY OFFIClAL.S USE NEBRASKA DEPARTMENT OF REVENUE OFFICES If you have any questions regarding this notice, please contact the Nebraska Department of Revenue. 80x 94818, Lincoln, Nebraska 68509. or any of the regional offlc8sllsted below. In Nebraska you may also dial toll free, your long distance access number .nd 800-742-7474 for assistance. LINCOLN - 14021471.2971 OMAHA - 14021 554.2065 NORTH PLATTE - 13081 532-8250 SCOTTS BLUFF - (3081 632-3637 GRAND ISLAND - 13081 384-6829 NORFOLK - (402) 371-1620 NEBRASK.A DEPARTMENT OF REVENUE - While and Canary Copi., TAXPAYER - Pink Copy COUNTY - Goldenrod Copy 7~145.7Q THE ATTACHED nOTICE(S) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH THE REGISTER OF DEEDS. THE DOCUMENT(S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK. DISTRIBUTION OF WHITE: COPIES: TO BE VALIDATED BY THE REGISTER OF DEEDS DEPARTMENT OF RBVENUE. TO BE KEPT BY THE REGISTER OF DEEDS. AND RETURNED '1'0 THE GOLf NROD: BILLING) TO BE ONCE PER MONTH AND THERE WILL BE NO PRE-PAYMENT OF FEES. THANK YOU FOR YOUR COOPERATION.