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<br />I, Snebr..kl <br />dlplrtmlnt <br />of rev.nUI <br /> <br />Notice of State Tax Lien <br /> <br />NOTICE OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br /> <br />88-104535 <br /> <br />I <br /> <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNT. REFER TO THESE NUMBERS <br /> <br />soc. SEC. NO. <br />NEBR. IDENT. NO. <br />SPOUSE SOC. SEC. NO. <br />TAXABLE YEAR <br />LIEN NO. <br />I COUNTY <br />DAI'S OF NOTICE <br />DATE OF ASSESSMENT <br /> <br />507447068 <br />13637532 <br />50B482378 <br />1987 <br />66222535 <br />HItU- <br />08/09/88 <br />07113/86 <br /> <br />JAMES r. VIOLET SHEEKS JR <br /> <br />PO BOX 407 <br />CAIRO <br /> <br />HE 0662... <br /> <br />THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF <br />REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO 1HE REVENUE LAWS OF THE <br />STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME <br />TAXES INCLUDING PENALTIES AND INTEREST. WHICH ARE SHOWN BELOW ARE DUE <br />FROM THE TAXPAYER SPECIFIED ABOVE AND RlMAIN UNPAID AFTER DEMAND. <br />THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING TO <br />THE TAXPAYER DR HEREAFTER ACQUIRED. <br /> <br />AMOUNT OF TAX . <br />PENALTY. . .. . <br />INTEREST (COMPUTED TO 06/09/681 <br />TtlTAL AMOUNT DUE <br /> <br />330.23 <br />49.53 <br />14.69 <br />3910-.45 <br /> <br />I HEREbY CERTIFY THAT THE NEBRASKA OEPARTHENr OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS uF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THE AMOUNT SHOWN TO BE DUE. AND THE TAXPAYER HAS FAILED TO PAY THE <br />AMOUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN <br />EXTENSION OF AN EFFECTIVE LIEH IT SERVES TO CONTINUE THE PRIORrry OF <br />THE STATE'S INTEREST IN T~ AFFECTED PROPERlY OF THE TAXPAYER. <br /> <br />..~~....... <br />PREPARER I S SIGNATURE <br />o . <br />A~EO.si <br /> <br /> <br />..1.I~.$~ .~.. <br />TIn";"" ./U <br /> <br />~.~~~~. <br /> <br />Tl TLi: <br /> <br />.l::~:~....... <br /> <br />OATE <br /> <br />11-1(, -'{5 'S' <br />................ <br /> <br />DATE <br /> <br />FOR COUNTY OFFICIAL'S USE <br /> <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br /> <br />LINCOLN - 1.021 .71.zt71 <br />DMAHA - I_I __a <br /> <br />If ~ou ha"e .n~ Qu.stlons '11I1,dlng ''''1 netlal, pltU' contlct tn. N'bfllkl OID.rlm.nt Of RIy.nuI, Bo. iII.11I, Unealn. Ntbruk. 6B!OD, or anv of <br />Ihl ,-.lonl' offlcl.lIlteel allow, In NttH'lkt you m..~ 1110 dill toll frM, your lang cun.nee ,Ie".. numb.' and 100-142-7474 rOf ...IIt.nc.. <br /> <br />GRAND ISLAND - I3GBI 311.&725 <br />NORFOLK - '.021 371,1&20 <br /> <br />NORTH PLAnE - 13011532-8250 j <br />scons BLUFF - 13011 532-1200 I <br /> <br />COUNTY - Gold'nrod Copy <br />7.1"~.79 Rill 11.87 <br /> <br />BE FILED ONLY WITlI <br /> <br />NEBRASKA DEPARTMENT OF REVENUE - Whlu and Cln.,y COpi.. <br /> <br />TAXPAYER - Pink Copy <br /> <br />mE AT1'ACHED HOTICE(S) OF TAX LIEN (OR TERMINATION) IS (ARE) TO <br />mE REGISTER OF DEEDS. <br /> <br />TIlE DOCUMEIlT(S) IS (liRE) NOT TO BE FORWIIRDEO TO TilE CQUNTY CLERK, <br /> <br />DISTRIBUTION OF COPIES: <br /> <br />WHITE: TO BE VALIDIITED BY THE REGISTER OF DEEDS AND RETURNED TO TilE J <br />DEPIIRTMElIT OF REVENUE. <br />GOLDE/IROD: TO BE KEPT BY TilE REGISTER OF Dn~DS, <br /> <br />BII.LING IS TO BE ONCE PER MONTI! AND TlIERE WILL BE NO rRE-I'AYflElIT ')F FEf.S. <br /> <br />T11111lJ( YOU FOR YQIJR COOPERIITlON, <br />