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<br />11m"'.'"'' <br />decU1m".,1 <br />Df'revlnul <br /> <br />Notice of State Tax Lien <br /> <br />NOTICE OF STATE TAX LIBi <br />INDIVIDUAL INCOME TAX <br /> <br />IF YOU INQUIRE ABWT vtIUR <br />ACCOUNT, REFER TO THESE NUMBERS <br /> <br />SOC. SEC. NO. <br />NEBR. IDENT. NO. <br />SPOUSE SOC. set. NO. <br />TAXABLE YEAR <br />LIEN NO. <br />COll\lTY <br />OATE OF NonCE <br />DATE OF ASSESSMENT <br /> <br />88_105777 <br /> <br />505641968 <br />20343221 <br />50n01l68 <br />1987 <br />88204160 <br />HALL <br />07"22/88 <br />05"04"88 <br /> <br />LOYD A TA nOR <br />2623 W CAPITOL <br />GRAND ISLANO <br /> <br />NE 68803 <br /> <br />THIS NOTICE OF STATE TAX LIEN IS ISSLED BY THE NEBRASKA DEPARTMENT DF <br />REVENUE FOR INDIVIDUAL INCOHE TAX PURSUANT TO lHE REVENUE UIfS OF THE <br />STATE OF NEBRASKA. NonCE IS HEREBY GIVEN 1HAT INDIVIDUAL INCOME <br />TAXES INCLUDING PENALTIES AND INTEREST, WHICH ARE SHOWN BELOW ARE DUE <br />FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. <br />THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELOfCGING TO <br />THE TAXPAYER OR HEREAFTER ACQUIRED. <br /> <br />AMOUNT OF TAX . . . . <br />PENALTY . . . . . . . <br />INTEREST ICOHPUTED TO <br />TOTAL AMOUNT DUE <br /> <br />..... <br />..... <br />OU22/BBI <br /> <br />346.00 <br />17.30 <br />13 .01 <br />376.31 <br /> <br />I HERE8Y CERTIFY lHAT THE NEBRASKA DEPARTMENr OF REVENUE HAS COMPLIED <br />WITH THE REVENUE UWS OF 1HE 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 OEKAND. IF THIS NOTICE OF STATE TAX UBi IS AN <br />EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINJE THE PRIORITY OF <br />THE STATE'S INTEREST IN THE AFFECTED PROPERTY OF 11fE TAXPAYER. <br /> <br />..1~~.,_.. . <br />PREPARER'S SIGNATuRE <br /> <br />. i.; i <br /> <br />......t........~.... <br />AUTHORttED SIGNATURE <br /> <br />1.- <br /> <br />t~ <br /> <br />L- <br /> <br />.?~~.g~.~.. <br />TITLE <br /> <br />.{~:~J1:y~...... <br />DATE <br /> <br />'7 <br /> <br />... ... . .. .. .. .. .. . .. . ... <br />TITLE <br /> <br />................ <br />DATE <br /> <br />FOR COUNTY OFFICIAL'S USE <br /> <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br /> <br />LINCOLN - 1402) 471-2971 <br />OMAHA -140216.....006 <br /> <br />If }IOU h.lI. .n1o' qUdtlon. r."udlng thl. notice, pl.... contlct th. N'brllkl C,plrtment of R'II.nu., BOil i4811, Lincoln, N.brl.;q 61509, or In1o' of <br />the r."lonll otllu.lllted bllow. In Nlbrllkl 1o'ou mlY 1110 dill 1011 fro, vour loni distance Iceell number Ind 800-742.7474 for 1..lltance. <br /> <br />NORTH PLATTE - (308) 632.a25Q <br />SCOTTS BLUFF - (308) 832-1200 <br /> <br />GRAND ISLAND - (3081381-6726 <br />NORFOLK - (.02) 371.11120 <br /> <br />NEBRASKA DEPARTMENT OF RE~ENUE - White and Canarv CoJ:llel <br /> <br />TAXPAYER - Pink COpy <br /> <br />COUNTY - Goldl!nrod COpy <br /> <br />TIlE ATTACHED NOTICE(S) OF TAX LIEIl (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITII <br />THE REGISTER OF DEEDS. <br /> <br />THE DOCUMENT(S) IS (ARE) ~ TO BE FORI9ARDED ro TIlE COUNTY CLERIC <br /> <br />DISTRIBUTION OF COPIES, <br />WHITE, TO BE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO TIlE <br />DEPARTMENT nr. llF:VF.NTI-:. <br />GOLDENROD, TO BE KEPT BY TilE REGIS~'ER OF DEEDS <br /> <br />BILLING IS TO BE ONCE PER MONTH AND TllERE WILL BE NO PRE-flAYHF.NT OF' F'EES~ <br />TIlAIlK YOU FOR YOUR COOPERATtotl. <br />