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. 1I~'br"k' {lep.rtm,nt of ftvlnul Notice of State Tax Lien 88-106019 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 NOTICE DATE OF ASSESSMENT 505724176 16765788 506728875 1987 88218290 HALL 08/05/88 05/18/88 ALAN R I; CONNIE J OGG 3119 W 18TH PO BOX 503 GRANO ISLN>lD NE 68802 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 INDlVIDUAL 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 . PENALTY . . . . INTEREST (COMPUTED TO TOTAL AMOUNT DUE 08/05/68) 462.00 24.10 20.71 526.81 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 DEMAND. IF THIS NDTICE OF STATE TAX LIEN IS AN EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF THE STATE'S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. , a.~.w......... PRE RER'S SIGNATURE s: .d.~J"AJ.o:.~.. ~f#- TITL~I'. DATE ~. /J. . .:- q A.,._ t; ..I/.: ft: :.~P::.. TIT!-E ~.~~ DATE . j J.1tir.. ...... FOR COUNTY OFFICIAL'S USE NEaRASKA DEPARTMENT OP REVENUE OPPICES LINCOL.N - 1403) 471-3&71 OMAHA - (402) ES4-21lS5 If you hl"l .nv QUinlan. flgardlnll t"11 notlcl, plll'l contlc1 thl Nlbrllkl Clplrtmlnt of Rlvlnul, SOk 94111, L.lncoln, Nlbr..k. 88!09, or Iny of 1hl rllllonll offlcl.It'tld bilow, In Nlbrl'kl you m.~ 1110 dill toll frll, your long dlltlnee Ice... number Ind 100.742"7474 for ...Inane.. ORAND ISLAND - 1308) 351,8125 NORPOLK -14021371.1520 NORTH PLATTE -13D&) 532-8280 I [ aeOTTS BLUPP - (305) 832,1200 NEBRASKA DEPARTMENT OP REVENUE - White end Canary Copt.. TAXPAYER - Pink Copy COUNTY - Goldlnrod Copy TIlE ATTACHED NOTICE(S) OF TAX LIEN (OR TERMINATION) IS (ARE) TO BE FILED ONLY WITH TIlE REGISTER OF DEEDS. THE DOCUMENT(S) IS (ARE) ~ TO BE FORWARDED TO THE COUNTY CLERK, DISTRIBUTION OF WHITE, GOLDENROD: COPIES, TO BE VALIDATED BY THE REGISTER OF DEEDS DEPARTMENT OF REVENUE. TO BE KEPT BY TIlE REGISTER OF DEEDS, AND RETURNED TO TilE BILLING IS TO BE ONCE PER MONTIl AND THERE Wnl, BE NO PRF:-PAYMEtlT Of' !'"rCES, THANK YOU FOR YOUR COOPERATION.