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.�t.a� a Notice of State Tax Lien <br />nrLnt <br />. � <br />NOTICE OF STATE TAX( LIEN <br />INDIVIDUAL INCOME TAX $6- 101225 1 <br />IF Vw INQUIRE ABOUT YOUR <br />ACLOUNT9 REFER TO THESE NUMBERS <br />SOG. SEC. iii. 329568242 CONCEPCION REYES <br />Nl;e IDEtiT. "0. 28438191 <br />£ SOC. SEC. NO. 714 W 1ST AFT 4 <br />TAXUL 4�.E�� BAR 1983 GRAND ISLAND NE +38801 <br />LIM 85271007 <br />C uwrY HALL <br />DATE Of NOTICE 09I28m <br />THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF <br />RED FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAMS OF THE <br />STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME '+ <br />TAXES INCLUDING PENALTIES AND INTFREST9 WHICH ARE SHOWN BELOW ARE DUE <br />FIRM THE TAXPAYER SPECIFIER ABOVE AND RE NA= UNPAID AFTER DEMAND. <br />TMNU TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELOW&MG TO <br />THE TAXPAYER OR HEREAFTER ACQUIRED. <br />ANOWIT OF TAX . . . o . . . . 0 . 191.40 <br />PENALTY . . . e . . . . . . 0 9037 <br />TNNTEREST (COMPUTED TO 09/28/85 1 40.01 <br />TOTAL AMOUNT DUE . . . . . . a, . . . 240e98 <br />I HEREBY CERTIFY THAT TIME NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />VEIN THE REVBMUE LAMS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />TW AMOUNT SHOW TO BE DUEs AND THE TAXPAYER HAS FAILED TO PAY THE <br />AIIOMT DUE AFTER DEMAND. IF THIS NOT3CE OF STATE TAX LIEN IS AN <br />EXTE10SION OF AN EFFECTIVE LIEU IT SERVES TO CONTINUE THE PRIORITY OF <br />TNf ST E • TEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. <br />ARER*S SIGNATURE TITLE DATE f <br />2EX SI4AE TIT OATE <br />FOR COUNTY OFFICIAL'S USE <br />I NEBRASKA DEPARTMENT OF REVENUE OFFICES _ <br />If you nave any duestions regarding tnis notice. please contact the Nebraska Department of Revenue, BOY. 94818, Lincoln, Nebraska 08509, or any of <br />the regional offices {fisted below- in Nebraska you may als" dial toll free, your Ionq distance access ne, E30 antl 800- 742.7474 for assistance. <br />LINCOLN - 4402) 471 -2971 GRAND ISLAND - 13081 3846829 NORTH PLATTE - (308) 532.8250 <br />OMAHA - (402) 554 -2065 -- NORFOLK - (402) 371 -1620 SCOTTS BLUFF - (308) 632 -3637 <br />NEBRASKA DEPARTMENTOF REVENUE - YUh,te jnd Canary Copes TAXPAYER - Pu,k Copy <br />L <br />m <br />COUNTY - Goldenrod Copy <br />7745.79 <br />I <br />Wig} <br />j <br />R <br />