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aew a <br />Notice of State Tax Lien <br />spent <br />8R.-w"A <br />NOTICE OF STATE TAX LIEN <br />3NDIVIOUAL INCOW TAX 1�1� <br />IF YOU 1!'v ?UTAi: A3601 V,. UF <br />ACCOUNT, REFER Tj ThES :.*4I(1!'3ERS <br />Saco SEC. mu. 5.07326ab1 DAL'- c E MARY ALICE SHLRT <br />NCR. ILIONT. NU. t;D3�1a 7 <br />SPOUSE SOC. SEC. Nu. >uj3i85vLt R2 2 vi?X wE7 <br />TAXABLE YFAa I';84 WfJC-L`RTVLK <br />LIEN NO. I"`-,024030 <br />COUNTY HALL <br />DATE OF NOTICE uI /24186 <br />NE bba3 3 <br />THIS NOTICE UF STATE TAX LIEN IS ISSUED -SY THE NEBRASKA UE:FARTMLNT LF <br />REVENUE FOR INOIVIL4SAL INCOME TAX PURSUANT TO THE REVENUE LAMS €;F 7;HE <br />STATE OF NEa5RASKA. NOTICE IS HEEESY GIVLfy TEAT IWIVIDUAL INCOME <br />TAXES INCLUDING PENALTIES AND INTEREST, Wf-JCH ARE SHOWN bC-LCW ARE DUE <br />FROM THE TAXPAYER SPECIFILL) AbOV1= AND REMAIN UNPAID AFTER DEMANO. <br />THESE TAXES COUSTITUTF A LIEN IN THE COUNTY FOR PROPERTY :EL€'NGING TO <br />THE TAXPAYER OR HEKEAF T - R ACQUIRED. <br />AMOUNT JF TAX . . . . . . . . . . . . . . . . . . 8960C <br />PENALTY 22.25 <br />INTEREST tCi 4jT*s TC LrI/24li b) 5.(�S <br />TOTAL AMOUNT DUL I2L.94 <br />I HERFSY CEkTIFY THAT TIE NEBRASKA DEPARTMENT OF REVE14UL HAS COMPLIr:b <br />WITH THE RtcYENUE LAWS OF THE STATE OF NEBRASKA IN THE i LTERMINATILN OF <br />THE .ANJUNT SHOWN Ti.: r.E )LIEr AND THE TAXPAYER, hAS FAILED TO PAY THE <br />AMOUNT DUE AFTEK DL- MAN' -'. IF THIS NOTICE OF STATE TAX LIL-N 1S AN <br />EXTENSION OF AN EFFECTJiY - L1--N IT SERVES Tll CCNTI*4 E TPF PRILRITY UvF <br />THE ST EIS JNT+L s >T iN TSB A f- :ECTEU PRUPERTY VF THE TAXPAY--k. <br />if PAkFRSS�`S-I'GNATURE,- 7ITLe � � L;ATF <br />..... ......... <br />AUTHO RE TI E •uATE <br />FOR C UUNTY GFFI CI A L a S USE <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br />IT you nave any questions regarding this notice, please contact the Nebraska Department of Revenue. Box 94818, Lincoln, Nebraska 68509, or any of <br />the reglonal offices lisled below, to Nebraska you may also dial 101; tree, your Fong distance access number and 800- 742 -7474 for assistance. <br />LINCOLN — 1402) 471.2871 GRAND ISLAND — (308) 384-6829 NORTH PLATTE — (308) 532.8250 <br />OMAHA — 14021 534-2065 NORFOLK — 14021371-1620 SCOTTS BLUFF — (308) 632.3637 <br />NEBRASKA DEPARTMENT CGF REVENUE - White aad Canary Copies TAXPAYER — Pink Copy COUNTY — Goldenrod Copy <br />7- 145.79 <br />7 <br />In <br />