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Notice of State Tax Lien =1"OnT g6, 103761 o, r.venue NOTICE OF STATE TAX LIEN INDIVIDUAL INCOME TAX IF YOU INQUIRE ABOUT YOUR ACCOUNT• REFER To THESE NUMBERS Saco SEC. NO. 506543976 Di)UaLAS A P MARY I COTANT NEBR* IDENT. NO, 3U393264 SPOUSE SOC. SEC. NO. 505640873 BUX 1443 TAXABLE YEAR 1980 GRANT ISLAND NE 68902 LIEN NO* 86145075 COU09TY MERRICK DATE OF NOTICE 05/25/86 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 INDIVIDUAL 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 CCAJNTY FOR PROPERTY BELONGING TO THE TAXPAYER OR HEREAFTER ACQUIRED. AMOUNT OF TAX . . . . . . . . . . . . . . . . . . . . . . . 459.SU PENALTY . . . . . . . . . . . . . . . . . . . . . 114.95 INTEREST (COMPUTED TO 05/25/86) . . . . . . . 329.09 TOTAL AMOUNT DUE . , . o . . . . o . . . . . 903.84 1 HEREBY CERTIFY THAT THE NEBRASKA GEPARTMENT 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 NOTICE OF STATE TAX LIEN IS AN EXTENSION OF AN EFFECTIVL LIEN IT SERVES TO CONTINUE THE PRIORITY OF THE STATUS INTEREST IN THE AFFECTFE: PROPERTY-OF THE TAXPAYER. A f ;;9A0ROERIS ;IGNA tiE TITLE ^ DATE ALU14ZED S141ATN TIT IA AT FOR COUNTY OFFICIALS USE --- ------------ NEBRASKA DEPARTMENT OF REV EINUF OFFICES C ll I'Pp as J ca -a--- H- 800 742 1474 i- LINCOLN — 1402) 471-2971 GRAND ISLAND - (3081 384-6829 NORTH PLATTE 13061 5328250 OMAHA — (402) 5542065 NORFOLK 14021 371 1620 SCOTTS BLUFF - i3081 6323637 NEBRASKA DFPARTMENT 13 tIiVENLJE Wk," C".11, coo:e' TAXPAIER P—, .-ot. COUNT'. .� +,7Pnratl Copy � Jjl