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i a Notice of State Tax Lien a.pa,lt,>ee f NOTICE CF STATE TAX LIEN INDIVIDUAL INCOME TAX IF YOU INQUIRE ABOUT YOUR ACCOUNT, REFER TO THESE NUMBERS SOC, SEC. NO. 506543976 MEBR. IDENT. NU. 30343264 SPOUSE SOC. SEC. NO. 505640873 TAXABLE YEAR 1978 LIEN NO. 66145G77 COUNTY MERRICK DATE OF NOTICE 05/25/86 86- 103763 CUU6LAS A P MARY I COTANT BOX 1443 GRANT ISLAND NE 68b02 THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF REVENUE FOR INDIVIDUAL INCU14E TAX PURSUANT TO THE REVENUE LAWS OF THE STATE OF NEBRASKA. 140TICE IS ! iEREBY 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 COUNTY FOR PROPERTY BELONGING TU THE TAXPAYER OR HEREAFTER ACQUIRED. AMOUNT OF TAX . . . • . . . . . . . . . . . . . . . . . . • 487.52 PENALTY . . . . . . . . . . . . . . . . . 121.08 INTEREST (COMPUTED TO 05/75/86) . . . . . . . . . . . . . . 485.62 TOTAL AMOUNT DUE . . . . . . . . . . . . . • 1,095.02 I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED WITH THE REVENUE LAWS OF THE STATE: OF NEBRASKA I.4 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 EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF THE STATE *S INTEREST IN THE AFFECTEC+ PROPERTY OF THE TAXPAYER. &Z� . . . . . . . . PREPARER'S S NATURE TITLE '! DATE AU ZEG SZGNAT" t TI E DATE. F3k '-JU3TY GFFIrIAL'S USE L� N£BR ASKA DEPARTMENT OF REVENUE OFFICES If y��y ^.die ark : :SCSI seSd V arc a . c 3. o a c. LINCOLN — 14023 4712971 GRAND ISLAND (308) 3848829 NORTH PLATTE — (21W 532 -8250 OMAHA — (402'r 554 -2065 NORFOLK — i402) 371 1620 SCOTTS BLUFF — i3081 632 -3637 NEBRASKA DEPARTh1ENT OI 1'.E EINU_ W. .,e d.,d Cap a v -s . AxT !a ,r . ,•e�. �OUN'v G te..�!v Gaps E r F