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I <br />rteMaska Notice of State Tax Lien ~+(( ~~'yyC ,g <br />ot~ieyenree t ~ ~ "SJ L! t! 6 ~ <br />NOTICE OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br />IF YOU INQUIRE ABOUT YOUR <br />ACTT, REFER 741 THESE NUMBERS <br />SDCa SEG• NOa 284363055 FRANK D JE~iSON <br />NEBR. IDENT. NO• 27901114 <br />SMDUSE SOCr SEC. Nd. 1419 MEBB RD APT 2 <br />fiAXABIE YEAR 1980 GRAND ISLAM NE bBB01 <br />LIHI NO. 82260002 <br />COUNTY HALL <br />DATE OF NOTICE 09!17!82 <br />THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF <br />REVBIUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAiiS DF THE <br />STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME <br />TAXES INCLUDING PENALTIES AND INTEREST, IfftICH ARE SHDMN BELO4f ARE DUE <br />FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. <br />THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELdN6ZNG TD <br />THE TAXPAYER OR HEREAFTER ACQUIRED. <br />Al~UNT OF TAX 21ba00 <br />PENALTY r 54.00 <br />INTEREST r 43.08 <br />TOTAL AMOUNT DUE 313.06 <br />I HEREBY GEitTIFY THAT THE NEBRASKA DEPARTMENT OF RE1lENUE HAS COMPLIED <br />4tITH THE RE1tETiUE LAYS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THE AMOUNT SHDilN TO BE DUE, AND THE TAXPAYER HAS FAILED TQ PAY THE <br />AMOUIiT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN ZS AN <br />EXTENSION QF AN EFFECTIVE LIEN IT SERVES TO CONTINUE TFlE PRIORITY OF <br />THE STAGE*S INTERESST IN THE AFFECTED PROPERTY OF THE TAXPAYER. <br />t ~, ,r~ <br />•'isi~sa...aas4r..i wrri iLi••rr••r ri-r•s•ri~~ •ar~~i~~a• <br />~!PREPARER~S SIGNATURE TITLE- PATE <br />• fr Ar-` •.. •e • •..• •~~TCrrar rar ••a <br />AU111+~0 SI6NAT~tE TI E - l G <br />FOR CQUNTY QFFIGIAL~S USE <br />",'? NEBRASKA DEPARTMENT OF REVENUE OFFICES i <br />;T ydir h,74; any questions ragas in9 this-notice, please contact the rvabrasxa Department of Revenue, Box 9483 a, t_incoln, NeD[aska 68509, or any of <br />the tagipnal pfflLes Listed below, to Nebraska you may aisq die! toff tree, your :ono gi52ance access number antl 800-742-7474 for a5sistante. <br />Lf[iCOL~I - (4021 477.2971 - GRAND ISLAND - 1308) 384b829 NORTH PLATTE - (3081 532-8250 <br />OMAHA - (4021 551.2065 NORFOLK - (4021 3771620 SCOTTS BLUFF - 1308) 6323637 <br />N68RASKA DEPARTMENT OF REVENUE - Wh:te and Canary Cep:eS TAXPAYER - Pmk Copy COUNTY - Ggcdenrotl Copy <br />- :.tu5-l9 <br /> <br /> <br /> <br />