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<br />Notice of State Tax Lien <br />INDIVIDUAL INCOME TAX <br />TF YOU INQUIRE ABOUT YOUR <br />ACCOUNT, REFER TO THESE NUMBERS: <br />SOC. SEC. NO. SQ6-38-3915 JAMES D. HANSEN, DECD <br />NEBR. IDENT. NO. 12521841 KARLA HANSEN•LEMBURG <br />SPOUSE SOC. SEC. NO. 506-46-1427 1606 WEST FIRST STREET <br />TAXABLE YEAR 1978 GRAND ISLAND, NE 68801 <br />LIEN NO. 82346016 <br />COUNTY HALL <br />DATE OF NOTICE 12/12/82 <br /> <br />THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF <br />REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE <br />STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME <br />TAXES INCLUDING PENALTIES AND INTEREST, WHICH ARE SHOWN BELOW, ARE DUE <br />FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. <br />THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING TO <br />THE TAXPAYER OR HEREAFTER ACQUIRED. <br />AMOUNT OF TAX $10 8.8 0 <br />PENALTY 5. 4 4 <br />INTEREST (COMPUTED TO 12/12/82) 56.34 <br />TOTAL AMOUNT DUE 170.58 <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA iN THE DETERMINATION OF <br />THE AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER HAS FAILED TO PAY THE <br />AMOUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN <br />EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF <br />THE STATE'S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. <br />/~ /f /C`T' ~ 7 z ~ ; <br />i~.~'. 4 . f-c-~~~s -4, .... ..-FT~.~:` t Li=:. sit {.; ~~:7.... , ~C~~:. ~, .. <br />PREPARER'S SIGNATURE TIT?E DATE ~ •• <br />{. A <br />AUT$RI~ZED SIG• TURE <br />TITI~~~~ <br />FOR COUNTY OFFICIAL'S USE <br />.c~:.. .,. ... <br />DATE <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br />li yDU have any pu¢itiOrlS regdftlin9 this notice, Please Contd[[ the Nebraska Department of R¢v¢n ue, Box 94818, Lincoi nr Net?la5ka 68509, or any Of <br />the regional OtfiCeS llstetl below. In N66raska you may olio tlial toll tree, your long Qritdnt¢ d¢ce SS numa~er and 8p0~742-7A 74 for d55i5tan Ce. <br />LINCOLN - f402) 471-2971 GRAND ISLAND - 13081 3848829 NORTH PLATTE -(3(18! 532-8250 <br />OMAHA --1402! 554.2065 NORFOLK - 1402! 371-1620 SCOTTS BLUFF - (3081 6323637 <br />NEBRASKA DEPARTMENT OF REVENUE - Whne and Canary Cpp~es TAXPAYER - Pmk Copv COUNTY - Gaden.otl Copy <br />-135-)9 <br /> <br /> <br />.....J <br /> <br />