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<br />..... ,_,ask, <br />~artment <br />of revenue <br /> <br />Notice of State Tax Lien <br /> <br />83- 0014.74 <br /> <br />NOTICE OF STATE TAX LI EN <br />INDIVIDUAL INC(JtE TAX <br /> <br />IF "VW. ,INQUIRE ABOUT YOUR <br />AetouNT. REFER TO THESEHUMBERS <br /> <br />soc..sec. MO. <br />Ne'tIfl. lDENT. NO. <br />SPOOSE SOC. SEC. NO_ <br />TAXABLE YEAR <br />LIEN NO. <br />caUtly <br />DATE OF NOTICE <br /> <br />506280118 <br />12377023 <br />474240916 <br />. 1980 <br />82320799 <br />HALL <br />111'30'82 <br /> <br />GLEffi W HOLLISTER <br />ROUTE 1 BOX 20 A <br />DONIPHAN <br /> <br />NE 6&832 <br /> <br />THIS NOTICE OF STATE TAX LIEflt IS ISSUEO BY THE NEBRASKA DEPARTJIIEttT OF <br />ReVENUE fOR INDIVIDUAL INCOME TAX PtRSUAHT TO THE RE\lENUE LAWS OF THE <br />STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME <br />TAXES INCLUDING PENALTIES AND INTEREST" WHICH ARE SHOtN BELOW ARE WE ,~ <br />FROfII THE TAXPAYER SPECIFIED ABOVE AN> REMlN UNPAID AFTER DEMAND. <br />lHESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BEL(JfGlRG TO <br />'DIE TAXPAYER OR HEREAFTER ACQUIRED. ,,". <br /> <br />AMOUNT OF TAX <br />PENALTY . <br />INTEREST <br />TOTAL A/II)UNT OlE <br /> <br />. . . <br /> <br />79.1tO <br />3.97 <br />18.09 <br />101.46 <br /> <br />. . . . <br /> <br />. . <br /> <br />I HEREBY CERTIFY lHAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS OF THE STATE IF NEBRASKA IN THE DETERMINATION OF <br />lHE AMOUNT Sl-OWN TO BE DUE" AND THE TAXPAYER HAS FAILED 10 PAY TME <br />MOUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN <br />EXTENSI(IIf OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRI~ITY OF <br />THE ::';"'Te'SQIN~~:T IN THE~~<~~TED PROPE~ OF ?THE TA:A:~_ n <br /> <br /> <br />...~~. f[.~.I. t' ....i~i~ ................ <br />PREPARER"S SI TURE TITLE ..,..--..- DATE <br /> <br /> <br />iW~rfs~ Ti~~;; .o1;f-!':.E.... <br /> <br /> <br />FOR COUNTY OFFICIAL"S USE <br /> <br />N~ DEPARTMENT OF REVENUE OFFICES <br /> <br />&,iyQ;t::A.iI'IIe .ny Q.....UOt'll ROA"d.ft:I~~i' noiJa. plene cont.c:t the Nebf&Sk.. ~JMftl'nent Qf Revenue, Box 94818, Lincoln. NebrasQi 68509. or Any of <br />.t~ Offield tilted belo~. In Nebf.Ska you m~ also 0.., tolt fr.., 'iour long dl$tilnce Ilea" number ilnO 800-742-1414 for assistance. <br /> <br />LI~N - 141m 471.2871 <br /> <br />OMAHA - 14021li54'2OlI6 <br /> <br />GRAND ISLAND - 13081 384.0829 <br />NORFOLK - (4021371,1620 <br /> <br />NORTH PLATTE - 13081 532-8250 <br />scons BLUFF - t3081 632-3637 <br /> <br />NE8RASKA OEPARTMENT OF REVENUE - Wl\,.. and Co...,. Co",.. <br /> <br />TAXPA YEA - Pink Copy <br /> <br />COUNTy GoJdenrod Copy <br />1.145-79 <br /> <br />L <br /> <br />L <br /> <br />L <br /> <br />1 <br /> <br />'l <br /> <br />"'1 <br /> <br />,;! <br /> <br />) <br /> <br />j' <br /> <br />',',,!! <br /> <br />~ <br /> <br />--.J <br />