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Notice of State Tax Lier~4 <br />-'" 001 ~.~ 0~ <br />TIDE OF STATE TAX LIEN <br />INDIVIDUAL INCO[tE TAX <br />IF YOU INOiJIRE ABDUT YCX1R <br />AGCQE*! ~ REFER TD THESE NUiiBEAS <br />SOC. SEC, ND. 505'-d8992 <br />NE'8R. IDENT. ND. 22ab28'~ <br />SI~QtiSE SOC. SEC. Na. <br />TAXABLE YEAR 2979 <br />CI ~ NO. 9485 SfJ34 <br />ux~NTY HALL <br />OATf QF NOTICE D2124/dA <br />DO[iGLAS A P04CHES <br />822 S K 91lSALL <br />BRAND ISLAND <br />NE ba8ax <br /> <br />TN3S Nt3TICE aF STATE tA7f LIEN IS ISSUED BY Tif NEBRASKA DEP1tRTMENT OF <br />itEVE:NilE FOR INDIVIDUAL TNCANE TAX PURSUANT TO THE REVENUE' TAMS OF THE <br />STATE tIF NEBRASKA. NOTICE IS ".iEREIIY 61VEK TtMT INDIVII7IEiAE INLOIIE` <br />TAXES INCLUDING PENALTIES AND INTERFSTr IMICH ARE SHOMN BELOM ARE DUE <br />FRDii THE TAXVAYER SPECIFIED A84VE AND REMAIN UNVIkID AFTER DENAt!ilf- <br />TNESE TAXES COPISTITUTE A IIEM IN 7HE CtXMFY ftXt PROPEICTY BiElDN6.IN6 TO <br />THE TAXPAYER DR HEREAFTER ACilEllltfD. <br />Ai~iDUNT DF TAX , . . a w s s • • a 69,4 <br />INTEREST tCEiM/i1TED TD i22I24/84I , . . ~ 37.95 <br />TOTAL ANCiUitT DUE . . . . . . 1I0.90 <br />I HC-1tE8Y CERTIFY THAT THE NEBRASKA DEPARf#tENT DF RAE HAS C~ilIIED <br />#iITH THE REVENUE lAiiS DF Tl1E STATE DF NEQItASI~A IN T1 DETERlIINATitlN ITF` <br />Tl~tE AlIQt1Nt SHOMN TO BE DUE* AND THE TA7fP#VBk HAS FkTt:ID Ttl PA'li THE <br />A!!QN!1T DUE JlFTEB DEMAND. IF THIS NOTICE OF STATE TAX- LIB IS AN <br />EXTENSION OF AN EFFECTIVE LIEN IT SERVES Tcl CONTINUE THE pRI[XtITY EtP <br />THE S+)`/TATS ~S INTEREST IN THE AFFty./E}C%T~~ PRffrERTY OF THE fiA1fsPA/{YER/.(/~~`i7))~7/j <br />Ji~~~h~N~~~~ s~°i~*Gl~~~ .r.- -ser.. ~~/.~~~/,.•fi~~~ilr- <br />PRElARER+S SISNATUR~ T2TLL ~~~~ aATE <br />AU IZE~ SI T~I7~~~ ~~~~._._,. DATE <br />FQR GOVi~l7Y O!~ IG IA L~ S USE <br />~~~ .~.~NEBgASitA DEPAR TMENT Of RflVENUE OFFkCES ~ _-,.i <br />~~~ - - - a- <br />ava dny Qit¢SlebNi.f~¢dftlfii4 Ly+~S UlffR, PIaiY, ttnsidCt Rh¢ P9¢Ora3h5 t'id4ar?~+,nt Qf Fa~¢I?1,a, VAR. 94$.{$, l,ifl pFA. NdlrrA~i<a b8509, or dlry q# <br />~ ~agW Mi r~ I}1CH t4Sf,G •3diOYy. ?n I`Ei#A?dski you 3ndy a140 4iai iOl! frd¢, yUaz+ Yang 9{#tdnfa aLC¢fi nuV`P tt¢Y #nt1 $0(7~?4$x74'74 !RI di3latdACd. <br />LIN€OlN - is02)>iT1~26?t GRAND ISLAND -~ f3U8) 38!3629 <br />DNAHA-=.@315$42085 NOgfOIK - f402# 3?i~t524 <br />.,d3£BRASxA D€PAFTns~N7 Of Re VENUE ~-~ YdTr.te anf Ca:+a+p~ Ct~p+pt T0.XpAYER -. pint Cupv <br />1~ <br />NONTN PLATTE - 4308) $32=8354 <br />SCDTTS BLUFF - fSUB}.b32e9837 <br />COUNTY -Gatddn.od Copy <br />~ ld3-T4 <br /> <br /> <br />