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I <br />I <br />sNAreska <br /> <br />tlepartmenl <br />of revenue <br />Notice of State Tax L ~ <br />/'!~_ <br />! V <br /> Np ICE OF SATE TAX LIEN <br /> 1NDIVItlUNL INCOME TAX <br />If YOU INeUIRir A80UT YOUR <br />ACtOiJNT~ REFER TO TNESt~ NUMBERS <br />SOC. SEC. NO. 507700542 JDE d T'tTtESA L LON60R1A <br />NEBR. tDENT• NO• 19152012 <br />SPOUSE SOC. SEC. MO. 507765502 PO BOX 344 <br />TAXAtlLE YeAR 1981 MODitRIVER NE f+1~i3 <br />LI Elil NIZ. 84048116 <br />COUNTY MALL <br />DATE OF NOTICE 02!17!84 <br />THIS NOTICE OF STATE TAX LIEN IS ISSUED 8Y THE NEBRASKA pE'PARTNENT OF <br />REYEMUE FOR INDIYIOUAL INCOME TAX PUNUSUANT TO TMt REVENUN'e LAMS.a~F THE <br />STATE t]F NEBRASKA. NOTiCt i5 HEREBY 61YEN TINT INYIIYIUIWIL IMUr01 <br />TAXES aNCWD1Nb PENALTIES ,MIO INTEREST* IfNICM ARE SHtNNI BELOM ARS DUE <br />FRUN THE TAXPAYER SP€GIFIEtI ABOVE AIK1 RU:MIIIN UNPAIb AFTER DEMAND. <br />THESE TAXES CONSTI TOTE A LItN III TiIE COUNTY FOR PREIPEitTY BELONGING TTI <br />T1U6 TAXPAYER OR HEREAFTER ACQUITTED. <br />[ITT OF TAX . . . . . . . . . . . .. . 1L51.T0 <br />'i~NdL1f ..... . . .. . . . . . . .. . .. 7.591 <br />IN ikTiiT:ST 1 Ct3MPU1TE D TO tT2/17l84! .. • • . 70.!00 <br />~'`:T~iTAi AMOUNT DUE . . . . . 229.2! <br />I HEREBY CERTIFY THAT THE Nic8RAS1UA DEPARTMENT OF REVENUE MRS CJONPLIEO <br />MITH THE RE-YEN1E LAMS OF THE STATE OF NEBRASKA IN THE DETfRMTNATIiM/ OF <br />THE AMOUNT SMWIN TU BE DUEs AND THE TAXPAYER MUSS FAILED YU PAY 7'HE <br />AMOWT DUE AFTER DtMAND. IF THIS NOTICE OF STATE 1'AX LIEN IS AN <br />EX7E115It1N OF AN EFFECTIVE LIEN IT- SERVES TO fXlNT11RIE iME PRIORITY OF <br />ME STATE'S INT~tEST TN THE AFFEGTT-O PROPERTY aF THE TAXPAYER.. <br />EPARER~S SIGNATURE TITLE OA <br />... - . ~ ... ..... 1...~...... <br />AU RiZEO S2C1UA E T~l~ ~ AYE <br />FOR COUNTY OFFICIALS USE <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br />Ii ypyltav! any OueSilOnS reeartlin5 tni5 n0[~ce, phase contact the Nebraska Department of Revenue, 8pn 9a818, Lincpln. Neprdikd 69509. or any Ot <br />tly ne>$nai oftices Ils[atl nUOw. In IVH)ras4a you may also tlial told tree, your long tlistance access numoar and 800-712-7070 IOr assistance. <br /> <br />IINCOIN - 11021 4 7 1-297 1 GRAND ISLAND - 13081 3816829 NORTH PLATTE - 1308) 532250 <br />OMAHA - (1021 551-2085 NORFOLK - 11021 371-1820 SCOTTS BLUFF - 13081632J637 <br />.,. 1~8RASKA DEPARTMENT OF REVENUE - Wh,ce and Canary Copes TAXPAYER -- Pink Copy COUNTY -Goldenrod Copy <br />~ 145-19 <br />L <br /> <br /> <br />