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<br />I <br /> <br />.iieb,a...a <br />. ~'rtmenr <br />of r8VlfIlue <br /> <br />Notice of State Tax Lien <br /> <br />NOTICE OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br /> <br />83Ji04189 <br /> <br />\l <br /> <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNT / REFER TO THESE NUMBERS: <br /> <br />'< <br /> <br />SOC. SEC. NO. <br />NEBR. IDENT. NO. <br />SPOUSE SOC. SEC. NO. <br />TAXABLE YEAR <br />LIEN NO. <br />COUNTY <br />DATE OF NOTICE <br /> <br />508-68-0242 <br />17482585 <br /> <br />ROBERT J. BAKER <br /> <br />1977 <br />83070074 <br />HALL <br />03-11-83 <br /> <br />616 EAST Me ARTHUR STREET <br />GRAND ISLAND, NE 68801 <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 l <br />STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN TP~T INDIVIDUAL INCOME <br />TAXES INCLUDING PENALTIES AND INTEREST, ,'mIca 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 /> <br />AMOUNT OF TAX . . , . <br />PENALTY . . . . . . . <br />Ih~REST (COMPUTED TO 03-11-83) <br />TOTAL AMOUNT DUE <br /> <br />$5,640.30 <br />282.02 <br />3,900.54 <br />9,822.86 <br /> <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THE AMOUNT SHOWN TO BE DUE, AND THE 'rA.XPAYER HAS FAILED 1'0 PAY THE <br />AMOUNT DUE AFTER DEMAND. If THIS NOTICE OF STATE TAX LIEN IS AN <br />EXTENSION OJ!' AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF <br />THE STATE'S INTEREST IN THE AFFECTED PROPERTY OF 'I'HE TAXPAYER. <br /> <br />~M~... <br />PREPARER'S SIGNATURE <br /> <br />..~~~..., <br />TITLE <br /> <br />.. .'&t.;>./?-?.... <br />DATE <br /> <br />, : :,,'.f. ,." <br />\_"./ - - ,_.-- \.._~.- ,( ~ ~_~ -lh~ <br />. . \t- ....<~~ .\~.\i,;~~j~- <br />Av'THORrZED SIGNATURE <br /> <br />. . . <br />'....."<{4'> C /,.", ,'j <br />.. '" . .. '-/T. ... . J-. .. ~ . "-.'~.,~ '" .. j '* .. <br />TITLE <br /> <br />.. .. ..1. -~ ~;~ .:t~~ .. .. .. .. <br /> <br />DATE <br /> <br /> <br />FOR COUNTY OFFICIAL'S USE <br /> <br />!' <br /> <br />~~.);.o.v n.... a.flY 4tte\UGKU te~fal~q tt>:f~ (h)f~r;$, yf.,.w. .;:ant..;::t U'fS r,.etl~<f~....(l Q.~HNli!r"",lm'i ell I-l-&..~nu#, 80... 9<4816, L,.inCol"", Nlll:bf.lOk~ 6-&509, <br /> iJf .all)' '-)/ <br />t. fWion.~ ;;.<;t'tic.., h~ea 061.0\1:< H'l Ne-Df..;.Io<;2 '";JO<). may .t~~ 014l b.)i-i I!~. ,;,(HH 'QI~" o,u~"-.;.e .It<:,.~n r,l,ifTIve' amj 80Q. 742. 14 74 fUf _as':il-:.tolqC,~. <br /> <br />t~ <br /> <br />_._.___._f!!.8!lASl<."\.P..Ef'AJ!JMEHT O~~~~~_Qt.F,!f~~_"M'_'_'_'''_'____""' '--'-" <br /> <br />LINCOl.N.. (4021411-2911 <br /> <br />.. !402J 554>2016 <br /> <br /> <br />GRANO 'Sl.ANO .. (3081 384~82lI <br />NORFOLK.. (4021 37l-l620 <br /> <br />NORTH PLATTE .. .3081 532,8250 <br />scons &lUH - 13081632.3631 <br /> <br />J <br /> <br />DEPARTMENT OF REVENUE <br /> <br />Wtlltlt ",11'11 Can.ary CQf.H~$ <br /> <br />T~\X.PAYER - Pink GOpy <br /> <br />COUNTY (hJlihtruod Copy <br />7.1 j~.;,~ <br /> <br />L <br /> <br />-.J <br /> <br />L <br />