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<br />I <br /> <br />I~~ Oeb'..... <br />~tment <br />'. . of ,ev.n.. <br /> <br />Notice of State Tax Lien <br /> <br />I <br /> <br />NOTICE OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br /> <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNT, Rl1lFER TO THESE NUMBERS: <br /> <br />1 <br />a4~1 <br /> <br />I <br /> <br />001''1,0 <br /> <br />AMOUNT OF TAX . <br />PENALTY . . . . <br />INTEREST (COMPUTED TO <br />TOTAL AMOUNT DUE <br /> <br />04-30-84) <br /> <br />$ 90~5.'1 <br />1.06 <br />4'1.23 <br />138.86 <br /> <br /> <br />SOC. SEC. NO. <br />NEBR. IDENT. NO. <br />SPOUSE soc. SEC. <br />TAXABLE YEAR <br />LIEN NO. <br />COUNTY <br />DATE OF NOTICE <br /> <br />162384465 <br />10056'150 <br />NO. 506588066 <br /> <br />TIMOTHY C. PHELAN <br /> <br />1979 <br /> <br />RD <br />SHARON, KS 67138 <br /> <br />83302002 <br />Hall <br />04-30-84 <br /> <br />THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE N~~~.D~ <br />REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVEmTE< ,. <br />STATE OF NEbRASKA. NOTICE IS HEREBY GIVEN THAT INDIVID <br />7AXES INCLUDING PENALTIES AND INTEREST, WHICH ARE.SHOWNB <br />FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID ~T~If <br />THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY B <br />THE TAXPAYER OR HEREAFTER ACQUIRED. <br /> <br />~"'.~ .,lM-.l~:A. <br />P~~Ria,s SIGNA~ <br />. ~...... ':~'l..~~ <br /> <br />~:ZED SIGNATURE <br /> <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS.' COMPH~Q <br />WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMcINATIr!>Nc' 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 1\N' <br />EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CO!m'INtTE'THl[;.p:ltI;()~m'QK' <br />THE STATE'S INTEREST IN THE AFFECTED PROJ:!F;RTY OF THE TA:X.t>AYER. . <br /> <br />sk-l&([ <br /> <br />. . . . -. . ''-. ..',., _.,-.,-.- ,1<---. '_. <br />DATE <br /> <br />. ~1t1w.;.,. (! #'or:.0- ... <br />TITLE YTY''v <br /> <br />~b/Uo/>~ h < . . . . . .. . . ~?~.I.~. ~.L~3:~.'.' <br />Ti~~;vr~_. ' ~;-~.'.. . ....., .~.... '._ <br /> <br />FOR COUNTY OFFICIAL'S USE <br /> <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br /> <br />If you have any questions regarding this noti.:e. please contact tne Nebraska Department of Revenue, Box 9481'il; L.incoln. ~.braiJ<:~' 68~_Q9.:or any of <br />the regtonal offlces listed below. In Nebraska you may also dial toll free. your long distance access number and 809-742.7474 for asslstanc.e. <br /> <br />WhIte and Canary CopIes <br /> <br />T AXPA YER -- Pmk Copy <br /> <br />COUNTY -- Goldenrod Copy <br />]-145-79 <br /> <br />~ <br /> <br />LINCOLN - 14021471,2971 <br />~~HA - 14021 554.2065 <br />NEBRASKA DEPARTMENT OF REVENUE <br /> <br />GRAND ISLAND - 13081 3B4-6B29 <br />NORFOLK -14021371,1620 <br /> <br />NORTH PLATTE - 13081 532-8250 <br />SCOTTS BLUFF - 13081632-3637 <br /> <br />L <br /> <br />L <br /> <br />~ <br /> <br />L <br />