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<br />I <br /> <br />Ir;:eb'''ka <br />department <br />of revenue <br /> <br />Notice of State Tax Lien <br /> <br />84 -f}04217 <br /> <br />r- <br />I <br /> <br />NOnCE OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br /> <br />-, <br />I <br /> <br />IF YOU INQUIRE ABOUT YOUl <br />ACCOUNT. REFER TO THESE NUH8ERS <br /> <br />1980 <br />842.02269 <br />HAlL <br />OU20~84 <br /> <br />OOUGlAS J LINDSEY <br /> <br />605 NlRTH WALNUT APT 4 <br />GRANO ISLAND <br /> <br />HE 68801 <br /> <br />. soc. SEC. NO. <br />.'iI~8it. LoEHT. No. <br />sPoUSE soc. see.. NO. <br />TAXA'8LE YEAR <br />LIEN NOi. <br />COtIltTY <br />DATE OF NOTICE <br /> <br />506922933 <br />2522>>05 <br /> <br />llilS NOTICE OF STATE TAX lIEN IS ISSUED 8Y THE NEBRASKA DEPARllIElfT (W.. <br />REVENUE FOR INDIVIDUAL 1HC0ItE TAX PURSUMT TO THe REVENUE LAWS OF THE <br />STATE OF NEBRASKA. NOTICE IS HEREaY GIVEK THAT INOIVlOUlL meOME. <br />TAXES INCLUDING PENALTIES AND INTEREST. WHICH ARE SHOWN 8ELOWAREDUE <br />FROM THE TAXPAYER SPECIFIED AltOVE At.) RatAlN UNPAID Af'tal DE~ <br />THESE TAXES CONSTITUTE A LIEN IN THE: CaalY FO~ PROPERTY BELONGIN&TO <br />THE TAXPAYER OR HEREAFTER ACQUIRED. <br /> <br />~LTY .. __ .. ;;;. <br /> <br />- . . . . . . . . <br /> <br />93.00 <br />4.65 <br />4a';02ci <br />1".61. <br /> <br />AMt:alNT OF TAX . <br /> <br />. .. <br /> <br />& . . . . . . . . <br /> <br />INlEREST (c;;otIfUTED m 07/20/84) <br />TOTAl.. AMOUNT DUE .. . . . . <br /> <br />. . . . . . . . . . . . <br /> <br />. . . . . . . <br /> <br />I HEREBY CERTIFY THAT THE NEBRASU DEPARJJllERT DF REVENUE HAS~LlEO <br />WITH THE REYBlUE lAWS OF THE STAte OF NE8ltASU I. THE !lETEfUt_"OttfQfi; <br />11tE AMOUNT SHOWN 10 BE DUE. AND lliE TAXPAYER HAS FAl'-ED 10 PAY. <br />AHWiiT DUE AFTER DEMtIIl. If nus MonCE Of' STATE TAX UEtf lSA--. <br />exTENSION OF AN EFFECTIVE LIEN IT SERVES m COIITINUE THE PRIlJUTYOF <br />11tE ST4TPS INTEREST IN lHE Af-FECTED ptt(]PERTY OF THE TA.XPAVSt.. <br /> <br />~ j!4/",~J(~... ..&&l<~W'..a~~... <br />~~~~ SIGNA1URE nTLE (r~ <br />~<.~ /'-'() fi~ 'J 1 (7 .. 0 ~/ <br />h--.. .... ~... ",4>~ I / !'" ~.. fJ if JJ~ <br />.'1.~.~ . ~~...... .. <br />_JJtIIilU.EO SIMAlURE TillE v <br /> <br />..2/!~J.~i...... <br />DATi <br /> <br />C)-IO-X>'/ <br />.l>;.....~-if~..... <br />DATE <br /> <br /> <br />FOR CoOllny OFfICIo\LeS USE <br /> <br /> <br />-i'<-~ <br /> <br />L~~===.=='~"~==~_-==-'=.~~~~EB'RASK~.!?~~A'RT~ENT-OFR~~vE'NUE'-~~flC.ES ____ <br /> <br />c~ <br /> <br />,~ ~-()..l r~.Il;ve an) Q..e..t,on$ !e~fi;l,o," U"~io n.;t,..::t:. iH~..", o:;on\<\;;;:, PHt Neb/a.s."", J:>ep.H~ment \}1 ~."'el1f,J.. 8o~ 9<1818, Lint;;OJ,t\.;' ~.bra~:6a501:-~ ot ill1)14f <br />th<o: r~'iiQil..1 (,ffICfl!$ ilil.., t:trlu"'" , ;"1 N4l.1I;H"-"- ",CHJ 'n",." .a.!i0 C',lllvil h<<, )-,~\.,r ~or;;l QlU4inCe ",c.;:~u number ..nQ SOO"42'141~-flj,)-'-auit.U1ne4:o< <br /> <br />~E8AASKA DEPARTMEN1" OF Ri vENUE <br /> <br />Wr-bti- anti Can.n)< CUP'l>$ <br /> <br />?mk C"P\I <br /> <br />COUNT)' <br /> <br />~ <br /> <br />liNCOLN ~ {402) 411-2911 <br />OMAHA t402J. 554.206& <br /> <br />GRANO ISLAND - (308; 384-6829 <br />NORfOLK - (402) 37t-1620 <br /> <br />NORrH Pl<\l?'~'" 1308ll131_ <br />scons SLUFF - {3OlI).632,3637 <br /> <br />TAXPAYER <br /> <br />C~'ly <br />1.1;JS~7~ <br /> <br />L <br /> <br />L <br /> <br />~ <br /> <br />L_ <br />