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<br />I <br /> <br />II. ~.,neb'aSka <br />.Cepar-tment <br />of revenue <br /> <br />Notice of State Tax Lien 84 <br />'--004712 <br /> <br />,...- <br />I <br /> <br />NonCE..OF ST.UE TAX LI.EN <br />INDIY.1DUIoL INCOME TAX <br /> <br />IF YOU' INOUIRE ABOUT YOUR <br />ACCOUNT. REFER TO llfESE NUMBERS <br /> <br />~',. <br /> <br />soc. SEC. NO. <br />NEBR. lOENT. NO. <br />SPOUSE soc. SEC.. NO. <br />TAXABLE YEAR <br />lUff NO. <br />COU=TY. <br />DAlE OF NOTICE <br /> <br />5 o 670 Z989 <br />20175574 <br />507809876 <br />1980 <br />84Z02Z't6 <br />HALL <br />07nO/84 <br /> <br />GARY L .. PATTY .J CADWAI.LDER <br /> <br />2323 SELLWOOD DR. UlT 105 <br />GRANO lSLANO <br /> <br />NE.68801 <br /> <br />THIS NonCE OF STATE TAX LIEN IS IssueD BY THE NEBRASKA DEPARTMENT OF <br />REVENUE FOR INDIVIDUAL INCOME T loX PURSl.JANT TO THE REVEHtE !..loWS OF . THE <br />STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INOIVIDlMoL IN&OME <br />TAXES INCLUDING PENALTIES AND INTEREST. WHICH ARE SHOWl'C 8EUJW ARE DUE <br />FRCJI THE TAXPAYER SPECIFIED ABOVE At<<) REMAIN UNPAID AFTER DEMAND. <br />THesE TAXES CONSTITUTE A LIEN IN THI: COUttlY FOR PROPERTY BELONGING TO <br />THE TAXPAYER OR HEREAFTER ACQUIRED. <br /> <br /><> . . <br /> <br />. .. . . <br /> <br />280.95 <br />14.05 <br />129.96 <br />424.96 <br /> <br />AMWNT OF TAX . <br />PENALTY . . . . <br />INTEREST l COMPUTED TO <br />TOTAL AMOUNT DUE .. <br /> <br />. . .. . <br /> <br />. . . . <br /> <br />o 7120J'WH <br /> <br />. . .. . or <br /> <br />. . . <br /> <br />I HEREBY CERTIFY llfAT THE NEBRASKA DEPARTMENT OF REVENUE HAS &llMf'LlED <br />IIUN THE REVENue LAIIS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THE "HOUh"T SHOWN TO 8E DUE. ....>4D THE TAXPAYER HAS FAILED TO PAY lHE <br />AIKlUNT Due AFTER DEMND. IF THIS NanCE OF STATE TAX LIEN IS AN <br />EXTENSION OF AN EFFECTIVE UEH IT SERVES TO CDNTINUE THE PRIORITY OF <br />llfE STATE.S INTEREST IN llfE AFFECTED PROPERTY OF THE TAXPAYER. <br /> <br />l il ~7 1 <br />~fI fWUJ~~. .~~IJ.U/-v./;.ez.d::.. <br />~eP~R.S SIGNATURe TITLE {! <br /> <br />/ I <br />~' / r""'/ .,?, / <br />, <..7 / ,,"f \,1 <br />.. ............ <br />DATE <br /> <br />., <br /> <br />c.{,..-./ <. ~.' ',<Lp/ i+- <br />..~I4/;t.<~_.... ...,.~ <br />AUlHOlUZED SIGNA tuitE <br /> <br />,. .~'.' f'--- <br />i--', -; ,f7"',!,..t.:~-f \-_/" ,- '.j!/ <br />..-.4~~._._... ~........ <br />TUl.E ;/ <br /> <br />. .~(;'-~:~-:'.~:~-~ ... <br /> <br />DATE <br /> <br />F(It Cl:UfTY OFFICIAL.S USE <br /> <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br /> <br />If you !'lava any QuesUon.s regaro!ng tnu, notice, please contact ttle NebrasKa OeDartmellt of l-levefH..le. BO>l: 94810, LIncoln, Nebrols...a 68509, or any Of <br />the regiOnal offices i!sted below. tn Nebrask.a you may alSo dial toli free, ,>'our long distance access number and 8QO-742-7474 for ;USIUance, <br /> <br />LINCOlN - (4021411-2971 <br />OMAHA - (4021554,2065 <br /> <br />GRAND ISlAND - 13081364-6629 <br />NORFOlK - (4021 371-1620 <br /> <br />NORTH PlATTE - 13081 532-6250 <br />scons BlUFF - 13081 632-3637 <br /> <br />NEBRASKA DEPARTMENT OF REVENUE - WhIte and Canary COPIes <br /> <br />TAXPAYER -- P"lk Copy <br /> <br />COUNTY -, Goldenrod Copy <br />1.145.1S' <br /> <br />~ <br /> <br />L <br /> <br />L <br /> <br />-1 <br /> <br />L <br />