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<br />I <br /> <br />IA.IS. neb,.,k. <br />department <br />ot revenue <br /> <br />Notice of State Tax Lien <br /> <br />..... <br />lSlf'-; 004714 <br /> <br />NOTICEOf' STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br /> <br />-, <br /> <br />I <br /> <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNT" REFER TO THESE NUMBERS <br /> <br />soc. SEC. NO. <br />NEBR. IOENT. NO. <br />'SPWSE SO(;. SEC. NO. <br />TAXABLE YEAR <br />UBl'NO. <br />COlftTY <br />'''DAiIE OF NOTICE <br /> <br />'"'9688509 <br />22797068 <br />506806502. <br />1981 <br />84202084- <br />HAU. <br />07nOnt. <br /> <br />BOYD J CASTER III <br /> <br />3618 PALAMINO PL <br />GRAND ISLAND <br /> <br />HE 68801 <br /> <br />THIS NOTICE"'OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMeNT OF <br />REVENUE FOR INDIVIDUAL INCOME TAX PURSlWtT TO THE REVENUE LAWS OF THE <br />STATE OF NEBRASKA. NOTIU IS HEREBY GIYB. THAT INDIVIDUAL INCOME <br />TAXES INCLUDING PENAL TIES AND INTEREST, WHICH ARE SHOWN REUIW ARE DUE <br />FROM THE TAXPAYER SPECIFIED ABOYE 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 />AMWNT OF TAX . <br />PENALTY . . . . <br />INTEREST (COMPUTED TO 07/2.0.184-' <br />TOTAL AMOUNT DUE <br /> <br />'" . <br /> <br />. .. <br />. . . . <br /> <br />381.90 <br />19.10 <br />123.19 <br />524.19 <br /> <br />.~~~ <br />PREPARER.S SIGNATURE <br />,{;' ..' /~j <br />..~~A.~. <br />AUTHoRIZED SIGNAtuRE <br /> <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTH9IT OF REVENUE HAS COMPLIED <br />IIITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />me AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER HAS FAILED TO PAY THE <br />AMOUNT DUE AFTER DEMMO. IF THIS NOTICE OF STATE TAX LIEN IS AN <br />EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF <br />THE STATPS INTEREST IN tHE Af'FE(;TED PROPERTY OF THE TAXPAYER. <br /> <br />~1 /J d <br />.~~~.~~........ <br />TIne cr <br /> <br />..7' /.;~!!. <f..... <br />DATE <br /> <br />I <br />",' L., '.J' -.:t" <br />. ....~..-~-w..;. . ~ft1i... .. <br />TITLE / <br /> <br />Sf -...) ~:J"'--'Y' <br />...........~.... <br /> <br />DATE <br /> <br />FOR COlJNTY OFFI(;IAL'S USE <br /> <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br /> <br />If yO'u "hav-e any Questioo$ regarding this notice, please contact the NebraSka Department of Revenue. BOX 94818, Lincoln. Neoraska 68509. O' any of <br />the r8?io::mal offices lisled below. In Nebraska you may alSO dial toll free, your long diStance dccess number and 800-742-7474 for asslstance. <br /> <br />LINCOLN - 14021471.2971 <br />OMAHA - (4021 554,2065 <br /> <br />GRAND ISLAND - 13081384.6829 <br />NORFOLK -14021371-1620 <br /> <br />NORTH PLA TTE - 13081 532.8250 <br />SCOTTS BLUFF - 13081632.3637 <br /> <br />NEBRASKA DEPARTMENT OF REVENUE - White and Canary Copies <br /> <br />TAXPAYER - Pink Copy <br /> <br />COUNTY - Goldenrod COpy <br />]-145-79 <br /> <br />u <br /> <br />L <br /> <br />L <br /> <br />~ <br /> <br />L <br />