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<br />-I- <br />" -__~ra~ka <br />. .. ~..tment <br />l~revenu8 <br /> <br />N()tice of State Tax Lien <br />84=- Oft4?i::t5 <br /> <br />, <br /> <br />NOTICE -OF STATE TAX UEN <br />IMUVlOUA L INt:OME TAX <br /> <br />J <br /> <br />IF YOU INQU1RE ABOUT YO" <br />ACCOUNT. REFER TO THESE NUMBERS <br /> <br />soc. SEC. NO.. <br />ME~. roan. NO. <br />SPl:lI5e Sot.... SEC. NO. <br />f..-BLE YEAR <br />USN NO.. <br />COUNTY <br />DATE OF NOTICE <br /> <br />4-6%.38509 <br />22797068 <br />506806502 <br />1980 <br />84146028 <br />HALL <br />05n,S'84 <br /> <br />BOYD .J CASTER III <br /> <br />3618 PALAMINO PL <br />GRAND ISLAND <br /> <br />NE. 68001 <br /> <br />lHlS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF <br />REVEIlfUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE _ REVENUE LAWS OF . THE <br />STATE OF NEBRASKA. NOTICE IS HERES Y GIVEN THAT INDIVIDUAL INCOME <br />fAXES INCLUDING PENALTIES AND INTEREST. WHICH ARE SHOWN BELOW ARE DUE <br />FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. <br />tHESE TAXES CONSTITUTE A LIEN IN THE Cl:lt.ftTY FOR PROPERTY BELONGING TO <br />THE TAXPAYER DR HEREAFTER ACQUIRED. <br /> <br />AtKlUNT OF TAX . .. . .. <br />PENALTY . .. . . . . . <br />IffI"EREST (COMPUTED TO <br />TOTAL AMOUNT DUE <br /> <br />. .. <br /> <br />355.24 <br />17.76 <br />156.68 <br />529.68 <br /> <br />OS/25'$4) <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 SE WE. AND THE TAXPAYER HAS FAILED TO PAY THE <br />AMOUNT DUE AFTER DEMAND. IF THIS NonCE OF STATE TAX LIEN IS AN <br />EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF <br />tHE STATE-S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. <br /> <br />~~. <br />PREPARER-S SIGNAlURE <br />rei I {) /;} /if <br />~ - ~- '1/- <br />AUm~. ~iG';~E <br /> <br />.~~....... <br />TI TLE ' <br /> <br />o~-'/!J <br />.'I.L./.~.,... ..~ <br />DATE <br /> <br />Y~'1i~J/ (/)j, :1- <br />...~~..~...~~.. ;,i1-~,.... <br />TIM // <br /> <br />/") c- o~, <br />. ~:(:.--;~ .'~~'...... <br /> <br />DATE <br /> <br />FOR COUNTY OFFICIAL"S USE <br /> <br />......', <br /> <br />NeBRASKA DEPARTMENT OF REVENUE OFFICES <br /> <br />--~----.".1 <br /> <br />If -y~;n,i_I).\~ any quaUI-O~'~iegarding ttil~ notice, p,lease conta~t the NebraSKa Department Of Re\ienue. Box 94818, LincQln. NeoJesl<a 6&5Q9, or any 01 <br />the,ftlil6n1"l Qffic;es lIsted~~5IDW. In Nebraska you may also dial toll free, your long distance access number and 800.742.14741or assistance. <br /> <br />NEBRASKA DEPARTMENT OF REVENUE - White and Canary Copies <br /> <br />T AXPA Y ER - Pink Copy <br /> <br />COUNTY -- Goldenrod Copy <br />7.}45-79 <br /> <br />u <br /> <br />LINCOLN - 14021471.:1971 <br />OMAtlA - {4021554.:1065 <br /> <br />GRAND ISLAND - (3081 384-6829 <br />NORFOLK - 14021 371-1620 <br /> <br />NORTtl PLA HE - 13081 532-8250 <br />scons BLUFF - 13081632-3537 <br /> <br /><" <br /> <br />L <br /> <br />~ <br /> <br />L <br />