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<br />Il.~eb"'ke <br />· .. dep"tment <br />of revenue, <br /> <br />Notice of State Tax Lien . <br />L B4:- OO.4tf,.j:7; <br /> <br />i./ <br /> <br />.~~i' , <br /> <br />NOTICE OF STATE TA)l/ Ual <br />INDIVIDUAL ..IHCClfE TAX <br /> <br /> <br />....., <br /> <br />IF YOU INQUIRE ABOUT YllIJR <br />AcmUNT! . Rl:FER TO THESE NUHBERS <br /> <br />SOC.. SEC.. NO. <br />NEBR. IDENT. NO. <br />SPOUSE soc.. SEC.. NO. <br />TA*SLE YEAR <br />I.:.!ENNO. <br />COUNTY <br />DATe OF NOTICE <br /> <br />505582305 <br />11134302 <br /> <br />1979 <br />84055028 <br />HALL <br />02'24/84 <br /> <br />RAY L & MARY k. MCCA.m <br /> <br />54 flDCKlNG8IRD <br />ALDA <br /> <br /> <br />NE68810 <br /> <br />THIS NOTICE OF STATE TAX LIEN IS ISSlEO 8Y THE NEBRASKADEPARl'MENT OF <br />REVENUE FOR INDIVIDUAL IHCCltE TAX PURSUANT TO THE REYENUE L.WSDF me <br />STATE OF ttEBRASKA. NOnCE IS HEREBY GIVEN TI*T INDIVIDUAL INCOMe <br />TAXES INCLUDING PENALTIES .AND INTEREST. ioIiICfh\RE SHOWNeEUJliIAttE DUE <br />FROM THE TAXPAYER SPECIFIED ABOVE AND REMIN UNPAID AFrER DeMAND. <br />tfiESE TAXES CONSTITUTE A LIEN IN THE COUfIffY RJR PROPERTY BELONGfNG. TO <br />THE TA.l(PAYER Ofl HEREAFTER ACQUIRen. <br /> <br />AMOtJN;T OF TAX . . . . . . <br />PENlLTY". .- . . .- . . . . . . 0 <br />~at:t5r"fCDMPUTEn TO 021'2"'1'84>> <br />_. TOTAL AMOUNT DUE .. . . . . <br /> <br />.. . .. <br /> <br />300....2 <br />15.02 <br />164.09 <br />479.53 <br /> <br />. . . . . <br /> <br />. . . .. <br /> <br />. .. . . . <br /> <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS OF THE STATE OF Ne8RASKA IN THE DETERMINATlOi't OF <br />THE AMOUNT SHOWN TO BE DUE, AltO THE TAXPAYER HAS FAILED TO PAY THE <br />AMOUftT Due AFTER DEMAND. IF THIS NOnCE OF srUE T'AX LIEN IS AN <br />EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CDNTINUE THE PRIORITY OF <br />THE STATE'S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. <br /> <br />.~~ .k~1W./Jfi#tff..... <br />PREPARER'S SIGNATURE TITLE ~ <br />C':.) ,~" (--- _j~=-~ /> l_ <br />Au'n.~D';t;~~E <br /> <br />o 1'1 IS' <br /> <br />.-,L. "'..~ ...... <br />DATE <br /> <br />" - ...1--- <br />....t?/~1f.<t'.I. .~i'~~~/_... <br />TITLE f/ <br /> <br />c; "{/, - ji' y:.. <br />..~............. <br /> <br />DATE <br /> <br />FOR COUNTY OFFICIAL'S USE <br /> <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br /> <br />If you have any questionsrega<<Hng this notice. Plea"s8 contact the Nebraska Department Of Revenue. Box 94818, Lincoln, Nebraska 68509, or any of <br />the r~ional offices listed below. In Nebraska you, may also dial 1011 free, .your long dislance access numbe. and 800-742-7414 for assistance. <br /> <br />NEBRASKA DEPARTMENT OF REVENUE - White and Canary COpll;!S <br /> <br />TAXPAYER - Pmk Copy <br /> <br />COUNTY - Goldenrod Copy <br />7+145-79 <br /> <br />u <br /> <br />LINCOLN - (402) 471,2971 <br />OMAHA - (4021 554-2065 <br /> <br />GRAND ISLAND - (3081 384-6829 <br />NORFOLK - 14021371,1620 <br /> <br />NORTH PLATTE - (308) 532-8250 <br />scons BLUFF - (3081632-3637 <br /> <br />L <br /> <br />L <br /> <br />~ <br /> <br />L <br />