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<br />I <br /> <br />I~~ .fif.... nebraska <br />~artment <br />of revenue <br /> <br />Notice of State Tax Lien <br />84-.0'04''1;t8;~ <br /> <br />soc. SEC. NO. <br />NEBR. I DENT . NO. <br />SPOUSE soc. SEC. NO. <br />TAXABLE YEAR <br />LIEN NO. <br />C~TY <br />DATE OF NOTICE <br /> <br />564588492 <br />26030160 <br />546683744 <br />1980 <br />84182154 <br />HALL <br />OMaO'84 <br /> <br />GROVER & ANTOINETTE A TREW <br /> <br />1006 SOUTH LOCUST <br />GRANO I SLAW NE 66801 <br /> <br /> <br />I <br /> <br />NOTICE.. OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <br /> <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNT, REFER TO TIiESE NUMBERS <br /> <br />THIS NOTICE OF STATE TAX lIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF <br />REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE <br />STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOMe <br />TAXES 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 COLNTY FOR PROPERTY BELONGING TO <br />THE TAXPAYER OR HEREAFTER ACQUIRED. <br /> <br />AMOUNT OF TAX . <br />PENALTY . . . . <br />INTEREST (COMPUTED TO 06130/~) <br />roTAL AMOUNT DUE <br /> <br />85.05 <br />4.26 <br />38.69 <br />128.00 <br /> <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS fF THE STATE OF NEBRASKA IN THE DETERMINATION OF <br />THE AMOUNT SHOWN TO Be DUE, AND THE TAXPAYER MAS FAILED TO PAY THE <br />AMOUNT DUE AFTER DEMAND. IF THIS NOTICE 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 />-;iI~~.)f.~... <br />PREPARER.S SIGNATURE <br /> <br />.~.~d:....... <br />TITLE ~ <br /> <br />... V. i:' 1~'f...... <br />DATE <br /> <br />J:',/' ,,~{r-;; 1//--)""./ U' . '.... <br />.~.he~ .._'.~'-~....~'..(.""t;:.. <br />AUTHORIZED SIGNATURE TITLE ," <br /> <br />J/-/:o Ji <br />......~......... <br /> <br />DATE <br /> <br />FOR COUNTY OFFICIAL.' S USE <br /> <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br /> <br />If you have any Quest~ns regarding this noti~~.-Please contact the Nebraska Department of Revenue. Sox 94818, Uncoln, Nebraska 66509. Of any of <br />the' regional offices listed below, In Nebraska you may alSO dial toll free. your long distance access number and 800-742-7474 for assistance. <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 />~ <br /> <br />LINCOLN - 14021411-2911 <br />OMAHA - (4021 bS4'2065 <br /> <br />GRAND ISLAND... (308) 384-6829 <br />NORFOLK - 1402) 311-1620 <br /> <br />NORTH PLA TTE - 13081 532,8250 <br />SCOTTS BLUFF - (308)632,3631 <br /> <br />L <br /> <br />L <br /> <br />-1 <br /> <br />L <br />