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<br />I~eb,"sk' <br />department <br />of revenue <br /> <br />I <br /> <br />I <br /> <br />Notice of State Tax Lien <br />84--q 004719 <br /> <br />NOTICE OF STATE TAX UeH <br />INDIVIDUAL INCC>>tE TAX <br /> <br />l <br /> <br />IF YOU INQUIRE AffOUT YOUR <br />ACCOIMTt REFER TO THEse NUM8ERS <br /> <br />soc. SEC. NO. <br />NEBR. IDENT. NO. <br />SAousesocoo SEC. NO. <br />TAXAMEYEAR <br />LISIi NO. <br />COIMTY <br />DATI: OF NOTICE <br /> <br />505526910 <br />11626259 <br /> <br />1918 <br />84Q55025 <br />HALL <br />02.124/84 <br /> <br />ROGER if & DONNA it LUFT <br /> <br />4328 SHBUKIOD RO <br />GRANO ISlAND <br /> <br />HE 68801 <br /> <br />THIS NOTICE OF STATE TAX LIEN IS ISSLED BY HE NEBRASKA DEPARTMENT OF <br />REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENue LAWS O.F mE <br />STATE OF NEBRASKA. NonCE IS HEREBY GIVEN TliH INDIVIDUAL INCOME: <br />TAXES INCLUDING PENALTIES AND INTEREST. WlUCHARE SHOW. BELOW ARE DUE <br />FROM THE TAXPAYER SPECIFIED ABOVE 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 />AMOUNT OF TAX . . . . <br />PENALTY . . .. . <br />INTEREST (COMPUTeO TO <br />TOTAL AMOUNT DUE <br /> <br />. .- .. . . . . <br /> <br />187.64 <br />9..38 <br />128 .75 <br />325.77 <br /> <br />02.f2.....I84~ <br /> <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE H.IllS COMPLIED <br />WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA. IN THE DETERMIMATION OF <br />THE AMOUNT SHOWN TO BE DUE. AND THE TAXPAVER HAS FAILED TO PAY THE <br />AMOUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN <br />eXTEMSIOJlf 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 />\ 11 ' ( ,tl;; <br />~il:.ll1JAt:~oo <br />PREPAAER.S SIGNATURE. <br /> <br />,Q "'- .) C;;/~ ~:~:~; Ll;J- <br />..~.......~:t,. <br />AUTHORIZED SIGNAtuRE <br /> <br />/'7 ~ < <br />1(-'; I e.r; / '" /laj1t, <br />.I.~ .<.~ .~.yij .,~. . ..... <br />TITLE 'j <br /> <br />9., j i l,fej <br />. '.~~~......... <br />OA1'E <br /> <br />\ . '1 . '. /' i>', c-I-- <br />.w<*~~~...~'"... <br />TITtd: <br /> <br />'-fz..,.,:J <br />................ <br /> <br />DATE <br /> <br />FOR COUNTY OFFICIAL.S USE <br /> <br />NEBRASKA OEPARTMENr OF REVENUE OFFICES <br /> <br />LINCOLN - (40~1411'2911 <br />OMAHA - (40~) 554,~065 <br /> <br />If you ha:lIe any questions regau:;ljng this notice, please contact the NebraSka Departm~nt of Revenue, Box 94818, UncOln, Nel:iraska 63509, or dny of <br />the regional offiC$slIsleQ: b.elow. In NebraSka you may alSo diai toll free. your long dIstance access numner and 800-]42.7474 for aS$lstance. <br /> <br />NORTH PLAnE - (3081 532,8~50 <br />scons BLUFF - (3081 63~.3637 <br /> <br />G RAND ISLAND - 1308) 384-68~9 <br />NORFOLK - 140~)311.1620 <br /> <br />~ <br /> <br />NE8RASKA DEPARTMENT OF REVENUE - WhIte and Canary CopIes <br /> <br />L <br /> <br />TAXPAYER - Pmk Copy <br /> <br />COUNTY -- GOldenrod Copy <br />7-140-79 <br /> <br />L <br /> <br />.-J <br /> <br />L <br />