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<br />Ir;febfaska <br />d~artment <br />of revenue <br /> <br />Notice of State Tax Lien <br /> <br />84 - 005406 <br /> <br />WOHCt: OF Sl/tH iJl>X LIiiN <br />INOI~IOUAl INCOMf 'AX <br /> <br />l <br /> <br />IF YOU INQUlkE ABvUT YUUR <br />ACUJUNT p RE:f'd't TO flit:St MJlot!H:KS <br /> <br />soc. StC. NO. <br />NE6K. IOCHT. NU. <br />SPOOSt soc. SEC. NO. <br />T AXIofI If: YEAR <br />l IE'" NO. <br />COUkTY <br />DA n OF NOT!(;E <br /> <br />505t>423U <br />118594 IS <br /> <br />1917 <br />8...013083 <br />HAl.L <br />01.11,"&4 <br /> <br />S1'E.VEt4 .I &. NANCY" MILBOURN <br />Emll 1051 <br />1512 J;NOO AVENUE <br />GRAND ISLAND HE 6&801 <br /> <br />TMb N,Jf1Ci; uF :iTATE ax liEN IS ISSUED BY THE NEBRASKA DfPAitTMENTOF <br />RE.Y;;:NUf FOR lNi.llVIOOAL IN~OME TAX PURSUANT TO THE REVENUE LAWS OF THE <br />SlATE !..iF Hf:6USKA. NOnet; IS HERESY GIVEN THAT lNOIVIOOAL.lNCOME <br />TAXES INCLUDING PiH'tALTH::i J\.Nll J:NTERf,n, WHICH ARE SHOWN 8EWW.A.eOUE <br />fROM ni~ TAXPAY~ SPtCI~IEU h80V~ AND ~MAIN UNPAID AFTER DE~D. <br />TMI:SE TAXc~ CONST1 run A loUN IN T'* C€:J.JhTY fOR AAOPfRTV BELQNGINGTO <br />THE TAXPAYE.R Ok liU,EAFTt:l<. ACQUIRED. <br /> <br />" Q <br /> <br />...... <br />....... <br />...1-... <br /> <br />1,511.46 <br />75.!> ., <br />1"U3dO <br /> <br />AMOUNT OF TAX . . . . . . . . . . <br />Pl.NAl TV . . . . . >It . .. . . .. . . ~ <br />INTEREST ICUMPUTE;O TO 01/13184) . .. < <br /> <br />. . . <br /> <br />. . . <br /> <br />rOI~ AiiiuLiNT !JUt <br /> <br />~ ~ <br /> <br />.. ... <br /> <br />.. <br /> <br />.. .. .. . ... z..al-o.sa- <br /> <br />I tk.Rt:u't CERHFY friAi nit lIltBRA$KA OtP~Tl'Ii:r.T OF REVi:HUE: HAS CQIV'LIED <br />WITH Ii1/:: It&::Vt"'lk l..WS GF THf STATE Of t..c:BRA~1(j. IN tHE DETERMINATION OF <br />THl:. AHOUltl StlOWN TU bE out, ANO THe n.XP"Y~R HAS FAIUD TO PAY THE <br />AMOlfiT DUi: AFTli:R 0..;4ANO. If lHl~ ,.OTlt:\:; Of STATE TAX LIf:N IS AN <br />Ulu.S,lON lJf' AN !.:Ft-L.CnVL LItN n ~ERVi;;S TO CONHNUf THE.. PIUORITY OF <br />THt :>T..TPS INTCK>>T I'" TH!: AFFi:CHlJ PROPERTY Of THi:. TAXPAYER. <br /> <br />~Jt(d. ..,&;pj'~~~~~t..... .IP.!!!!.'!..... <br />PRl".Rl::l\'S :iIGftATURE Hlu '(1"'-'.. DATE <br /> <br />/'-- <br /> <br />. .--r. 'Ie' -0) .I-~ ,j _ rI-- <br />.,""~:f{if.... iWf~W... <br />Hlk\; if <br /> <br />/, ,/ g..t/ <br />/,//J_('/ -.' <br />,(/ .<..- <br />.......... ..... <br />OAn ' <br /> <br />\;:.., " , . ' '-M'. ..,.... ,;:A..,. <br />..~~~..__.~i~~. <br />AU~IZtO SIGNATURE <br /> <br />fUR COUNTY LFF1ChL't- USa: <br /> <br />NEBRASKA OEPARTMENr Of REVENUE OffiCES <br /> <br />--I <br /> <br />l~ i_'e. r..h'<'- a~)- 4\..ie$.tKH1$ lli>'iJ.qj:n;: t!',$ notice. please ,-yn~ad n~e Neblasl<." Department ul Rellenue, Box 94$18, Uncoln, NebraSKa 68509, or any of <br />t!">e re.;i0f11t! oHtces llste{! De10'-.\. 1(\ t\h!b~.lSi<.a y0u moly also alaI toll fre~. 't'OlH long Cl'itance access nun\oer and 800.]42-7474 for assistance. <br /> <br />OMAHA - t402i 5&4.2065 <br /> <br />NORfOLK - (4021371.1620 <br /> <br />:--':GR,H FL~TTE - ~308j 5::2-8250 ,........, <br /> <br />SCOTTS BLUff - (3081 632-3637 ~ <br /> <br />T Ax'PA YER PI!"l!i. CoP) COUNTY - GOI('jenrod Copy <br />J 14~ I'l <br /> <br />I <br /> <br />LINCOLN - 1402i 471.2~n <br /> <br />'2 ~A!"l~ :s:"'~~Jn (~ce: 3e45829 <br /> <br />NE.BRASKA DEPARTMENT OF REVENUE -- Wh,u. dOli Con,Jf) COptes <br /> <br />I <br />L- <br /> <br />I <br />---..J <br /> <br />I <br />L__ <br />