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<br />I <br /> <br />1I~~~~~~t <br />Igr revenue <br /> <br />Notice of State Tax Lien <br /> <br />NOTICE OF STATL lAX LIt~ <br />It,fOl\*'Ii.#JAL !~nM~ 1'IX <br /> <br />I <br /> <br />IF 'tOO llllQUhlf ABOUT YOUR 84 __ 005407 <br />-"CUlJNT. kith::R TO nil's;: N~8t:RS <br /> <br />soc. Sd:. NO. <br />N~8R. jOf~T. Nu. <br />SPOUSt soc. SEC. NU. <br />T/lXAf!U; 'lEAk <br />Llt'N HO. <br />COUNTY <br />Dil n:. OF NuHC" <br /> <br />S05b..~3I:.o <br />11659415 <br /> <br />1'ff7b <br />t>""O.t.3(JB4 <br />HAll <br />Ol.l i.3/84 <br /> <br />STcVi::H .i ~ NANCY 14 MILBOURN <br />BOX 1051 <br />151i A!'tOO AVENUi: <br />GRANO iSLAND NE 68801 <br /> <br />THAS HOTH;;;;: uF STAr,," TI<)( LHN IS J.SSUEO llY Ttll:. NEBRASKA DEPAitlMENT QF <br />RE:vtNUf FUR IM...IVIIJU"L Ii\iCUIU TAX PVr.;SU/UoT TO tHE REVENUE LAWS OF THE: <br />STAno OF Nf8RASKJI. NUTlet IS HfRi.:l:W GIVEN THAI :iNOIVIDUAL INCOME <br />TAXE~ INCLUDING PtN4lTl~~ A~O INILRt~l. WHItH ARE SHOWN BELOW ARE DUE <br />FkOM TH~ TAXPAYf~ SP~Clrl~u ~8DV~ AMi *tHAIN UNPAID AFTeR O~MANO. <br />THf.::.i: TAXES CONsn Tun /to Llt,.. IN THE twNl'Y FUR PROPERTY aELONGING TO <br />Tr:t T.rr.XPAnR lJl.\ Htid'AFTH'o JCIolUIKi:O. <br /> <br />AMiJU'fl OF TAX .. <br />PioMI..TY . .. .. .. <br />IHT~R(~T (~"PUTE~ ID <br />T01~L :-J4UUNT [HJt. <br /> <br />. . . . <br /> <br />.. .. <br /> <br /> .. . .. . . . 821..23 <br /> . ... . . . . 41,,06 <br />. . .. . .. .. .. .. . .. 780.48 <br /> ... " " .. .. .. " .. " 1.M-~e 77 <br /> <br />ul/J,":df. ~,' . <br /> <br />. .. <br />& .. <br /> <br />.. '" <br /> <br />I HcJH..bY CbHIFY TriAT "lHt- Nf..f:lRA:!llV\. DfPAX1KENT llf af;VEHUf >>AS COMPUE:D <br />WIlk Tlit: l(o;:VdfOe LJ;W~ <.it' Tlii. STAn Of NCBR.ASKA IN THt: Dflt;RIUHATION OF <br />THt AMUUNT ::.HOWN '10 at- !.Jut, ANu lHi' TAXPAYER HI'S FAILlU TO PAY THE <br />AKiA.HT OUE At'T"k DIMAhI,,o II- THU NUTlU: OF STAtE TAX LUN IS AN <br />cXll;HSlON uF A"" ""FH{' TrVt UfN n Sl.RVfS TO CUHTlHUe THE PRIUKlTY OF <br />Tth :!lfATc'l) INIEIl..:ST IN 111" AFF",(.lH) PROPtRIY Of' THE TAXPAYER. <br />. . /) ". /1 /) <br /> <br />~W!1,}J{.t.. ..~.fl#lli.... <br />l"kd>AjU:g-S 51GlUTUKl:. 1 HU 'j <br />cC." \, --~: --;'; _ ,("~ <br />.'..i~1H';;'~,"f:' ~.. <br />Au11f.iRlli:1l SlGN.(fURl; <br /> <br />.'~~9~!~..... <br />DATE <br /> <br />.1ri.:tw.~'1'i... ~W.t~.... <br />Hl(f' <br /> <br />~ I .......// <br />//' -//-1\'1- <br />..~.....~~..... <br />DATI; , <br /> <br />FLi( (;ul....n uf+lCLAl';-., ~t. <br /> <br />=--==-==--=::"===,,-._.-NEBRASKA-DE;ARTr.1ENT~F"R-E.V-ENLIE:;;F"FicES ~ _.______ <br /> <br />it yn.... :l~,.;;. an,' G.....'CHl'(~"$ t':~<SIC.'1,~ ~'1'~ "0~,C~. c!t:d5.e Cont.JC1: ttle Neb,a""" :::).eOd!tnH;'n! o! ~@"l'nl.J{>, BUll; 94818, Lincoln, Nebt.:n.ka 68509. Qf .lilY <br /> of <br />H'~ rC;Cfi.}n.ll: office:!. j;s:ea :'e'o." ,- .....etl!.l'lok.J l<~": "l,)l> .1;S0 ,j'.;'l: U'I! rlee, Y'-~'" L;r~,; ;:l,:.tan,;.c .ll.:<:CSS n...<T1bldl ..nct 800-742'7474 for <I:.sistance. <br /> <br />NE.BRASKA DEPARTMENT Of REVENvE v\'t"\;te ..F'l\J Can...!!, C'";~,<'~ <br /> <br />TAXPAYER P~t\"'Cop)- <br /> <br />COUNTY Gol,:lenrod COP\, <br />'l-i::' ,.) <br /> <br />~ <br /> <br />LtNCOLN 1402.41102911 <br />OMAHA - 1402.55402065 <br /> <br />GRANO iSLAND - i3081 384.6829 <br />NORFOLK .- (402) 371.1620 <br /> <br />NOR TH PLATTE - 13081 532.8250 <br />SCOTTS BLUFF - 13081 632-3631 <br /> <br />L <br /> <br />_J <br /> <br />. <br />L_ <br />