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<br />r-- <br />I <br /> <br />IISeb,a",s <br />~artment <br />of revenue <br /> <br />Notice of State Tax Lien <br /> <br />84 -005494 <br /> <br />I <br /> <br />NOTICE OF STATE T.AX LIEN <br />INDIVIDUAL INCOME T.AX <br /> <br />I <br /> <br />IF YOU INQUIRE ABOUT YOUR <br />ACCOUNT, REFER TO THESE NUMBERS: <br /> <br />SOC. SEC. NO. <br />NEBR. IDENT. NO. <br />SPOUSE SOC. SEC. <br />TAXABLE YEAR <br />LIEN NO. <br />COUNTY <br />DATE OF NOTICE <br /> <br />553-96-7902 <br />22194258 <br />NO. 536-62-0695 <br />1979 <br />83252101. <br />HALL <br />10(1.5/84 <br /> <br />RIGOBERTO & FRANCES SANDOVAL <br /> <br />231.5 WEST BLAKE STREET <br />GRANDt ISLAND, NE 68801. <br /> <br />~. POv. __ _ _ _.A (ffF1 <br />~lJIT.l('(lP.:T.~ ~. <br />P.R1!:l'ARER I S SIGNATURE <br /> <br />. .~w. . f)/),,;-: +. . . <br />TITLE ~"\.(\. . <br /> <br />. ./1)/1s:!?:I: . . . . <br />DATE <br /> <br /> <br />THIS NOTICE OF STATE T.AX LIEN IS ISSUED BY THE NEBRASKA OEP~Tl!4EN:'fQ' <br />REVENUE FOR INDIVIDUAL INCOME T.AX PURSUANT TO THE REVENUE'I;AWSi.OF~'l'HE <br />STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL IN'C~: < .'. <br />TAXES INCLUDING PENALTIES AND INTEREST, WHICH ARE SHOWN BELQW,AlmDUEr. <br />FROM THE TAXPAYER SPECIFIED ABOVE AND ~IN UNPAID AFTER Dmm.ND'. <br />THESE TAXES CONSTITUTE A LIEN IN THR C"."NTY FOR~ROPERTY BELONGINGTOi. <br />THE TAXPAYER OR HEREAFTER ACQUIRED. <br /> <br />AMOUNT OF TAX . . . . <br />PENALTY . . . . . . . <br />INTEREST (COMPUTED TO <br />TOTAL AMOUNT DUE <br /> <br />10/1.5/84) <br /> <br />. $ 41...31. <br />6.28, <br />91.43 <br />. . . . l39.02 <br /> <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COM.PLLE:Q~ <br />WITH THE REVENUE LAWS OF THE STATE OF NEB:RASKA IN THE DETERMlNATIQit'O!', <br />THE AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER HAS FAILED TO PAY TUBe <br />AMOUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN <br />EXTENSION OF AN EFFECTrvE LIEN IT SERVES TO CONTINUE THE PRIORITY. OF <br />THE STATE'S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAUR. <br /> <br />.g .seG~--' <br />AUfto1:~~ SIGNATUm: <br />'C/' ~ <br /> <br />/'> <br />( . /1 /:-:1 '7_ <br />Ti;rN~.r:-.. ~c. <br /> <br />. .It?:-!~ :~t/:. . . <br />DATE <br /> <br />FOR COUNTY OFFICIAL'S USE <br /> <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br /> <br />If you have any Questions regarding this notice. please contact tne Nebraska Department of Revenue. Box 94818. Lincoln. N~'ltS\(;a 68509, or any of <br />the rtaglonoll atfic.s listed below, In Nebras.ka you may alSQ dial toll free. your long dist.e:nce access number and 80Q..742.~7474 for assls:tance. <br /> <br />NEBRASKA DEPARTMENT OF REVENUE - Whit. and Canary Copie, <br /> <br />TAXPAYER ~ Pink Copy <br /> <br />COUNTY - Goldenrod Copy <br />7~14'S-79 <br /> <br />~ <br /> <br />LINCOLN - (4021411.2911 <br />OMAHA - 14021 554.2065 <br /> <br />GRAND ISLAND - 13081 384-6829 <br />NORFOLK - 14021 311-1620 <br /> <br />NORTH PLATTE - (31!!11532-8260 <br /> <br />SCOTTS BLUF.F- (396163203631 <br /> <br />L <br /> <br />L <br /> <br />.-J <br /> <br />L <br />