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<br />Notice of State Tax Lien <br />t»e.~t. <br />a.n:nmo~ <br />of rlYenue <br />NOTICE ~ STATE TAi( ~IIDiI <br />80-- ti 0 5 090 INOnlwru IN60lE TAx <br />If VOU INQUIRE, ABOUT tiOtfR <br />ACGOIN1f r REFER m liIESE NUINIERS <br />SOC. SEGw ND. 3iB30~tl26 <br />REBR. IOEMTw MOw I4T6lVN <br />SPOFKE-SOC. SEC. NO. 5OS3Bi431 <br />TA1tABicE YEAR IiTR <br />ti2EN ND. 8022113L <br />COUNfr t1A1.1. <br />GATE t1F NOTICE Wr/MlB4 <br />JE//S M t 3ANETTE ROiEf~iLI <br />L'.t10 N HANGOGIC <br />6RAN0 ISAM/O <br />.~~ <br />4 <br /> <br />THIS MtTiSE OFSTATE TAX LIEN IS ISSUEO BX THE NBRASKA OEMRi'MENT DF <br />REVS FOR INDIVIDUAL INCOME TA76 lURSUANT TO THE REVENUE LAiiS DF THE <br />STATE OiF IiRRAS1CA. NOTICE IS t1ERERY GIVEN THAT INDIVIDUAL INCOME <br />TAXES INCLtAING /~HIALTIES AND INTERESTS Mi[CH ARE S1KiW BELAIt ARE DUE <br />fiNRl THE TAit-AYER S#ECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. <br />TiESE TAXES CDitSTIT1RE A LIEN IN T1N: GQMMTr FOR PRO-fRTY BECON&Ii1C TO <br />Tt1E TA1tPAVER OR HEREAFTER ACQUIRED. <br />a ANiQIMIT [H: TAX a LT4wS2 <br />,~, lENA1T1f w • • • • • • . • • • LIw06 <br />_. INTEREST w• w• w w w• a• Lb.7B <br />TOTAL ANOt111T DUE .. 2D2w3s <br />I tiERERV CERTiFr TINT THE NEBRASKA DEPARTMENT OF REVEMtN: HAS CONPLIEO <br />itllM THE ItErEN11E LAMS OF Tt1E STATE OF NEBRASKA IN THE OETERN Q<NATIDN OF <br />T1E AM01MtT SNOIMI TO BE OUE~ A1R) TN E TAXPAIIpt 11AS FAIlEO TO PA1f THE <br />AN IOFMT OUE AFTER DENAIE. IF THIS NOTICE OF STATE TAX LIEN IS AN <br />EXTEN~Id1 OF AN $~CTIME LIEN IT SERVES TO GDNTINHE TN IE PRIORITY OF <br />T!E STATE ~S INTE~ST IN TiE AFFEGTEfl MlOPKTT OF THE TAXPArEit e <br />A D uvu- Trn DATE <br />FDR 6c.tN nsr EM~FIGIAL•s USE <br />NEBRASKA OEYARTNSENT OF REVENUE OFiSCES - ____J <br />4t y0u hiW lStY QuiSiiafla llq?FCM3 t11iS Ii0+f4. piM1M COSlt>4f tt+! Nlpra~aa QlPatt+n Mi at ~tvtn ul. BOR 94818, L~t~Win, iJlGta5k3 eb609. Ord Y ~ <br />IIFN FptOttli GtfiGie tiiflit bld9rn'. itl NWFaFFi YOU maY BFaO Cacti tO+I ttal, yOS.~ rOna OiiUfc! dtUSS nOm L4+ antl 800-142-71]4 ic• asirstar+te. <br />UMCflI.N - 54021 471.2f71 .^iRAS'1O iSLANO - l30Yt 3841829 NORTH PLATTE - (.',08: 5328254 <br />Oyy~A _ (~} 554-20f6 NORFOLK - S402S 371-1520 SCOTI'S BLUFF - 13081 8323637 <br />NEBRASKAFJEPARTM£N7 OF REVENUE-'Nnxxe arap Cana:y Cepa>'s Tf•XPA Y-cR Pint Copy COtiNTti-Gc:aen~oc Cape <br />].1a5-]5 <br /> <br />i ' <br />~~ <br />