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<br /> � ��t^�:� .. � � INDIVIDUAI. INCOMt TAX
<br /> : � . 92_ 10��00 �
<br /> ° SOC. SEC. NO• Sa5543�07 f`�
<br /> i . •_ ' t;', , NEBR. ID�NT• ND• 3267�►930
<br /> ` _.. _. " ' SPqUSE SQC. SEC. NO• � _:� Y,-.-_�—
<br /> , � �° TAXABLE Y�AR 1999
<br /> :� �� �, LIEh NO• 9209�i0012 LE(3N C MCCONNELL
<br /> - -s� , • CUUNtY HA�L
<br /> � ' OA1E OF N[ITxCE 04/03/92 �4300 CORNHUSKER C 1
<br /> _-- ' � ,� DATE 0� ASS�SSMENT Ol/1�/92 LINCOLN NE 6850�i
<br /> - - -� � � �� THIS N[IT�f�E aF STATE TAX LIEN IS ISSUED BY 1HE NEBRA5KA DEPARTMEN7 �F
<br /> ' �• REVENUc FQR INDIVIDUAL INCOME TAX PURSUANT T� Ti�lE REYENUE I.AMS OF THE � = T _ -
<br /> � �; �,,�,�..„�.; STATE OF NEBRASKA• NOTYCt IS HEREBY GIVEN THAT INDIVIDUAL IIVCOME
<br /> . s:;r� TAXES INCLUDING PENALYI�5 AND INTEREST� MHICM ARE SNOMN �ELOM ARE DUE
<br /> ' ��� ' '"`�`' ''f FR�M T,ttE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AF7�R DEMAND.
<br /> : "ti;,:,1.,�«;.�;`.'?�'.`'�� �
<br /> :.`�,;';; � - TMESE TAxES Ct]NSYITUTE A LIEN yN TME CUUNTII �OR PRQP�RTY 6ELONGING TO �._�r. _._
<br /> �';�+��`: � THE 7AXPAYER OR H�REANT�K AC�UTR�D. _
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<br /> .. . . AM�UNT QF TAX . . . . . . . . . . . . . . . . . . . . . . . 0.00 ����:.a:°—
<br /> . ,,:'•:, PENAlYY • • .. . • . . . . • . . . . . . . . . . . . . . . . T3.2� -
<br /> � � ' INTEREST �COMPI3YED TO 0�►/03/92) . • • • • • • • � • • • • • 69.20 j �r�,•��
<br /> � TOTAL ANOUNY DUE . . • • • • • • • • • • • • • • • • • • • 140.45 �.':..,°`�
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<br /> � � I HEREBY CER72FY ?HAT THE NEBRASKA OEPARTMENT GF REVENUE HAS COMPLIED
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<br /> MlTH THE REVENUE LAMS GP THE STATE OF NEBRASKA IN TH� DETERMINATION QF ; ,`���'�-
<br /> �HE AMOUN7 SHONN TO BE DUE� AND THE TAXPAYSR HAS FAI�ED T� PAY 7HE �,�„���:,,�;_
<br /> ___ �A!!!7!lN7f D�l� AFTER �EMANn• ?� TNi� NOTICE O� SUTE 7AX LIEN IS AN _,- -__--_ _
<br /> ��•� � EXTENSION OF AN EFFECTIVE LIEk IT SERVtS TO CONTINUE THE PRIQRI?Y aF ---��..-����=_-
<br /> � ��;�'•� THE ST�ITE�S INTEREST IN �H� AFFECTED PROPERTY 0� THE TAXPAYER• ` f��°'`��r`
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<br /> " " EP IGNATURE TITIt DATE/TELEPHaNE ��� �^_ ��
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<br /> AUTHORTZED SIGNATUR� TiTIE DAT6 � ! ��
<br /> `,.1 ��`j�:_
<br /> � FUR COUNtY UFFICZAL�S USC �I �
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<br /> The attzched Liens/Terminations are to be fS.1ed ONLY with the Reuister
<br /> ' of Deeds. Do not forwara to the County Clerk.
<br /> � Distribution of copies:
<br /> White: Validate and return to tne Depart�nent� of Revenue.
<br /> Yellow: Retain for your records. �
<br /> . �
<br /> Please bill for filing once per month. Thank you
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