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<br />- .~"'b'alka <br />dfpartmant <br />of ,evenue <br /> <br />Notice of State Tax Lien <br /> <br />88-i0411 9 <br /> <br />RENEWAL OF STATE TAX LIEN <br />INDIVIDUAL INCOME TAX <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. NO. <br />TAXABLE YEAR <br />LIEN NO. <br />COUNTY <br />DATE OF NOTICE <br />DATE OF ASSESSMENT <br /> <br />506-28-0118 <br />12377023 <br />474-24-0916 <br />1982 <br />83231099 <br />HALL <br />08/19/83 <br />08/19/83 <br /> <br />GLENN HOLLISTER <br /> <br />P.O. BOX 751 <br />GRAND ISLAND, NE 68802-0751 <br /> <br />THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA <br />DEPARTMENT OF REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE <br />REVENUE LAWS OF THE STATE OF NEBRASKA. NonCE IS HEREBY GIVEN <br />THAT INDIVIDUAL INCOME TAXES INCLUDING PENALTIES AND INTEREST, <br />walCH ARE SHOWN BELOW, ARE DUE FROM THE TAXPAYER SPECIFIED ABOVE <br />AND REMAIN UNPAID AFTER DEMAND. THESE TAXES CONSTITUTE A LIEN <br />IN THE COUNTY FOR PROPERTY BELONGING TO THE TAXPAYER OR <br />HEREAFTER ACQUIRED. <br /> <br />AMOUNT OF TAX . . . . <br />PENALTY . . . . . . . <br />INTEREST (COMPUTED TO <br />TOTAL AMOUNT DUE <br /> <br />$134.18 <br />6.71 <br />6.48 <br />. . . . . . 147.37 <br /> <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS <br />COMPLIED WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE <br />DETERMINATION OF THE AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER <br />HAS FAILED TO PAY THE AMOUNT DUE AFTER DEMAND. IF THIS NOTICE <br />OF STATE TAX LIEN IS AN EXTENSION OF AN EFFECTIVE LIEN IT SERVES <br />TO CONTINUE THE PRIORITY OF THE STATE'S INTEREST IN THE AFFECTED <br />PROPERTY OF THE TAXPAYER. <br /> <br />..1NA~........... }~.J.~.S~. <br />PREPARBR'S SIGNATURE TITIF". <br /> <br />08/19/8i <br /> <br />.'1 :t:~ -J[.... <br />DATE <br /> <br />A~ED'SIG ATURE'" <br /> <br /> <br />L.fJ ~ 0 ~-~ <br />TITLE ~..Af"'" <br /> <br />. .1.-;. ?-.~ r::: <br />DATE <br /> <br />FOR COUNTY OFFICIAL'S USE <br /> <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br /> <br />If you hi'" any QUlnlon. r.gardlng this notlcl, pl.IM contlct tn. Nlbraska Deplrtmlnl of Rlvenul. BOil 9"..11, Lincoln. NlbrUIq! 61S0SiJ. or Iny of <br />tM r.glonll offlcesltsted bilow, In Nlbrnk.a you may allD dial toll 1rH, your long dlstanc. ilCCIIH numb.' and IDO-7"2-7"74 for anllt.nell. <br /> <br />NEBRASKA DEPARTMENT OF REVENUE - Whit. and Canary Copl.. <br /> <br />TAXPAYER - Pink Copy <br /> <br />NORTH PLATTE - (3081 532.az5ll J <br /> <br />scons BLUFF - (3CII1 632-1200 <br /> <br />COUNTY - GOldenrod Copy <br />7-1.5-79 Ro\' 1 l-St <br /> <br />LINCOLN - (4021 471-2171 <br />OMAHA - '4lIZ1llM-2OH <br /> <br />GRAND ISLAND - (3081381-5725 <br />NORFOLK - '''021 371-1820 <br /> <br />THE ATTACHED NOTICE(S) OF TAX LIEN (aR .."""....U"TIe1t) IS (ARE) TO BE FILED ONLY WITH <br />THE REGISTER OF DEEDS. RCNc..w~c.. <br /> <br />THE DOCUMENT (S) IS (ARE) NOT TO BE FORWlIRDED TO THE COUNTY CLERK. <br /> <br />DISTRIBUTION OF <br />WIIITE: <br /> <br />COPIES: <br />TO BE VALIDATED BY THE REGISTER OF DEEDS <br />DEPARTMENT OF REVENUE. <br />TO BE KEPT BY THE REGISTER OF DEEDS. <br /> <br />AND RETURNED TO THE <br /> <br />GOLDENROD: <br /> <br />Bll.JJING IS TO BE ONCE PER MON'I'11 1\ND THERE WIl.1. RE NO PRE-PIIYMFlNT OF FFT:~. <br />THII.IlK YOU FOR YOUR COOPERATION. <br />