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.~Mbr....e "'rtrnent of revenue Notice of State Tax Lien 88_ 104120 RENEWAL OF STATE TAX LIEN INDIVIDUAL INCOME TAX I IF YOU INQUIRE ABOUT YOUR ACCOUNT, REFER TO THESE NUMBERS: soc. SEC. NO. NEBR. IDENT. NO. SPOUSE soc. SEC. NO. TAXABLE YEAR LIEN NO. COUNTY DATE OF NOTICE DATE OF ASSESSMENT 508-86-9760 24848883 JUBENCIO AND MARTHA AGUIRRE 1978 83133177 HALL 05/13/83 05/13/83 2424 WEST LOUISE STREET GRAND ISLAND, NE 68801 THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME TAXES INCLUDING PENALTIES AND INTEREST, walCH ARE SHOWN BELOW, ARE DUE FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING TO THE TAXPAYER OR HEREAFTER ACQUIRED. ........... $134.24 6.71 77.33 218.28 AMOUNT OF TAX . . . . PENALTY . . . . . . . INTEREST (COMPUTED TO TOTAL AMOUNT DUE 05/13/8)) I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED WITH THE REVENUE LAWS OF THE STATE OF NEBRASKA IN THE DE'l'EIUIINATION OF THE AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER HAS FAILED TO PAY THE AMOUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF THE STATE'S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. .. !f~.~........... (PREPARBR 's SIGNATURE .~~J, . . .~. .. AUTH RIZED SIGN 2~.$.~~. TITif: . r - IJ~. ~J . 1- (J. ::-. TITLE ~~ . 'J.'.U. :!!. . . . DATE /' . .Z:?~ :~.~ . DATE FOR COUNTY OFFICIAL'S USE NEaRAIKA DEPARTMENT OF REVENUE OFFfCEI If vo)' ~'d .I'I~ au.tlon. ,egardln, ,nls notice, P.... c.ontact tn. NeIt'..1U Department of AevM1ue. 80x ....1.. Uncol", .....bralQ 11501, Of any 0' t....~n.l cfflc:ellllt.a l)a.law. In Nebr.Ska you may 1110 alii ton ft.., )four 101'18 Ollunca.lcceu number .na 'Oo-7"2~7&1. to, ..lIlltanta. /1 " LINCOLN - C.ozl ."a7' (lIU.HA - lIlIIl...- ORAND ISLAND - 1101'.'.1721 NOIIFOU - ItlIIJ 171-1110 NEIIl'IIA.IAA DEPARTMENT OF REVENUE - White .nd Can.rv Copl. TAXPAYER - Pink Copy NORTH PLATTE - I'" UZ.a5ll J. ICOTTS .LUfF - 1M' 02.1100 COUNTY - Go_rod Cally --~- - - .. - --.. THE ATTACHED NOTICE(S) OF TAX LIEN (~ 1'Hllfllll.'Tl81l) IS (1\RE) TO BE FIl.ED <>>fLY wrm TIlE REGISTER OF DEEDS. &.,. ~A.... THE DOCUMEll'r (5) IS (1\RE) NOT TO BE FORWARDED TO TIlE COUNTY CLERK. DISTRIBUTION OF COPIES: WHITE: TO BE VALID1\TED BY THE REGISTER OF DEEDS AND REnlRNED TO TIlE DEP1\RTMENT OF REVENUE. ~LDENROD: TO BE KEPT BY TIlE REGISTER OF DEEDS. BILLWG 15 TO BE ONCE PER MONTI I AND TIIERE WIT,L RE NO rRE-pI\YMF:NT (If' FFE~, TIIAIlIt YOU FOR YOUR COOrERl\T I all.