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Notre of State Tax Lien NOTICE OF STATE TAX LIEN INDIVIDUAL INCOME TAX IF YOU ITIRE ABOUT YOUR ACCOUNT, REFER TO THESE NUMBERS: SOC. SEC. NO. 507 -78 -9397 NEBR. IDs, NO, 19776268 SASE SOC. SEC NO. TAXABLE YEAR 1981 LIEN NO. 86026951 COUNTY HALL DATE OF NOTICE 02 -26 -86 86-- loo862 CHARLES W. GLEASON 2105 WEST 16TH STREET NORTH PLATTE, NE 69101 THIS UE NOTICE FOR OF STATE TAX LIEN TAX PURSUANT TO THE REVENUE LAWS OF THE REVENUE FOR INDIVIDUAL INCOME STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME TAXES INCLUDI PENALTIES AND ABOVE AND R IN SHOWN DUE F1AM THE TAXPAYER SPECIFIED ABOVE THESE TAXES CONSTITUTE LIEN AIQUIREDHE COUNTY FOR PROPERTY BELONGING TO IN THE TAXPAYER OR HEREAF , $ 840,45 AMOUNT OF TAX . . . . . . . . 4.2.02 PENALTY . • . . 01 -2..* - _ 450.35 INTEREST (COMPUTED To , . . . . . 1,332.82 TOTAL AMOUNT DUE . . . . • . . ' ' ' ' ' I HEREBY REVENUE LAWS AT THE NEBRASKA S ATE OF NEBRASKA IN THE DETERMINATION OF WITH THE REVENUE THE A14C3L1NT SHOWN TO BE DUE, AND THE TAXPAYER HAS FAILED TO PAY THE DUE AFTER DEMANA• IF THIS 140TICE OF STATE TAX LIEN IS AN AMOUNT EXTENSIDN OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF THE STATES INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. .... 4.L Y1rf^j . _ • ... DATE PREAIH' S SIGNA TITLE !/ - -- _- . . ........... 1.1 f�L3 :.`,y ..: °mac Y L • T DATE •^ Aw , AUTHORIZED SIGNATURE FOR COUNTY OFFICIAL'S USE FEET 21 '86 AM ➢ rt,.o`' NEBRASKA DEPARTMENT OF REVENUE UFFIki a 948' io distance acce.s u"De'and I! you have any queitlU ns reba.d ln9 :nos n�:ice. Please contact the Neo�aska �eua ++r+en: OI ue�en ue. Lhe >MiIn RGI Y)ii+te6 715286 b ®IOw. in New.Ska v ntdl' 130 , MCOL% - 1402) 471-2971 GRAND {BLAND - 61 384,6829 nMAMA - (4021 554 -2085 NORFOLK -(402) 371 -1620 --� NEBRASKA DEPARTMENT OF REVENUE - Wh+te and Canary COples TAXPAYER -- P+n.. COPY -r%-TTE - i31A 53246250 6323637 NTY - G"IdenrOd Copy u m