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neoraaka of State Tax Lien <br />tt»en; <br />O1 rev4ntte <br />__NfflCE_DF S'rA-M TAX LIEN <br />Ifa1DIVIDUAL INCOIE TAX 86-10122-6 <br />JW VDU INQUIRE ABOUT YOUR <br />A ITr REFER TO THESE NUf EltS <br />,SW.. SEC. NO. 329 -%WA2 CONCEPCION RE-YES <br />IONt. IDENT. NO. 284381191 <br />SPOEM SOC. SEC. NO. 714 W 1ST APT 4 <br />WEAR 1982 GRAND ISLAND HE 6BSOI <br />LIM ' NO. 85271009 <br />iogwry MAU <br />DATE OF NOTICE 9f2$J#w <br />Tit NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPAitIMENT OF <br />RVVMWE FOR INDIVIDUAL INGONE TAX PUtSUANT TO THE REVEiUE LAIRS OF THE <br />3T=l OF NEBRASKA. NQTICE IS HEREBY GIVEN THAT iNE XVMUAL INCA <br />TAWS INCLUDING Pf:NALTIES AND INTEREST, WHICH ARE SM10 BELOW ARE DUE <br />FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. <br />THEME TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING TO <br />WE TAXPAYER OR HEREAFTER ACQUIRED. <br />ANfUM OF TAX • . . . . • . . . • • • e 155.04 <br />mom LTY . . . • • • • • . . . . . . • 0 7075 <br />SST (COMPUTED TO 09/z$/85 . . . . . . . . . . . . . 54.16 <br />TOTAL AftOUNT DUE . . • • . • 116.97 <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />MM THE REVENUE LAIRS OF THE STATE OF NEBRASKA IN THE DETERfMI'NATION OF <br />TW AMOUNT Sf* MN TO BE DUE s, AND THE TAXPAYER HAS FAILED TO PAY THE <br />AVOW DUE AFTER DE hkD. IF THIS NOTICE OF STATE TAX LIEN IS AN <br />EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF <br />TFIE ST •'S MEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. <br />l � <br />fR'S �IGNA E TITLE, DATE <br />At?TIOR ED SIGNATUfKE TITLEf DATE <br />FOR COUNTY OFFICIA.LSS USE <br />NEBRASKA DEPARTMENT OF REVENUE OFFICES <br />If you tla.e any questions reya rtl:nG the notn_e. L'lad se contact the IV enrdSS,J Dep drrl—rit of Revenue. box 94816, LinCoin, Nebraska 68509. or any ur <br />the reylonaV Otfices listerl nelo.v. in Nel)rask, t .'< .i '.�l ay' aiso diai toil -reel your IOnV olStariCn access nU,t] and 900- 742.747+ for asilstance. <br />LINCOLN - 14021 471.2971 GRAND ISLAND - (3081384-6829 NORTH PLATTE - (3081532-8250 <br />OMAHA - (402) 554.2065 NORFOLK - (402) 371 -1620 SCOTTS BLUFF - (3081 632.3637 <br />NEBRASKA DEPARTMENT OF REVENUE - WhnN a-, Canary Ccn,es TAXPAYER - P?nl Copy <br />m <br />COUNTY — GOICle -od Copy <br />7 -145 74 <br />J <br />�3 <br />3 <br />