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<br /> ,_ � PLF.ASE QO hOT L"�t1iTE IN THIS SPACE � , •- - -- — -
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<br /> ' IND7IYYDUAL INCOM � •�
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<br /> ��+:a;'" SOC• SECo N0� ��4�35326 ;���-` `V
<br /> ,,� NEBR• IDEt�Y. �i�J� 380892A�
<br /> � SPOUSE 50C. 5��C. N0� 2� s "
<br /> tAXABLE YEAR 1995
<br />-,- _,--' -- L�CI'j t���r 71�V7.iVr-rV " -
<br /> COUNTY HALL JOSE A LUPEZ �_ �.
<br /> OATE OF NI]7ICE 02/14/9a 1310 E 5TN ST D `;
<br />` Dd1TE �F ASS�Sa�1�NT 12/19/46 GRAND ISl.Af�lD tdE �8�01 +';:�
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<br /> � THIS NOTICE !]F STATE TAX I.IEN XS ISSUEO BY THE NEBRASKA DEPARTMENT OF ;-
<br /> FtEVENlIE FOR Tl�EVIDUAt INCOME TAX PURSUANT TO THE REVENUE LAMS OF THE ;,L _
<br /> SYATE OF NEBRdISKA• NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME 1"u -
<br /> • � TAX�S �tiCLUDING PENALTIES AND INTERESTs �IHIC�i ARE SH�NN BEL06r ARE nUE ���- —
<br /> ��� FROM 3P9fE TAXPAYER SPECIFIED ABOVE AND R��lAEN UNPAID AFT�R DEMAND. ��'"i°��
<br /> � THES@ TA�ES CGNS7ITUTE A LIEN IN THE CGUMtY F06R PROPERTY BELONGZNG TO �'`^ --
<br /> M:--
<br /> • � TH! 7AXPAY�R C9R HEe�EA�TER ACQUIRED. �
<br /> AMauNT n� "YAx • • • • • � • � v • • • • e + • • • 220�00 �"'
<br /> � ,t s: P�NALTY • • • � � s • • • • o � • • � • • � s • � 11�00 �''�
<br /> `�� �;�_—_—..
<br /> �,�(�,�, INTEREST (tQMPl1��� q0 02/14/9T) • • • • • • • • a 16.44 ---- --
<br /> - TOTAl. AM�UWT 13UE • � � • • • e • � • • • � • • m 247'�49 ���:�=�_
<br /> I HEREBY CER'rI�Y THAT THE NEBRASKA DEPARTMENT 0� REVEtdU� HAS COMPLIED —__
<br />_- NITH THE REOf�NNE LAMS OF THE STATE �� NEBRASKA IN TNE DETERM�NA'�IGN OF '=�._
<br /> " ��� THE AMEDUN7 SH��1N TQ BE DUE� AND THE 'TAXPAYER HAS FAILED T� PAY THE
<br /> AMOUk'! �UE AFTER DEMAND. IF YHIS NOTECE Q� STATE YAX LIEN IS AN �?�-���-�.
<br /> � EXTENS30N �F AN EFFBCTIV� LIEN IT SEttV�S TO CONTINIJE THE PRIORIYY OF �'.°'�� �
<br /> TFiE STATE�S It�3EREST IN TkE �FFECTED PRGPERTY OF 7HE TAXPAYER• ;�`���°
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<br /> ' PREPB►t3�R�5 SIff�NNA4URE TI LE DATE/TELEPHON� "f`�°``t!.;�=;��.z�,��"=.
<br /> •::/�g9����• • •?i��iro`�Yi��ji�bii� • ���9��e������• ?�,• � :r�.•.:
<br /> �ED SIis�CVATUR6 TLE � DATE ' .{�:�`�
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<br /> NEBRASKA DEPARTMENT OF REVENUE—Whito and Canary Coplos TAXPAYER—Pink Copy COUNTY--Gddenrod Copy ,
<br /> � � Ain xfUrtOy Onr�tlstlPMS� 7-14SJ8 Rev.tR95 SuO�edes7•ta8�79Fbv 6�91 . _ _ -.
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