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<br /> ••� SOC• 5��. N0. 506335326
<br /> '� �5°� NEBR. �d���lT. N0. 3808921�
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<br /> - � LI�N N0. 9T0450148 •���+�� '�, ,.�
<br /> �':���� C�IJNTY WALI. JOSE A L�PEZ '
<br /> '� '-'�'�` DAT� i3� �1D7YCE 02/14/9? 1330 E 5TM ST D
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<br /> ��°�{`'�{ DATE C�F ASS�SSl��NT 12/19/96 GRAND ZSLAND NE 68801
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<br /> � THIS NOYICE OF STAT� TAX LIEN IS ISSUE� EiY THE NE�RASKA DEPARTMENT OF -
<br /> _ ., �'� REVENUE FOR IWDIV3DUA6 ZNCONE TAX PURSlG1aNT Tf� TME REVENUE LAMS OF THE - '
<br /> . STATE �F NEBRI���A. N�TICE IS HEREBY GIVEN THATi INDIVIDUAI INCO(�r ';x. ?�`
<br /> YAX�S INCLUDIN� PENALTIES AND INTERES7s WHICH ARE SHOMN B�LOW ARE DUE }4`:``t ''�.-
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<br /> FROM YNE TAXPdr�Fi SPECI�IED A�OVE AND R�MAZN UNPAID AFTER DEMAND. �"'=���--
<br /> �s�'�:'�r�� , THESE TAX@S CONSTITU4E �, LZEN IN 'PHE t�4�NTY FOR PFtOPE�,41( k3ELONGING T� �=""-"''=-
<br /> •�:;; .`. • THE TAXPAY�R �R HER�AFV��t A�Q,LIIR�D. � '�T'g��.��,---.
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<br /> AMCUNr oF aax . . . . . . o . . . . . . . . . . . Zzc�m� ,��_,�,_--_
<br /> PENAI.TY • w � • o • • • � • • • • • � • • • � a� � 11��� •-L"
<br /> ' INTEREST (CmNPUTED TD 02/14/97') • • v • . • . � . 16.4q ,.;;;��:,����-,==_��-
<br /> T�l7AL AMOUNT DUE . . . . . . . . . . . . . . . . 247.49 -���.,-°�':_
<br /> I H�RE�9' CERTIFY TMAT T�iE NEBRASKA DEP�16R7MENT OF REYENUE MAS COMPLIED � '� �
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<br /> , MITH TH� REVENU� LAMS OF THH S7ATE �F NESRASK�, ItN THE D�TERMINATION OP `''" �''�°.,-``�°
<br /> THE AMOUNT S��+�hd T(] IiE DUE AND THE TAXPAYER HdS PAILED TO PAY THE �'' �'°" ,''`'��'�'�►�''
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<br /> AMQUNT pUE AF7�� DEhsAND. EF THIS NOTICE c]F S7ATE TAX LIEN IS AN '`�" ''�•y.�;�!;`;<<.t � '
<br /> EXTEwSYON OF AN EFFEt43�iE LIEN IT SERY�S TO CONTINUE 'tHE PRIORITY OF "��'�`��;�'"�� �
<br /> tHE s�ATE�S INTEREST yl� THE AFFECTED PiipPERTY OF THE �AJ(PAYER. ���`�:�'��;��'
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<br /> PR�PAR�d9�S SZC�iVATURE T= LE DATE/TELEPHONE ':�;��;
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<br /> , AUTFI�fRY�LEQ SI�6�ATURE YTlic DATE �
<br /> NEBRASItA DEPARTMENT OF REVENUE—Whita and Canary Copies tAXPAYER—Pink Copy COUNTY—Goldonrod Copy
<br /> _. , vMree�wm sor���rn�vws� �•,az�e a�, 1695 SuDOr�uCEf 7.1tS70 Rov s-s,
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