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<br /> INDIVIDUAL YNCOM � 'F,-
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<br /> ' ''� SOC. SEC• N0. 50580213b (' ' � �'`4' �`,� ''.���
<br /> NEBR. IDE�1T. N0. 38416Z63 �''� "�� � '
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<br /> TAXABLE Y�AR 1993 �'"°� �
<br /> LIEN N0. 970450128 -�
<br /> ; COUMTY j�/)'L[r DANIEF. .9 KROLIKOWSKI �
<br /> DATE OF N07I�E 02/14/9? PO BOX 549 ��: '
<br /> OATE OF ASSESSMENT iZ/26/96 M�OD RIVER N� 68853
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<br /> THIS NOTICE OF S1'ATE TAX LIEN IS ISSUED BY TNE NEBRASKA DEPARTMENT OF ;e<s
<br /> REVE�IUE FOR INDIYIDUAL INCOME TAX PURSUANT T� THE REVENUE LAMS OF TNE r: .. �—•
<br />_ STATE �� NEaRASKA. NOTIGE IS HEREBY GxVEN Tt1AT INDIVIDUAL INCOME ' ''°�`.`�
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<br /> �• T14XES INCLUDING PENALTIES AND INTERESTs MHI��4 ARE SHOMN BELOM AR� DUE _ -1-�'
<br />_ � FROM TNE TAd&f�AYER SPECYFIED ABOVE ANA REMAIW UNPAID �1FTER DEMAND. �.�. i
<br />_ � TiiESE TAXES C�NSYI7UTE A LIEN IN THE COUNTY p0lt PR�PERTY �ELON6ING TO
<br /> TiiE TAXPAYE6t qR HERE�a�YER ACQUIRED.
<br />_. AMGUPl� 4�� TAX • • • � � � • � • a • � • • • • � • 76T�00 —
<br /> PEWAO.�$'' r • • • • • • w • • • • • • • • • • • • • 191�T5
<br />- INTERE�'� (C019PUYED TO 02/14/9i) • • • • • • • • • 185•01 <.r-= -�_
<br /> - TOTAL AMOUNT DUE . . . . . . . . . . . . . . . . 1�143.76 K'-�
<br /> � �6EREBY CERTIFY THAY �HE N�BRASKA IS�.PARTMENT �F REVENUE MAS C�MPLIEO -
<br /> MIi'�1 THE REVENU� �.AMS OF THE STATE GbF N�BRASKA IN TF9E DETERMINATTON OF - —
<br /> - THE AMOUNT S4i0MN TO BE DUE9 AND THE TAxPA�fEFat HAS FAxLED TO PAY TME _ ' '�
<br />- AMOUNT DUF ��7ER DEl9AND. IF YHIS NOTICE OF STATE TAX LIEN IS AN ��' -"`'� �"�- .�
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<br /> - EXTE�ISI�N t3� AN ��FECTIVE LIEN IT 5ERV�5 TO CGNTINUE 7HE PRIGRITY �F = �-�� - - . �
<br /> � TNE �TA7E�S IN7EREST IN THE AFF�CT�D PROPERTY OF TliE YAXPAYER• . :�"''Y'��`;-:t°;' ;
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<br /> � PR�P{�RER�S GNATURE �E��.E DATE/ ELEPH�NE � � '
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<br /> 'AUT� SYG Ala TURE TI�LE � DA E ��
<br /> � NEB��ASKA DEPAR�ENT 0�REVENUE-YYhitv end Canary Coples TAXPAYER--Pink Copy COUNTY-Gddentod Copy �� 1'
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