'_ .� . �+i:..1�!_..�.�_ ..... . _
<br /> � . . � .. . '^— . . .. . .... , _ -� � . , � . ,
<br /> .:.�. , . . . " . ._ . . . " ' "_ - ' ' -- .- -. ' .
<br /> � _" '- . . .. _ ' ' . . " .'C . """ _ � _ . .
<br /> _ L .i+e5ut.ir�J _ _ _- � . ' ' . ' . .i� �' , . -�' _
<br /> 'S . . � .. 4 � �? y •' ,�1C-sTt
<br /> ,_— ..a\..s.�d�: .. . . .-- - —_- - .'� s,.� ' _-_ .— —_— .' . .. ... -$ _ . - . �4^ �.G..<<.
<br /> � r�- -•. . -
<br /> ,
<br /> . , . 4. _- .. ' _ :- . . .k•
<br /> F __ _ _ ' _ _ _- _ 1 " . -�' -_'s� L._..-_ __ _ _ _ _ i2u_�—J.,r� r�_x�`�,
<br /> - . . . . " .. . . . . � . - — .�:� .
<br /> . - ' . . . . Lg- `�'�. ; ' , _ i . _ `� ' 4, ,�+, ti.
<br /> �i`, N 'F` ° • . �,. � •+' �� yv .� . ` ` . L` , � � s�� F . . . �i � ;- � f
<br /> _'' . . �.y...�.�...._s:.:...�-ar b - ...:�:�-.:s.,:.•.:._. ` ... t _ _S
<br /> . `� . ..
<br />� .` , ` - ���� �� n N �' �� �, . , r,�."���' ',` ' .
<br /> . � �� -- ����^ 9 � � � °° , } '4•`��` °� -
<br /> E M1(, ` - rn \v � � (.
<br /> - < � � ( • i� � � { o � � � ��� � .
<br /> � ? - � � N -n z 0„a � . �
<br /> i, � . .
<br /> '°_>-'_`•z � i'� = `*� `- -
<br /> ,:_t:Fs��� � � i', � ^� � Oo Q '� ,. . .
<br />. . ., t � O �'� '+! T' �f 67 - ` ` '
<br /> �i ;ri Q 3 r p � ;- �r.,�,. .f. ��i.,;
<br /> . �
<br /> _ ` ,.� � j'�.`F � {R /i ��' D � � � S '' �y �`�r:~
<br /> _ . :; i�lE � � vv � . - .
<br /> : �� Q'� � • tn f1 ;:�ts;:_: . . . .
<br /> .�� ts� � ..�� • � �
<br /> , , - � . � fr r<; .
<br /> �s��a-;
<br /> ,.,;�-�rri.a�.:
<br /> e' . ��. J � j, ifi)-Kr,�x�+.
<br /> ` �:i r � �.-
<br /> __ :, � 8�o�c�of �#ate'T�ac t��� �; ; . �. - ��_
<br /> -.'t� r 4 `< '' .. .�-�;�__
<br /> ��� t �+ � y �G °s �, ` .�:r,,-��.s „
<br /> f , ,. ;: �-� �� ;:
<br /> �
<br /> . , . oseerow �'•„ y��r ,�.,•.
<br />.;7 < . � PLEASE 00 NOT�GGt1 TlQS�ACE � ,
<br /> .- sv�..r . r'
<br /> � i ��i'a'' e�.< .;r u !t-'��'� :•°�r`.:
<br /> � . h:���j� .C:.i. . . .. aF�'j r � .�-,.��'�
<br /> r..��� . ~ �tt =i�
<br /> t��T��t •i' 4r{I? '
<br />.- `•l'I , . ���yS� � . .[::� `i� � .
<br /> ' � '� � iIAL I[d6:OP4E TAX '� , �`' ����.�,, ^
<br /> � } .... �+. H��i IO _ ..
<br /> t.�� m ,_
<br /> .'�.:sr _a.'
<br /> • .�•f,� � ��
<br /> � � '' SOC. SE�• HOo 6�&8�l,�5�i3 � Y `
<br /> •' '�<.�'. ' .:�; NE�It� IDER1Yo iuQa 394a�tfl38
<br /> �. `� _
<br /> ,.. �._}�: Q ���"����
<br /> , � '. �; SPOUSE SDCa. SECe iiTOe '.< �,-:
<br /> : i ,_ `�' Tl07(ABLE YEA4I $99Z _ , � �, s�,� ;,� " n
<br /> LYEN l�Oo 9TF6b�fD53 ��• .� S,
<br /> �ALI. AEn6EL A��IdRE1AE��� �:, �:>°�.'`.
<br /> +,� . � ;, �
<br /> i 6t�� 4.'r'
<br /> } �4,,'?, �� ; DATE�OF slOT�EE 031��'/4� ' Ylb � P��1� � �,r a���� �L,,`i
<br /> t ,''' .;�,; OATE OF �S�SSt�1�N� /-�:''�� GRAtdD La�l.AtVD N�� 68$� ; ,�r ,y ���
<br /> .� �„�—�
<br /> � �t � , . �. � � ��-:
<br /> -_____(_..� . _ .. . . — �-:�..-_ a�".r
<br /> � i x f 7�'} �rs��
<br /> � TWIS NOTI�E �f STA�E �JUt b.$EN YS YS�F+L� .SY Tl�E NEBRASbCd DEPA�TF9EBaY r 0s�t ���. � ,e,,,,..
<br /> � tiPVEI�UE FOR Ilt�?IVEDUA� IN�C�S� 4AX PUFtS10ANY 8� �NE REV@Ntl� 1.A4iS OF T�1�C� "�-'�� '� '
<br /> `, . . � - , .:`���:
<br /> � •. � STl�� Q� ['��,43��Kl�o id13?�C�i.$S &lEREBY 6YilEM T�C�9pT Il41DI19�IDIbAO. 3Nt0'!�!E ;; : .�;'';'�'��-°-
<br /> TAHES YNC�.ItDI�1B PEMAR.WI.E��-I�P.�D INTEREST� �IHI�(ti ARE SN01Qfd ��4�1H A� 061� � . ��.�"_�.
<br /> }r�,. _ �RQ� Tti� YAXPAY�R SPEEI�I�• ABWYE AND REN1�iN UNPet�:,W�TEtt� DEN�ND• _ — _
<br /> ..,t . '�9�$� TAMES CGNS48TiJ�� �1..�.IEPJ �IN THE COUH4Y �OR Pi��'�QtTY $E�Q6IGYNG T� . �x���, °- --
<br /> �'..��,; . ;.:. Y., ut�,A. ----
<br /> � - T�a�� �a�A1��2 a[� wErc�a��R:. ta�au�aE�. � t �h� --
<br /> '� p A�4�Ul'�:� Q� YA?Z e o ,b � m � • • � • • s o • • • • • '�t�0� .c. -zr•�,:
<br /> OENA�»�f o o • o o• o � o e • • o • � o a e • • • s �7IZaTJ�' . °_;,���
<br /> . IE'�TER�SY �CQM�U�TcD' �0 03/Q7/97p s • o s � .s • o 0 90�8� . � .' _
<br /> � � TOTAA. mMflUt�`� DUa� • a • o • w • s • � • • o • s s 444��� , `.S �t �
<br /> �� I l�F.�IF.�Y CERdifrY:4tt1p� Ybl� t�EBRASKA DE�AE3T�'� �� ttEYENUE HAS C��f�A.IED . -� -
<br /> ` « �� . :: aITH 1t4E E3EVEt81l6� 6J1MS� tBC� '�ti� STATE OF WEBE�KA aN THE OETEI�MINATION OF , ' :.,� . ;'.: ..+
<br /> Ti�E dlMOUNT SHO�AN. Y� 8�� mU�� dt� TME �AXPAYEfR HAS FAEI.ED TO PAY Ti4E �°;�'�-��� ��^
<br /> _ .`�,,;1;�;`,, Al'40U�1'► mUE A�1'Et3� O�i7lJpdi�b H� YO�OIS PdOTYCE QF STATE ?A�t 6HEH YS AH '�����.:� : '
<br /> , s,��;� `.�� _ ExTENS�ON 0� AN� EF�r�G�'��f6 a..IEN IT ��RVES TO CQ1aTINSS� 'dNE PRIOftIYY GF �.'���:,Y
<br /> - ':j 1�w�:1. � � T@dE S TE�S IN F E t t T N� A F F E C Y�O P R O P E 8 3 Y O F Y H E T A X i t��E E t. :'���;,'���:. ��,;
<br />— ,;,�.,�.
<br />_ :� .
<br /> � � �s�c� " " ~}'7 � r S .�
<br /> .'. �. ����,/,(Q���,�Q ��� ��/I��'�.r-
<br /> - e • d��i�'�e�a • ss�z o����soa •� �i�iifYo :..`t
<br />..i�.�� : . , P�iEI�'1�CiER• I �UAE T�YLE OAYE TEL�l6�Od�'�� ��;�.: •
<br /> .. �
<br /> F. .. ; .: ... , �/��/�/J/.'.�
<br /> -.; - ' �. � • �Y�o ���i�� v •so�►�'30"ff�•�•��,(��O�O�veeesv ; • , .
<br /> � � % AUT �0 S NaATItAE TaTL� u�►�� �••
<br /> .�_,. . .
<br /> ,_ . . . NEBRASl�ADEPARTkIEMTOFREVENLiE—Wh�eanOCt�ttNCoAt� TAXPAVER—�inkCCpyt, QOUNiY—Gof6�ta0C4py1 t" ": ... :
<br /> t' s taS79 itau t097 S�aROOc�s•tc9.7a Rav.S91 , �".,;
<br />'-'. , Asftdast htan a-'� �� . _
<br /> i.. � .
<br /> �,�.,.•--.r..-.....-^,--�--�--`^.-.�----
<br /> ..
<br /> � . � � . • � . �: . . . _ ,
<br /> ..... , . ,
<br /> .
<br /> -��.:.. � ..... .. . ... . . � . ._ .. .. _
<br /> - . , ' � . . . , , �. . .
<br /> � -_: . ,;` ' ' • -- '. • • . � . . • ' , ' ` �, ' _' ' . ..
<br /> ',.: ' ` • . . . .
<br /> .f.. . _ - '. . . . . _. • . � � . ; ' .� - .
<br /> -��. . . . • � . ' . . ' . _ . . - . " ' _ _ ' . . � . ' -� . .
<br /> " ___ ._. ._._. . _.. .._.._ _..._. .. __... . ." -'"' _ ___ _ __ __—_ _ _ _ _ _ ' _ _ _ " _ ...._. ._._.
<br /> ..... . .. .. . ..
<br /> . .- _ ."_- _ _. _._._. ._. _. . _" __._" _".... . ... .. . .. .. .. .. .... . ... .. �. .____ _ -- — --- ._.._.._ . ____ —
<br /> ... . ... . . .. ...... .....
<br /> � . —�. — .•— �. . - � If1 .,' .. ,_._ . . . ..__ . . .
<br /> . : .. . .. • . � . .. .. . ' • ' ' , il, 1 ��.� .. , • .. . . _ � . . ' . . .
<br /> , - . - , - � . • �_ � , � ' •�l� •. •f—. ��'.^'�mn+..•.en...t-� �.�^^�4��S'.�..._ .
<br /> .}-. ' ' . . . . _ � . . , ____-._ r.���....�....W«��...��_ _�«.�..._�.��..���.�......��..����..��...�.�e..�..����.-��.�����.����w.�.�����.�-_-_
<br />
|