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<br /> Notice of State Tax L.ien
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<br /> g�r PLEABE DO NAT WRITE IN TH16 SPACE --
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<br /> � LNDIVIDUAL INCOME TAX r
<br />-�:. �.:�:' . SOC. SEC. NO. 5pA906459
<br />_' '�`� ' NES^R• IDE^NT• NO. ^ 320�►5b38
<br />-��'�1^'�!�—.�. • JrY�JG JY�• JG�^..• ny•
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<br /> � �r+�:-:�,%:'•! � TAXABLE YEAR 3993
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<br /> � IIEN N0. 9716�►0190
<br />"`��'��•�" COUNTY �+fjLL �S KELLY K MANLEY
<br /> '�' ��� "� ��- ' DATE OF NOTICE 06/33/97 96T9 LAKE NATOMA DR
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<br /> �--.:-� :. •�. OATE GF ASSESSMENT 04/Oa/9T ORAN6EYALE CA 95b62
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<br />='=''�<<��;Y�°^, THIS NGTIC� OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF
<br />�-~��.�`�'��., � � REVENUE FGR INDIYIDUAL INCOME TAX PURSUAN7 TO THE REVENUE LAiiS OF THE
<br />�'����:� STATE OF NEBRASKA. NOTICH IS HEREBY G�YEN THAT INDIYIDUAL INCOME
<br /> TAXES INCI.UDINC PENALTIES AND INTERESTt MHICH ARE SHOMN BELOM ARE DUE
<br />�=�'a�:� � fROM THE TAXPAYER SPECIFIED ABGYE AND REMA�N UNPA�D AFTER. DEMAND.
<br />---- =,�.;�:� � THESE TAXES CONSTZTUTE A LIEN IN T1iE CGUNTY FOR PROPERTY BELONGING TO
<br /> '`'��u�-- ° XHE TAXPAYER OR HEREAFTER ACQUIRED.
<br /> --:�`'��`°. � AMOUNT OF TAX • . . • . • • . • . . • . • • • • .
<br /> �-,;;c���� ,� 1�499.00
<br /> :1��l;°� P@NALTY � • • • • • • • � • � • � • • • • � • • . 373.T5
<br /> INTEREST �COMPUTED TO 06/13/97) • • . . . . . . . 404.4T
<br /> ` "�'�1= .� TOTAL AMGUNT DUE . . • . • • • . . • • • • . • • 2 s�73.22
<br /> ' I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT Of REYENUE i�lAS COMPi:IEO
<br /> �—�w� .� MITH THE REVENUE LAWS OF THE STATE OF NEBIiASKA IN THE DETERMINATIQN OF
<br /> ` — ` YHE AN�UNT SHOWN TO 8E DUE� AND THE TAXPAYER MAS FAILED TO PAY TH�
<br /> ��-�°��� � AMOUNT DUE AFTER DENAND. IF THIS NOTICE OF STATE TAX I.IEN IS AN .
<br /> -��s����' EXTENSION OF AN E�EEtTZYE LIEN It SERVES TO CONTINUE THE PRIORITY �OF
<br /> `�'���'�,��=�=; THE ST �S INTEREST I HE AFFECTED PROPERTY OF THE tAXPAYER.
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<br /> . ; PREPARER�S GNATURE TI?LE DATE/T LEPNONE
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<br /> . �1Ur��ZED 5 GNATURE TITLE �� DATE
<br /> � " NEBFiASKA DEPARTMENTDF REVENUE-VYhRe and Carwy Copks TAXPAYER-PMNc Copy COUNTY-Gold�nrod Capy �
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