t: ,_,_;� <<:= - }--- - ___�� _ _,.,�
<br /> ;.,—.2. F ' ._ - ..__ __ ` . .K<,Y'. /r'.0 - �cW.iY� '.
<br /> :�� � -� . ; ` F ..r�. � - �.ti tl�
<br /> _ 'S; 7 - � � y'� � . ! c.Y-.y ;yt x,' •+-
<br /> 't, `4 i,h � _ - - y r� .
<br /> `� - -i • r� _ �. � . r- � 1 _
<br /> t r t ` .. u �"rf 'YFY �_ - , �. . . . . . 1 4
<br />. 'J • �� , ��J � . . .ff .. - - _
<br /> �. .i ', � . . 7 i. .. . . � � Y _ - � + c• ,.a .
<br /> �h. Tk� G `� . . . . . . .. . ,. , } .4.. �i�. 4
<br /> � ` .. 4 }y .�+� . . f. '- . ... ` • . .! va. - - _ . �[ •
<br /> `. . Fi . ' - -, . .. � - , ,.',7n` . .i F,. `'`;.l — _ t�t( ...
<br /> . , r �. ` . . , •y
<br />.� • � 6`,`. r � � ...
<br /> , � �� � � �� � .
<br /> ,'. � ` • � � .� � c°� �� ,ag .s -�;.
<br /> ti.' '�:. � ._�' h d� 6 � .
<br /> .. . D r"� ° i °� �� �` `� . :�
<br /> � i` � � �
<br /> �-_.-`' � �7� p �1 �a �� � � � .
<br /> � , "'a� � e � r a � ..1 ,
<br /> ,. � � � tRt� � ��'O �� •'� '^F< •
<br />: . - � � . _ � J � c�s o+ �, r`� ,
<br /> . r' � � � .
<br />- � �, � Noti��of S#at� 'f�x L�ew =
<br />_.. 'C r , �� 4
<br /> . , r ' � �
<br /> t�` �.. . � � � ..
<br /> . • ��as�a��twc�rEw�teass�a� ��t •
<br /> -. • '. . � -r
<br /> _ . . .. .
<br /> � . � '����.�' YER�dINAY30N 0� S�ATE YAX LEE�1 .
<br /> ��". �'�: ;:`. :' . INk11�dIDUA�. YHCGNIE '�NC
<br /> . � ; � IF YOU INQUIktE ABOUT Y�tJR . ' �
<br /> � �•�`'�� ACCOtiNTsr REfFER Y� Y�tgSE NUMBEtiSs . � . ��_?
<br /> .. . . �--_.
<br /> . . ��;;��'. � SOC. SEC• NOa 508543744 . � �::
<br /> ' NEBR• �IDENT• N0. 9.5?.�9261 �•-°�
<br /> �� ' . .�. . SPOUSF 50�. SECe NOe 5086�Tbi4 � � =-^
<br /> � TAXdIBLE N�AE� � 399� RHC�IAt6� J 8 l"�ARY ANN ENE�Ol.DS��f � �'�:
<br /> �_,,._
<br /> . � �� LSEN �1lOe 460050256 3�0� SEtUTO'0 SY�.V�ts , . . " ��={
<br /> ' f `� ` !.g£N EtEE.EASE NOo 9?�5�a� Gf�AND IS�l1ND i�fE. 68801 '"'�-_'_
<br /> � HA�L
<br /> ; . COtJ(dTV 04/23/9� " �-
<br /> . � •• " DATE OF 1�90T3[CE �}DQ _--..-
<br />� . � � ``. INS'�KUatE�V N0. •4�:.oI D�%O S • � � . -__
<br /> . �,�.,, - ,
<br /> ,�.'„ ,�.�t'� :. ::. �"::
<br /> PUR�BiANY TO YHE REtf�NUE LANS OF HHH STA7'E OF NEBRI�LLA: HOTICE�3S __.._
<br /> � � ' NEREBY G2V�'.t1 BY TH�� NEBRASKA OEPAR4MENT OF REVENUE TNAT .TiiE �r-
<br /> �- � STATE.TAM ii�GGN �OHYCN HAS BEE�1 DUtY FILED AGAINST 4#�E AB�VE NAMED . ' '
<br /> � �•�-�-
<br /> ' �� ` TdXPAYER FiS;� INDYF9IDUA6 It�tCGI�E YAXES IS T���I�ATEOe . E_._•.
<br /> , . , �;;,.,-
<br /> � � Y.HfREBY CERTxFY THAT THE NEBRASKA i��iPAiiTMENT OF REV�HUE HAS CAf��R.Y�1D � �='`.�
<br />:~ ;,'�.. � MEYH THE REV�NUF LANS �iF THE TATE t,'i� N�Bl�S4CA IN ?H�C DETEli�fIN�TESit���1F � ��-�
<br />- r � � ,7HIS 4ERMINATION. . • '
<br /> • . � . : /� � � . � -
<br /> � :. ::,,��: �. . . .
<br /> �� � .. � �Z .
<br />- '�:''•"�5'y�' . �F.• s ��• • a�• • • • ��s�os ' •��• •�j�ivi���� . ��;f.
<br />;;.,'�?`.�i?��:". e . � DAYE
<br /> . • . . . P���'AttE[d S SIGNATt113E ITI.E ,
<br /> ,„ ��_-
<br /> . �:�� / f �.,G� —
<br /> , . .. ':
<br /> , '.. •• � • � • •s�i���l.if���•
<br /> �' • � � ►�� AUYHORIZE YGNAtURE � '6LE , DATE .
<br /> � NEBRASi(A OEPAFiTMEM'OF REVFAUE—{MiAe and Cenary Cayles TAXPAVER--FJ�vc Oopy COUMY—Qo�latttod CaDY
<br /> —=. Piiled �iL�attJ.��C'-.R=► , 7•tISlBiiar.10999�OKb��1r97bROV.S91
<br /> _. � . . . .��./�v"r��/`+� . _ _ . ._ ..... • . � . ., „ - .. � ._ ' .. �� .:... . �.
<br /> i..�. - ,. - ' ` . ,. . _ . . ._ . ' . '
<br /> .. . . � . . . . .. . .
<br /> .. . . ... .. . . . . ..
<br />-.._ . ... . . ... �
<br /> - . . �. . . . � - , . . . . . _. . . . � . . .
<br /> ._ . .. ._'. . . _ . ... - . . �� ' . • _ ' . .. ' . .. � � - ' � . �� � '-.. � ... _ _ . . . _. .. : , . � i . .,.-
<br /> . . . _ , . . � . . . . . :
<br /> •�• - � - � . . � � . . ' � . .. ' � . �� - , �� -'_. _-. .....� .
<br /> • - . � � ' .. _ . . • .
<br /> . � ,
<br /> . . � .. . . � . _.
<br /> ... . _.___. - _- .
<br />... �..- , � ._.-.. _..._ .-.. __—�- - . . �- - -
<br />
|