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<br /> . �.,� , tOME TAX � ,
<br /> � I[�1DIVIDUAL IN
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<br />� .. , .t SOt. SECs N0. 508545979 � � � �
<br /> . . - NEBR. IDEM'�s HO• 32414@�6 ,�,:,:�
<br /> ': :����_-- .SPOUS� 50C• SEC� H0. . �xr::-
<br /> � .:.,,�;;,; `�;.� TI�AB�E YEAR 1996 • � , � �-,�:.
<br /> �.,,'::r�i��'��. � I.IIEN N0. 4�23�aOZF�69 '��
<br />- . ��,�>:�.; �
<br /> CGUNTY /-/AG� LARRV M BI�RG�iS@CX
<br /> � � ..` .,. DatE aF NoTacE � os�2�l�� 678 fR�lNK�YN AV� . .
<br /> � .� � - DATE CF ASSESSMENI 06/03��? , CGUNCEl. BLtiFFS �gA ga5a3 � � �
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<br /> _;� . . �..�;-'
<br /> _ ' _�:J'..-' - .- � 4�?- .
<br /> , T�3IS S10�IC� G� STABE TAX LIEh 3S 35SUED Bll BHE MEBttASKlA OEPARIMENT GF � r`
<br />- � � �'' ' REVENlJE FOR INDId3DUAl YtdtGME TAX PURStlANT TO THE REVENVF LAMS OE THiE � '
<br />_ A E gF NE�RASQ�A. Np7�CE IS HEREg�t GIVEN BHAT INDIV�DOJAL ENCOME �� .
<br />�',- .,,5;�5<.�.;.�, . .. ._; S� T
<br /> ''{��y'� � ?��5. INCLUDYHG PENfA0.7IES AND INTERESTs �lO�ICl� ARF SNDNI� BELGM ARE DUE �.
<br /> - ::(c;:;:..� • ��
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<br /> � ��. '� =' pROM TiiB TAXPAYER SF�CiFIED ABOVE AND REQ4AIN UNPAIO AFTER DEI�IAN�..
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<br /> �� �"'`'�� �. �� t ; TtflESE YAXES CQi�SYI�UTE A �BEiV IN THE COUHTY �OR PAOPERTY BELONGING TO .
<br /> . THE T1IXPAYER QR NEREAFTER a�QuTRED.
<br />� �'�;.��', . AMGUNT OF 7AX •. • • • '• o � i s, • • • � .• • • � s 327�00 ,
<br /> '`.. �:,�:':��_,'., {;;!` ; QE[�1ALT� • o • • e � • • o .� a ,a • .• � •..� • •. a �'• 32•35. ' • �
<br /> - :..',.;;,Sy�;�'�';.�;;��;:�� IN4ERES4 �t��IPUTEO TO�08/22/8�'�� .. . . . . . . . . io.ao �
<br /> .�� .� ` :' TOTAL L�G6JN7 8UE s �. �'_ � .• o' • • • • c � • • • . 369.75 �,
<br /> �'f ': I aEREBY CEt�7TIFY THAT THE N�3tASKA DEPARTMEC�4 OF. R�dENtlE HAS COMPl.IED _
<br /> � � '� '� '' MgTH THE REVENUE dAilS OF 1l�ifr STATE OF NE�ttASKA.IN THE DE'rE�iMINAVIGN OF `"`
<br /> -:- ��r�>i��.'. �� ' TilE AQdOUNY SH0�1N TO gE DUE9 AND TNE 4AXPAYER HAS FAZ4ED TO PAY TH� •
<br /> � ' AMOUN? DU� A�TEEt DC�dl�1D• 2� 'TNIS NOTICE OF STAYE TAX I.YEN �TS AN '
<br /> -�� � � ��` } EXTElVSIGN OF AN EFF�tT�VE LIEN IT SERVES TO CQN�INUE TN�� PREO�IYY OF . _
<br /> . � T�IE STA�E�S INT�REST N t�� AF�EC7E0 PROPER�If OF THE 'iAIfPAYER: �
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<br /> � . . PAflER� I NATURE TITLE DATE,I LEPMODi�
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<br />-; � H D S ATURE TIYI.E� DATE
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<br /> , RdEBRiLSW10EPAATMENT OF iiEVENUE—White and Canary Coptes TA}(PAYER—Pink Copy COUNM—Go;denrad Copy
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