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<br /> . : INDYYIDUmL IWCaWE YAX -- �
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<br />_� . � '` SOC• SECe NOo 6100�17T0 . .
<br /> . �.k; NEBR• aDENT. NO. 35923334 . �:'=-
<br /> � SPOUSE S�Co SEC. N0. , ` i�%-_
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<br /> � � ' �� -TAXABLE YEAR 1993 � . ' ----
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<br />- ' , ;;;r . DAYE Q� NO'�ECE � ! 9I47 54�1 OH30 AltE l�lEi LAT E44 � �-_l=
<br /> , - DATE OF ASSESSt�ENY Q4/08l�'� HUR�N SD 5?3S0 ,. _
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<br /> " � ' ` THIS IVOTICE �� STa�E TAX LIEId IS 3SSU�D BY THE NEBRASKA D�PARTt�E�iT OF
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<br /> REYENUE FOR INDYVIDt�AL INfiO�lE TAX PURSUAhIi TO Ti�� ft1�VENUf LAiiS Q� THE. � _:
<br /> � 5�'p4E OF NEBRASKAv. N04IC� Y� HEREBY G�VEt� THAT INDIVIDUAL ItJCOE��
<br /> � � 1AXE5 YNtWDING PE'�A1.tIE5 AND IN'B�R E S Tt W H I C H A[�F S H O N N B E L Q M A R E D U E �
<br /> -?;;:y�t.,�.�' '.. .. ,�`� EiM HE AXPAYER SPECIFIED A�011��:QND REMAIN UN&��1 AFTER DENANt1• �==�°_.
<br /> Ft� T T _
<br /> . ��' � ;i£�,5g YA2L�S CANSTITUTE A �N Iti:�'�4�� COUNTtf FOR PRDPERTY SELONGING 70
<br /> . THE YAKPI���R OR WEREAFTER 1���YRED. � '`•.
<br /> .��. .. � . Ac�auNT oP 7ax • • � • • • � � ••�• • �• � a � • • • ' �T8�00 . .
<br />-- PENAL.TY . . . • . . . . . . m� o . . . . . . • . . 128.75
<br /> -- � � IMYERESY t[dMPUTED '�0 OS/29�'�`di � o • • • • • • • 342•20 �� .
<br />— • � . TOTrA�L AMGUNT DUE • • • • • :, • • • • • • � • • • 448•95 .
<br /> � � �� I HEEtEB�'.�;ERTI�Y THAT TME NEBRASK/! DtePARTMENT OF REI�ENUE l�AS COM�LIEO :
<br /> � tilT� THE REVE�iUE �A�lS OF 4'�E STATg OF NE�RASKA EN "�HE DETE�tl4IN�1TION OF ��
<br />--- �' � . T64�.AM011NY SHOb1N TO SE DUE� AND '��IE TAXPAYEtt HAS FAILED TO iS1l�NHE . �,,,`
<br />— ldGZQ�iN� DIJE AF'rER OEIdAND. IF THIS NOTICE Of STATE 7Ax LIEN
<br /> - � • F.���lSltSi� DF AN EFFECTIVE LIEN YT SEitVES '�0 CON'�INUE THE PRIORITY OF �-�.��'
<br />-i� � � � .�� ' THs �'6`bb��as INTEREST IN THE A�FECTED PRCiPfRTY O�r 7HE TAXPA�ER.
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<br />- � � � AU'�NORIZE SIGNATURE TBTt.E DATE
<br /> • NEBRi6SW10EPARTMENTOFREVENUE—WAltesndCenaryCopte9 TAXPAVEii—P1nkCeDY us�s�u�oees�a�s•us s��,r.ae+ �
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