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<br /> , .�, .`. INDIdIDUAL YNCOME 7AX . •=�
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<br /> L � SGCs SECs NO• 55061256b � "�"-;':r�?�1
<br /> . . �;�."`� NFBR. IDENT. N0. 3946TS54 . .. _.. �"_ _ --
<br /> .,' SPOUSE SOC. SEC. NO. , • �_�-=
<br /> .�~:.� YAXABLE YEAR 1992 � _ _
<br /> .. LIEN N0. 9Y24101�0 =
<br /> . � CGUF�7Y �jpl� DQLE A HENRICKSON . . --
<br /> � ,'• DATE OF NOTICE 0812�797 5420 Fdt13ITVALE RD ., _�
<br /> �� ` DATE OF ASSESSf�EN7 07/15/9T NEE�CASYLE CA 95658 a . . . ��.�.�
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<br /> THIS NOYZCE OF S�ATE TAX l.IEC3 Y5 YSSUEI� BY YHE NEBRASKA DEPQI+.�Y�lfiN'i G� - �-
<br /> REY�CdUE FQR ENDIVIDUA�. INCaME 4A3t P�SUANT YO THE REVENUE LAiiS OF �HE � ��=
<br /> °�'�^:`�• ���' STA4E OF NESRASKAo NDtECE IS HEREB'�' GIVEN 8HA? INDZVYDUAL YNC0�9E .���� '�
<br /> TAXES I�ICWDING PENALYIES AND INTEE�STs WHICH ARE SHO{�N BELOW AEtE 4�lE �� ` � �'�'
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<br /> � � �,'. FROM THE TAXPAYER SPEt2FIED ABOVE At�DD REMA3tV UNPAID AFTER Dfc�fAND• •_��.�� :
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<br /> THESE TAXES CONSTITU�E A LIEN IN THE COUN�V FOR PROPERTY �ELONGING YO . _ �-
<br /> YHE TAXPAYER OR HEREAFTER ACQUIRED•. � '' �- =
<br /> . AF�OU�JT OE TAX . . . . . . . . . . e o . . . . . . 236.00 MsR�: .
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<br /> � i.� PENALTY � • • e • � • • • • • a • • • • � • ♦ • � $9�00 'r,';=;:,:_,.;. ----
<br /> � INTEREST �CCMPUTED 40 08129/9T) • • • • • � • • • �•SS � �'``°'`r°;��;��. ,_„�._
<br /> � � � � TOTA� AMOUNT DUE • • • • • • • • • • • • • • • • �'�•85 � �:_
<br /> � I HEREBY CERTIPY THAT 'dHE NEBRASKA DEPARTNIENT OF REVENUE WAS� COQ4PLIED " _�.. �_-
<br /> O�ITH THE REVENUE LAMlS OF THE STA�E �F NEBt3ASttA IN THE OETERMINATIGN OF : ;_��r:y_
<br /> ;'�.: �� . . • ; TME At�l0UN3 SHQMN TO BE DUE�. AtdD 7H� TdXPAYER HAS.FAILED TO PAY THE , - - - .-
<br /> � � AMOUMT DUE AFTER OEMANDs IF TMIS NO?ICE �PF STATE TAX LIEN IS AN � _ ` '� � P •;.
<br /> EXTENSION GF AN EFFECTIVE LIEN IT SEt�VES TG CONTINUE T01E PRIORI7Y O� � �°���•��-
<br /> THE STATE�S INtEREST IN THE AFFECT�O PROPERTY OF THE TAXPAYfE3• ""'�""' ��"''r`�-
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<br /> � � � AUTNORIZ SIGNATURE TITLE DA7E � ` . .
<br /> � NEBHASKA OEPARTMEM OF REVENUE—VYhRe and Ca�arll Coplea TAXPAYER—P(nk Copy COUNTY—tiotdenrod Copy • �
<br /> wm►soym►on rxy�mopapa� � 7•tag7�Rov.t0�9s SS�eimO�f�taS70 itw.est
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