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<br />, , .. ..`;.; INDIWIDUAL INCOQ9E YAX •�' __
<br /> � . SQC. SEt. [d�o 554969356 � "
<br /> • . I�BR. IDENY. N0• 3946'5858 � --
<br /> . : . SPGt1SE SOG. SEC. NG• 462279Q�4 � _ �.- '. -
<br /> � TAX�IBLE YEAR lg'�� ''•:;��;;:-
<br /> � I.IEN H0. 9?l��►02Z0
<br /> ';. . ;"� COUNTY HALL CHARLES L b ROBIN G 5�10EK '�,�..
<br /> ;�:� DA'�E 0� NOTIGE Ob/13/97 349 HIGHLAHD CT �. '.f�
<br /> �•K•T•'• .-
<br /> � D A T E O F A 5 S E S S i�E N T �4/0 8 0 9 7 PlAYNNELL �!I 4908A �`' �'��`
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<br /> -� � THIS �4NOTYCE OF STA7E YAX LYEN IS ISSUED BY '�HE IJEBRASKA DEPAR'�MENT Gf ;•:. :.-,;^
<br />�'� •• ,; �� REVENl1E FQR INDIVIDUA� INCOME TAX PURSUANT YO THE REdENUE LAGlS GF 7HE ___ _ �
<br /> .� " . •� ` STATE aF NEBRASKA. NOTYCE IS HERESY GIVEN� THA3 INDIVIDUAL INCOM� �,`R_
<br /> �TAXES INC�.UDINl� PENAL?IES AND INTEREST� MNICH AEiE S!lOMN $ELGN ARE DUE �"��-�=-�
<br /> � _�.'" FRGM THE TAXPAYEtt S�CEFIED ABOVE ttifatf3 REMAIN UNPAIO AFTER OEMAND. � ,,�_ "
<br /> ` ' ` ' � � TW�SE TAXES ¢ONS'PiT9►TE A LIEN IN 7H� COUNTY FOR PA�PERTY BE�.GNGING TO •-
<br /> . - ,.. ,, ;:�_; :.�.� =
<br /> � � � � TQiE TAXPA�E� �tSR H�REAPT�R AGAUIftEO• . , ''-�-`_�
<br /> �'.: ' � � ' ��`�` AMOUNT 0� TAX • • • • � • � o • • • � • • e • • • 52���0
<br /> �'. , �.� PENAI.TY 132000 . . '-`•:.
<br /> • o • • • � � � � • • • • • • • o • � a ' �,42.�� ''�''��,`;
<br /> ° ' � . 'r INZEREST ttOt4P�ED �O 06/13197� • • • e • • • 0 • � �- .:.4...,
<br /> R:.�� • , ... YOTAL AMOUNY DU8 • • • • • • • • .• o . o o . . . 802.85 ' � ,,-.__
<br /> �" = I NEREBY CERTI�Y THA7 TME NEBRASKA DEPART�4EN7 GF REVENUE Nd�S COMP�IEO �� �;�, :. `
<br /> �..; ,: ' � MITM TNfi REVENlJE LAMS O� YQiE STATE OF NEBRASKA 1N YNE D£TEt3@�3NA4IQN OF _ _____
<br /> - THE A�d01tNT SNOliN TO .�E DUE� AND 7HE TAXPAYER HAS FAYI.ED TO �PAY THE
<br /> • �:;�,,�;::�..: � �,`,- AMO�INT DUE AFTER DEMAND. IF THIS NOT�CE OF STATE T� LIEN IS AN •
<br /> -� •�_� � � EXTENSION 0� AN EFFECTIYE �IEN YT SERVES TO CONTINUE Y61E PRIORI7Y QF '�
<br /> �` .. THE STATE�S INTEREST IN TWE AFFECTEO PROPERTY OF 'IHE '�AKPAYER. • :. .�
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<br /> ��� � � �` AU'fHORI SZ6NATURE T2TLE OAYE �
<br /> ��;�� . •� NEBRASKA DEPARTMENT OF FiEVENUE-White and Canary Coptes TAXPAYEA—Plnk Capy C4UN7Y-Gotdentad C•oyy
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