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<br /> 1;: ; .,�;.,�. � YNDIVIDUAL INCGt9E TAX . '.-'�`.
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<br /> - - ; ; ���'`` SOC• ��C. N0. TZ801�4�9 � � �'
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<br /> ;;.,. SPGUSE SQC• SEC• NO• 505424096 ' '".;�"
<br /> ',".' = ?AXAgE.E YEAti �946 � - -
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<br /> _ . LIEN N0. 9721304T'S � , ;:�
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<br /> � �`:.��:��.�; C���y HpLL CONNIE L � MARY C MtCAR7NEY • �~ :
<br /> � '';.F'���`. DATE OF (dOTICE �8/01l9�t 3616 S I.INC06N �� ��-� �
<br /> • DATE OF QSSE�S�9EN? 05l160 ff� G Y t A A 1 D I S L A t�D N�� 4 8 8 0 1 � �".�r:
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<br /> � 7HIS NOT�tE OF STATE TAX I.IEN IS ISSUED BY TME NEBRASKA DEPARYMEi1T OF �=r���
<br /> � REVENUE FOR IHBIVHDUAL EroCA�E TAX Pt6RSUaNT TO TaE REVENUE LAt�S O� �HE .�;:.`��
<br /> '' ST�lTE OF NEBFIASKAo QVOTICE IS HEREBY GIVEN 7alAT ENDI11IDtJA6 INCOME � ���
<br /> . � j. TAXES INGLUDING PEHALtIES ANO INTERES?t MHICN A[tE SNOiiH BELOi� ARE DUE .� �
<br /> � . FR�NI �liE TAXPAVER SPEQ�FIED A80�E ANA REMAI�1 UNPAID �r ER DEHAN�. . ", � �_ ::
<br /> �� � THESE��'AXES CONSTITli3� A LIEN IN THE �OUNTY FGR PROP�t�'Y BELONGING T� :r==
<br /> �. . ��' THE T��AYElt Ott HEREAIF�ER ACC1dIl3E0•. .� . ��go�0 .
<br /> .. . : . ,_� <. � A�tOUNT O� TAX • � • • • .m.� • o • • • � • • • • • • _ ..
<br />- ' � ' �; P$NA�TY • . . . . • . . . • o . e . . • •. a . . . 3d�30 . __
<br /> � � � ' g�3TEREST �E�M�UTED TO OS/01/9T) � • • � • • • � • 16•03 -
<br /> - � . ,, 'CP,�TAL AMOUNT DUE • • • • • o • o • • • • • • �s ar� 64�8.�3 � �.. x_.�;-
<br /> � �- � � ' � I HEREBY CERTIFY THAT '�HE N£�d�ASKA DEPART�9Eti14 �f .R�Sf�C34tJ� HAS COMPLIED , �
<br />= � � • '°�.� WIYH TME REVEC3�lE �.Aws O� TaIE� �4AT� OP NEBRaSr�ni Ic� 7�E D��ER�I�AtYON OP
<br /> ��,' � �HE AMOUNT SlfQ�IN TO BE O�Et At�D THE TAXPAVER P9AS FA�4.�D 40 Pl��' THE .
<br />- � � � �� A@4GUNT DUE A�'�ER DEMAND. If THIS NOTICE OF SgATE T6'�S LIEN IS AN
<br /> ,�' ' �� EXTENSION OF AN EFFECTIVE I.IEN ET SERbES TO tONTINU� �NE PRIORITY OF •
<br /> • . � THE STATE�S INTEREST IN TME A�FECTEO PROPERTY OF THE TAXPAYER. • .-
<br /> : o f�y� ,� s� �,/ D o?2 30f1�3 S'rloa�� . .
<br />=_ , . � � � � iriii •�e�• �i?{i`litrrt�FY��iQiPj����bj6 ��i��/ r�o��• ,
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<br /> , �. AUTHORIZED IGHATURE �ITLE DA4E
<br /> ' � NEBfWSKADEPAHTMENTOFiiEVENUE—WhKear�dCenaryCepies TA7�AYER—PinkCopy OOUNTif—QoWmuodCopy .
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