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<br /> ' ` Grund Islnnd : NL' 68801
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<br /> � ,, . tlnmbrea �'. 7/OT/432 li�ll' '.1/18/.77 l ; � %, ` , ';
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<br /> Svclal Securlty Numhur , .� Nanraika 1 entlllcatlon pn p �;
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<br /> Grand Islnnd NE GS801 ��d�iy�n�� �Penowal L�J aegnter ol Omar L'I Co.l•�ork � �
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<br /> Yursuanl lo Ihe n��enuc L•nvs uf thC State of Nebraska,nolice ls hemby givcn Ihat laxes(incWJing��cnaltics,inlcresl,mid , ,r;�� ,
<br /> ndditlons)havc Gcan asscsseJ and ara'duc fn�m thc abovc laxpaycr aiid n�roain anpaiJ nflcr'�Icui;mJ.Tfie3c Uirns conslilute ' �: " :
<br /> a IfCu'upon.properly 6i.tlie couutyibdouging to the-taxpaycr ur,lurcaftccncquired.Licns fur snlcs and use Itixcs unly �' ` �', �:
<br /> attacli iu lhe roai��roperry oC the lnxElayer lucated\vithin iJm cuunt��ar herenhcr acyuircd. f-,; ,' I ;
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<br /> ,'�� iN5TqUCTIONS FOR TAX CATEGO(tY NUMfI@B AND DAT6 UESIGNATIONS APPEAIi ON THE OACK OP�FOHM.' '��� ' �;, .
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<br /> CetaOory : �` Tex Pnriod � � Data Due ' Amaunt ol Tnx Penolty - Inlorest-,��- � /1ddU�ons:� . r; �'•
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<br /> I Ol_ �G-30-76>: 7-31-7G 8 .73. 6 .73"' £ '
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<br /> �Ol `.7-31-7G 8-31-76 ' 347.31 10.7G- 8.70 366:75 ' ;,; ..3,{
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<br /> `I hcrehy ccrlily thab th�Nubraska D�p�r4ncut of Rcrenuc has fully complicd wilh
<br /> F2:'thc cc��:niic latts oP,iltc 515tc�if N�bt:iska 6� fhc dcleitnlunllon uf Ihc ,unuunt
<br /> � ::-'slio}vn lo hc Juc;�nd.Uic t��iaycr hus CalleJ lo pay Ilie anwuul duc aflcr demand.. `
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<br /> ",If�tlils Nottce�uC Stnle T:tac�Ueu is�n exfunstou uf'an elfccll��elicndt sc�ves Io
<br /> � tonUnuo,th�pnorltV of tho slale's futerest in lh� d(ccicd propc�l}•uf the taxp;rycr. `
<br /> � Uajed Ilils 17t1i-: d,ry' of January l'� 77
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