|
�.�—. . ..- .�<.�. .� . . . �
<br /> �
<br /> "`°... .S'�tf{Jp�'9�i.. <� ..�� -_"ets:`t.�� 5� �i.'.�-��:an�-:L�; � J7;',`Y�- �� �.ar � .R' .iA d'y�_ > ��•.. ;....;.A��, � ..� , 4��v':::
<br /> _ � s . �,{
<br /> . . F .�,��. �,Iy, __�: p.
<br /> .�.
<br /> 'i.._ __.. ..-:.,:.. ��lu�*�+K.<�: -4` cs�`�s�rF.`' �'�4tii ���3'kh�L�qi�-1`5���73k��'+t�r`.�tf�aA�,its �,.�,�-Q�.:v...�..a,s� .
<br /> _ -��\�di:��3.t1�?,3:� -- .�e_`° __ -
<br /> ----�a'i�r�=:.�=_-.
<br /> � - ..--�- —�- - — — --_ -_ T� .�>.�x-N. — __ __ _ '__� — —_. - T. -_.- .-_ .
<br /> I � . - �
<br /> � •
<br /> �
<br /> �
<br /> � �. Not�ce �f State Tax ��en � = 101�1'� �
<br /> as�wrx,. O
<br /> � TE[tMlt�iA �N flF 54ATE 'IfAI4 LI��1 �
<br /> -- . �t�OIY��4A1� ItiCQ14E iAi�
<br /> I� �(08 Ii��UIRE �$QUT YQI�R
<br /> AtC�UIlTs REF�R 7� TN�S� d�lilf�BE�S -
<br /> - SOC. SEC. I�IO. 542423�5� . TERRY C E PATicIC3A HIGDl�
<br /> NEQR. IDE�!?• lk0. 23b9'3�18 � �
<br /> � S�tK1SE SGC. S�C. lK�. 5C4�858T2 P�! BG7� 3�8
<br /> - . ��BLE �AR 1�8? i1E�0� t��if�R ti� 5888� �
<br /> t7Efi li0� 8831��T� .
<br /> !�I€�i REEEAS�E Nt�. 9GQ446l�2
<br /> • : COUk?Y HALl.
<br /> DATE a� lt�fTICE a2d�R�/9�
<br /> Pt�iSUaNT �� TK�.R�1tEi�11tJE LAfiS OF THE STATE �F #�iEBR�SK�* N�T3[E YS
<br /> :; HEREHY.C•���1 1�Y TH� Id��PASiCA DEPAR7M�ti� GF �EYEAiliE 7HwT tHE
<br /> � STAT� 3ltX LI�l� MHICH �f045 BEt!! BUL� FIt.�6 A�1lIt�5T 1H� A8t3Y� 1��4l�� �
<br /> T�lflAYER Ft�R ItiBZ11YCUAt I�lt01ilE TA,1�E5 IS T���it�AT£T• .
<br /> i H�R��Y CER7IF1� TlUT ThE hFBRASKA c�P�1RTl��i�� cF R�YENIlE NA� CCMPL3�c
<br /> - MZTH TN� ��YENUE tAYS �F THE S'1ATE CF NE6RASKA Yt� TiiE CETFRMIMATIali GF
<br /> • THIS T�RMINA1I01�.
<br /> � ,
<br /> .�7-�d �
<br /> a�• •��� ����i.• •�.. � � • •����w�����•.�••
<br /> P�EPARER�S I6NATURE 7I L� QATF �
<br /> ���,� � �,2�7�a ; . , .
<br /> • �'i • •• ����• �� �i��• ���������w�����• ' .
<br /> AU1'HORIZ SI6MA7URt TITLE BATE �
<br /> ti, FOR COUN?Y OFFICl/l��S US� r�-
<br /> �, a � ; 1—
<br /> ;> � j�- .. ;�
<br /> � � hi �,
<br /> . � ( ��.•. ' i .
<br /> � ' .
<br /> �
<br /> � I .� � ��
<br /> F " d � ' -
<br /> � _ ' '�'�
<br /> ,
<br /> � �.
<br /> ���u__.� NEBRASKA OEPARTMENT OF REVENlIE OFFICES _� � J ��
<br />� It you nave any questions regardmfl this not�ce,pleaso conWCt tho Nobracka�epartmantot Rovanuo.N.O.E3ox S4pti3.Unw!n,Nebr�ska G9509•4819,m any of the reg�onal
<br /> ollices I�,ted bet�+w.In NeDraska you may also da1 toll 1reH,your ion�d�stanco accr�ss number and 800-�42J4741or[�ssistanco.
<br /> 1.1HCCW—(402)�71�M8 GiiAND ISLAND—(3Q9)381-5725 MORTH PLATTE—(300)532-8250
<br /> �MA�-�-(�02)59�r2065 NOAFOlK—(402)371-1620 SGO�ITSDLUFF—(308)632-1200
<br /> - t�8ltASNA OEPAR7MEM 0�REVENUE—White and Cttnary Copios 7AXPAYEH—Pink Copy COUNTY-�-GplQenrod Ccpy
<br /> — �� - _"__'.._�,__.'" ' ' --- ' �...r tin n. nM .'--_""'--'__
<br /> � THE AZTM�!ffi 1K�'lxClt(sl� 01' TAX LxEN IOR TBR!l�ti�TIOHI IS (ARE) 7'O B� FILED OKLY WITH �
<br /> • 'iffi �62�'�t Q D�iS. t
<br /> -- Tiis a'fQ�."'iJi�sv"I`fSj TtS {�'ik�3 IVCYI `i� BE FORWARDED TO TN� COUN`i'Y CLERK. ' �
<br /> DISTRIBt3T20N dF COPIES: �
<br /> y � WHITE: Z�0 BE V1ILIDATED SY 'PHE FtEGISTER OF D�EDS 11NU F2�Tl1RNED 'FO TNE J �
<br /> bF•PAR�'MENT OF �,V�NL1E� . •�,
<br /> GOLD�NROb: TO SE K��T BY 'i'ft� REGISTEH OF IJfi'P.DS. �
<br /> BILLING I5 TO BE ONCE PER 610NTH 11Nd THERE WILL E�E I3() pf2�-ppYf•�E2iT OF r'��5. ,+ �a��
<br /> �� TH11NK YOtI EdR YOUti COOPERl1TIC1tJ. '
<br /> . }
<br /> '�kr.� � _....1
<br /> s'
<br /> �� '
<br /> !'r`.;�`:- . ,
<br /> _f i.s«�
<br /> ,J��.,�,.,::
<br /> r�.r.�
<br /> ,i'_ ;,
<br /> r�<<
<br /> �
<br /> �..�. .- �_ __—_ _ ". "'..-.. .__ ._. . _ _... .. .. . ...._ . __. . ..,.
<br /> _'_— Jy � _ " __. .__ ' ___"�' .___. . _ _-
<br /> w
<br /> ---. .}e.. - - _ ._-_
<br /> — y , _
<br /> _ � . - - —
<br /> .
<br /> . _.� �._.� _.—.� _._� na�-6 . -- ., _ _ - � - �� _--
<br /> "_ ___ _ __ -__ _____._�____. � . . �_ ' _ _.' ____—_ . `_._..
<br /> r.�_ .-�.�...�.....�...��.e
<br /> '__- _- . . -_- "' _ _ ° - :—.,'___'_. ' _ "_ .- _ ° -_ __ �. �
<br /> _ _ _ _ ... -: .
<br /> _-�- -
<br /> -. : . ��3 .-� �'�'._� . ,.-.-.__-.�-_• T---' . -i. . _ -4 _
<br /> ..
<br /> '�s .�[� _... '
<br /> ..—a-.-. ��._.. . . , ,�_.-
<br /> ..r.._ -.�..__.__. _.- -_a, ��-.�.t _
<br /> y - ..
<br /> ,.y ..1 _ _ -_ ��lY_�..�. 'SG�.3.T'_c= �'�. _ - !/�� ! �. .. - �. . - . ., . . ._ �
<br />
|