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<br /> , INDIVTDUAL INCOME TA�i
<br /> IF YOtI �NQtiIRL ABOUT YOUR
<br /> 11CCOLiNT, REFBR TO THESE NUMBER$s
<br /> SOC. SEC. NO. 505-44-4814 GARY O. AI�1U JEANETTE L. STATLBR
<br /> lf*HR. IDENT. N0. 11435097
<br /> SP�Qi18E 30C. SEC. NO. 505-6�1-1700 221 AR1�iP1�H0E STREET
<br /> T11X11eLE Y�R 19 85 GRPiND I SLAND, NE 68 8 O1
<br /> LI� �' 86346041
<br /> LIEN R$LBASL y0. 90070764
<br /> ��x HI�LL
<br /> ; DATE OF NOTICE 03/09/q0 �
<br /> PqRSUANT TO T8E R$VENUE I.�idS OF THE STATE OF N�HRASKA, NOTICE IS
<br /> . HEREBY GIVEN BY THE NSBR1�l8IC�1 D&PART!lENT aF R$VENUE THAT THE
<br /> IJOTICE OF STATE TA?C LIEN WHICH HAS H$�N DUI,Y FILED AG�INST THE
<br /> P1B�VL-NAI�lED TAXPAXER FOR INDIVIDUaL INCOME TAXES IS TERMINPiTED.
<br /> = HEREBY CERTIFY THAT THE NEBRASI(A DEPARTI�lENT OF REVENUE I�AS
<br /> ' COMPLIBD WITH THE RLVENUE LAWS OF TF1E 9TATE OF NEBRASKA IN THE
<br /> DETSRMIPIATION OF THIS TERHIIPIATION. . .
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<br /> - = F�F�R'� SI��As^i�R£ ���'I,E �
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<br /> 1�►UTHORI Z D S IGNPiTURE TI TLE DATE •�=
<br /> , FOR COUNTY OFFIt`.IAI�'� USE
<br /> � - - - ..�._�
<br /> : THE A'lT�C� �1'ICi(s) O!' T7U( LIEN {pR TF•R�INFiTIOFI) IS (ARE) TO BE FILED (�L.T IfI!!!
<br /> � THI� �"� �6.• �...,....
<br /> � '�'HE DOCUMESIT(S) IS (�1RE) NQT Ta BE FORWARDED TO THE COUNTY CLERK.
<br /> � DISTRIBUTION OF CQPIES: - •�s
<br /> WHITE: TO HE VALIDATED BY THE REGISTER OF DEEDS J�ND RETURNED TO THE
<br /> � bBPARTMENT OF REVENU£. �
<br /> � GOLDENROD: TO BE KEPT BY THE REGIS'I'6R OF DEEDS.
<br /> '• 92LLING IS TO HE ONCE PER MONTH AND THERE WIGL BE NQ PRE—PAXMENT OF rEES.
<br /> � THANK YOU FOR YOUR COOPBRATZON.
<br /> . —'i%u�GG�i
<br /> } NtiRA1KA Oi►AIlTMENT OF!!E1lE�!!!E Of�iCi!
<br /> � If�(OY 11�W�flY QYMiton�r�rtllno thli notlG,aNU.ea,e.ee en•H•s.•aw wp.nm.r,�or a��•�u..�ose f��j�,Llncoln,N�b/Hka i�101,or�ny af '
<br /> ,.. tM r�tOnal OffteM II�t�O b�low.In NlO���Iy YOU m�Y�IW alai t011 Ir»,Your lon;Ai�t�nt��CUK numD�r�rfa�00-742•7414 fo�N!1lt�nC�.
<br /> LIIMCOI.M—UOQ)�/71,�71 OIIANO IiIAN�—t30�)�1•s�26 NORTH ILATTE—(30�!63II�260
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<br /> NEiRAtKA OEtARTMENt OF REVENUE—Whit�and C�nuy CopiK TAXVAVER —P�rtk Copy COUNTY—Goldtnro0 Copy
<br /> 7•145•79 Rev 31�87
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