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<br /> . . . - I11�lZVIDUPIL INCO�MP TAX , ' - .
<br /> � - � � � � � �i03441. � . �
<br /> . IF YOU IliQUIRE �BOUT YOUR � .
<br /> `. �ICCEWN�, RE�'ER Z� ?ALS� NtklBERSs . ` - _ � ..
<br /> . � , �, ��• �• 275-,40-7729 GIAR�A J. �QR�ZNO, .
<br /> � itEBR. IDENT. KO. 30438691 � . � .. � _
<br /> . . � SEOIISE SOC. 9�C. I�. � . 708 CAURCR 1t0AD , .
<br /> � ` . T1fX�18i►E YFJl1t � 1985 , . GRPINA ISLAND, NE 68801 . �
<br /> � • ' LIl�1 I�. � 89174p16 . . .
<br /> C�OIi'1'7[ �L
<br /> f D� OF NOTICE QS-21=90 �� ,
<br /> � • � D7�TE OF ASSESSMEZ�T 05-09-89 '
<br /> " � ' � THI$� At3T�+CE QF STATE TAR LIEN. IS ISSUED BY TIiE NE8RP1$lU. �
<br /> DEP1lAT�lENT OF REVENOE FOR INDIVIDUAL INCOME TAX PURSUlINT TO THE
<br /> � � ? RESIENUE 7�WS OF THE STATE OF NEHRASKA. NOTICE IS HEREBY GIV�N
<br /> , � T�iAT INDIVIDUI�Ii, INCOME TAX$S INCLUDING PENALTIES AND ZNTERES'1', .
<br /> . ` W�Ix�H Pi�tE SIi0i9N aELOW, ARE DUE FROM THE TAXPAYER SP�CIFILD ABOVE
<br /> . 1�iD R�IN tJI1PAZD AFTE�t .DEl�lAND. THESE TAXES CONSfiZTQTE A LIEN
<br /> It�1 TAE COtJN3'Y FOR F2�€lPERTY HELON�SNG TO THE TAXPAYER OR .
<br /> . H'�REI�FTER AC4�ZRED. - .
<br /> �I+�SUNT OF TAX . . . . . . . . . . . . . . . . . . . . S 2I9.80 '
<br /> PErI11L�'X . . . . . . . . . . . . . � . . . . . . . . . 10.99 -
<br /> - ----- ---I1�TEREST tC�lo1PIITE� 3'0 05-21-9b . • . . . . . . . . . 126.2I -.-
<br /> TEI�AL A1K�ONT DUE . . . . . . . . . . . . . . . . . . 357.00 � `�
<br /> I HEREHY�.. CERTIFY THAT Tt1E NEBAASRA DEPARTMENT OF REVENUE HAS �
<br /> �`". CC)MPL�ED-,��[TH THL AEVEi�t'J,E LAWS OF T� ' STATE OF NEHRASRA IN •THE � -
<br /> �. D$TERMINI�'�`TQN OF THE A�JUNT SHOWN TO BE DUE, AI�Y?� THE '�AXPAYER � �
<br /> � � 'FAILED TO P14.1f THE AMOUNT DUE AFTEIt DEMAND. IF TNIS �N�TICE • '-�
<br /> f1F STl►TE TA7C LIEN. rS AN EXTENSION OF AN EFFE�."TIVE �.IEN IT SERVES .
<br /> ' COHTINUE THE, PRIORITY OF' THE STAT�'S INTEREST IN THE AFFECTED �
<br /> : O�TY OF TH TA7[PAYEF.. � � .
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<br /> � ��`Atl'a'HORIZL SIGNATURE TZTLE DATE � _
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<br /> � ' _ NEORASIU nEPAfdT�IENT OF fiENENUE OFFi�S .
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<br /> ofliCfs ifstetl C91ow.ln Nebrashe ya�may ritso d�a�toll heo.your Wng d�stanoo access numba and B00 742-7474 tor u,si;tsr.cq • �
<br /> � UNCOLN—(�IOZ)17t-5729 • GRAN�ISlAND—•t308)38f-5725 . QiORTHOI.A7TE—(300)S32�i250
<br /> OMAHA—(�!)5YS2065 . NOttFOLK—(402)371-1620 SCOTTSBLUFF--(3G�63Z•1200 .� �---,r---
<br /> � NEBRASKA qEPARTMENT QY=�iEVENUE—Whlte and Canaly Capi�s TAXPAYER��:nic Capy COUNTY—(ioldenrod Copy� , •
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