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<br /> � I� 7fOEf ZNQUIRE �H�tJ'Y YODR , ` .
<br /> . 11iCC0�JRT� RT.FBR T4 THBSB NI)M9ERSs . � . � -
<br /> ' � 80C. SEC. N0. 506-62-?6�6 � DONALD i� VERONICA A. GRIM - : : . � �
<br /> MiBR. IDDiT. �N0. � 325i5942 ' � ._ `
<br /> SPOET�E SOC. SSC. NO: 505-8x•5388 gURAL RQ11TE 3,, HOB .,2f 7 : .
<br /> � 'tA7UtiB1.E 3CEAR 1995 �6RAND ISLAtiD, NE b8802 . � `
<br /> .. L�E� ti0' 9�Q12�33 - -- = . __ � �
<br /> : ' . Cf�DMTY HALL . . � - �
<br /> � t�TE O� �ICE " 05-�5-90 . . � � . � .
<br /> ; D2lTL OF ASSESSMBNT 12-i 1-�13 • ' � � . � .
<br /> � ' '1'8ZS NOT*CS (?F ST�TE T1�X �.xEN IS� ISSOED 8X T8E NEBR�SlSPi . ,
<br /> • . DEP1utT!!HN'r OF REV�Ei�. 1�EDR .INDIVxOUPiI. INCOI�lE T� PORSO1�itiT TO THE , .. �
<br /> RL�VB�tUE LllidS QF THE .STli1TE OF .NE8R1�iSlU�l. NOTIC�.� I� HEREBY �IVBN " . � '
<br /> . � ' TH11T I1ftlIVlDti1�1L IN�OIYlE T1�X�S INCLUDING PENlILZ'xES AND INTERESTR
<br /> i�HHIC� ARE SHEEDWI�i BEI.tN+T, !►RE,DIIB FROI� TIiE T�UtPi�iYER 3PECIFIE� ASOVE �
<br /> � AZJD �IL+� Td1�IPhZD � 1�iPT�R Q�O� . TBESE TAXES. CONSTZTi3TE ll LIEN �
<br /> IN THE CDIINTY FOIt " P�ROPEATY BELOPGING TO THL� TAXPAYER �� � �� �
<br /> H$itEl�IFTLIi ACQnIREt��.
<br /> , . . . � ' _
<br /> �1MOUNT O�' TAX . . . �. . . ..... . . . . . . . . . . . . S ' .'il�,�� � . . .
<br /> � PL'N�iLTY . • . • . • �.:. . . . . . . . . . . . . . , • 17�;:�t� � � "
<br /> � �NTERE"�� � tCAi�lgIITED ��5-25-90 ) • • . • • • • • • • � :• 409.�5 .
<br /> .; , TOTAL l�ll�lOT1NT DD�: . �. . . . . . . . '. . . . . . . � . 1,298.45 �
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<br /> f HEREHY CERTIFY �'HAT THE PESAASKA -DEPARTMEPT- O� REV�;PUE HA5 . ---
<br /> � COI�lpLIED WITH THE REVEI�UE LAWS OF THE STAT� O� NEBRIISKA YN THE �
<br /> DETBRMIi�1�1►TZON OF' THE 1�iMOUNT SHOWN TO BE DUE, AND T�E TRXPAYER '
<br /> HAS FAYLED TO gAY TiiE ANlOUNT DUE AFTER D�IND. YF THIS NOTICE � . `�-_
<br /> � �F STATE TAX LIEN �S PlN EXTENSION OF AN EFFECTIVE LIEN �T SERVES . ;,,,.-
<br /> � � �'1'O C�HTII�lI1E THE PKIOR�TY OF THL STATE'S INTEREST IN THE AFFECTED � �
<br /> ', � PAOPEA OF THL T�iXPIlSt'l�R. ' .
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<br /> ;` P�IItEIt'S SIGHATURE � DATE . , • , '
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<br /> �AUTH I2B SrGNATURE , TITLE � J�ATE � ��'
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<br /> ' � 1� . � . . . ' . .
<br /> �� FOR C�UKT''�' OFFICTAZ.'S U5E
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<br /> HEdRASKA DEPARTMEHT OF AEYENUE OfiiCES
<br />' N haw any Quest,ons repardng tn�s natw,o.�e�a�cont�cttno pctxas�:�Depann•:er.a or Ruver.ue N p C;e,9t01 B.�n�:+r.►:�lrra�w 69Y.9 491H.a enyo!ene rog{on�
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<br /> . '�N1L DOCl�lLNT (8) 28 �ARE) N�YP 'I'O 6E SORi111RDED TA THE COiJNTY CLEItK. .
<br /> - . . - - 'bYSTRIBIlTION OF COPIES s . . - �
<br /> � ' fiHiTEs � TO SE Vl1x,Ibl►TED 6Y THE.R�GI5T�R QP b�EI1S Ati� RE't1JRNED '1'U TIiE
<br /> . OEP�T OF REVQiUE.
<br /> � GOLDEN1tW: TO gE lCEPT BY 1'F1E "EtEG2STBR OF D��DS. i
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<br /> • . B�3,L�HG IS TU 8E dNCL' pF�it Mbl3TM NJU TfiEAE WILL 8E !70 PREyPAYMIIiT (TF FF,F.S. ' • �
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