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PURSUANT TO TEE REV,6H4.4 iE LAWS �lr THE STATI: 0j- NE3RASKA* (NOTICE IS <br />H- io --LY G1V•:W 3Y Tait_ i.o- _t3::A4KA G;~P RTii,141 a;- a V&'- ").+UZ THAT THE- <br />STATE. FAX LIEF: WHICH HAS BEEN DULY F-IL�:G AGAINSF THL AUOVIi NAMLU <br />TAXPAYi':k FOR INOIVILUAL INCOME TAKES I6 TFRMINATL©• <br />I HEt4EdY Cd...MeY THAT Trl� NL'&SRASiKA DcPARTM::hT OF 1tEVciVUE HAS COMPLIED <br />WIN TK- RkVENUa LAkS OF THE STATE: Of s*- BAA:ir.A IN THE DETERMINATION OF <br />.- <br />;f <br />• e� • •iii•• w••-iii'•I,��r••�•�ii•i•w•r• •i••� +i�ee•••it +•. I• --' <br />Ps�ttA,> S fILS�sWURE T11c.E LATE <br />• T�s'tn T't _ ^v� lt.�a�a i�rl: TY'ts .•I�i+�` <br />ayc w <br />aea�: iiVS� iLCU .71Vft s�;s• _ . 9 i • / v A I <br />kUR COUNTY GFFICIALOS USE <br />i <br />'• yt; <br />JUIF <br />NEORASKA DEPARTMENT OF REVENUE OFFICES <br />it you have any questions regarding this notice. please Contact the Nebraska Department of Revenue. Box 94810, Lincoln, Nebraska 68509. or any Of <br />the regional offices listed below. In Nebraska you may also diai toll frN, your long distance access number and 800. 742.7474 for assistance. <br />LINCOLN — (402) 471.2971 GRAND {SLAMP — (308) 301.5725 NORTK PLATTE — (3001! 6328350 <br />OMAHA — (403) 65 »2085 NORFOLK — (402) 371 -1620 SCOTTS SLUFF — (309) 832.1200 <br />9'WESRASKA DEPARTMENT'O REVENUE — White and Canary Copies TAXPAYER, — Pink Copy COUNTY - Goldenrod Copy <br />7. 145 -79 Rev 2 1.37 <br />1 1 <br />'*et <br />Notice of State Tax Llejq.1. 143282 --� <br />T'-:k P:iNA]'XON GF <br />STAT:: TAX LIEN <br />INDIVIDUAL <br />INCMC 1AX <br />IF VOU INQUIRc ABOUT <br />YOUR <br />ACCOUNTS RZ& ZR TO THESE HUNSERS <br />SGC. Sf:Cw NO* <br />5a7ii"t3935?? <br />Ci�AR.LES W F. ROSS ! �iCASnCAt <br />NEdket WENT i"Go <br />19776268 <br />SPCfU�L� SCC• 5C•• �!i• <br />:�•�,t5t?k�9?�I ' <br />lt'tLi �f:�•� .s�33. <br />';'TAXAS.I.E, YEAR <br />'!Wi. AL NE 69033 <br />LIEN XC• <br />8101 t; 4934 <br />89183381 <br />COUNry <br />HALL <br />, <br />DATE OF WUTIC : <br />06/20189 <br />PURSUANT TO TEE REV,6H4.4 iE LAWS �lr THE STATI: 0j- NE3RASKA* (NOTICE IS <br />H- io --LY G1V•:W 3Y Tait_ i.o- _t3::A4KA G;~P RTii,141 a;- a V&'- ").+UZ THAT THE- <br />STATE. FAX LIEF: WHICH HAS BEEN DULY F-IL�:G AGAINSF THL AUOVIi NAMLU <br />TAXPAYi':k FOR INOIVILUAL INCOME TAKES I6 TFRMINATL©• <br />I HEt4EdY Cd...MeY THAT Trl� NL'&SRASiKA DcPARTM::hT OF 1tEVciVUE HAS COMPLIED <br />WIN TK- RkVENUa LAkS OF THE STATE: Of s*- BAA:ir.A IN THE DETERMINATION OF <br />.- <br />;f <br />• e� • •iii•• w••-iii'•I,��r••�•�ii•i•w•r• •i••� +i�ee•••it +•. I• --' <br />Ps�ttA,> S fILS�sWURE T11c.E LATE <br />• T�s'tn T't _ ^v� lt.�a�a i�rl: TY'ts .•I�i+�` <br />ayc w <br />aea�: iiVS� iLCU .71Vft s�;s• _ . 9 i • / v A I <br />kUR COUNTY GFFICIALOS USE <br />i <br />'• yt; <br />JUIF <br />NEORASKA DEPARTMENT OF REVENUE OFFICES <br />it you have any questions regarding this notice. please Contact the Nebraska Department of Revenue. Box 94810, Lincoln, Nebraska 68509. or any Of <br />the regional offices listed below. In Nebraska you may also diai toll frN, your long distance access number and 800. 742.7474 for assistance. <br />LINCOLN — (402) 471.2971 GRAND {SLAMP — (308) 301.5725 NORTK PLATTE — (3001! 6328350 <br />OMAHA — (403) 65 »2085 NORFOLK — (402) 371 -1620 SCOTTS SLUFF — (309) 832.1200 <br />9'WESRASKA DEPARTMENT'O REVENUE — White and Canary Copies TAXPAYER, — Pink Copy COUNTY - Goldenrod Copy <br />7. 145 -79 Rev 2 1.37 <br />