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- 1 � <br /> ,�. � Notice of Stat� Tax Lien <br /> ��, . <br /> � • i tritl��ii�'�'It3i�l � STATc TAX LIE�t <br /> �qDI11IQi1AL I/�CONE TAX � , <br /> �F ,rcxi i�vui�� �arr �touR �g,.,,,, 106441 <br /> �CCOUMT� REFEit �O ?1�5� MlN18EftS <br /> SOC• SEC. NO• 5Q56Z'➢7SEi MILLIAM L C Pwl�'�A SUfiDER1�lEIER <br /> ME�R• IDEIiT. N0. 118�6739 <br /> S�OU3E 5�C• 5EC. N0. 5055a1302 RR 1 80X 4A <br /> ZAXl,3tLE �E�R �9�6 pONIP1lwt� 11E b883Z <br /> tI�.N' �i. � �805Q�49 <br /> . �.][�N II��.EJ�SE llii. a9328997 <br /> : ��� !�!r!! <br /> ; DA7E OF NfITICE 11/l�fi/a9 <br /> ' Pt1RSUANT TO TNE REY�Nt�IE 1.11Y5 OF ?HE STAT£ � NeBRASKw� NOTICE IS <br /> NERESY �I11EN 8r TMf N�BRASI�A UErARTMi NT OF REilEtitlE TNAT THE <br /> STATE TAX �IEN YHICH iG5 ���M DIN.Y FII.ED ACAIMST THF AdOrE MAMED <br /> ?AXrArER FOR YN�IIIIOUAL IqCONE TAIfES IS TERlIINATED. <br /> I MERESY C�RTIFY THAt ?HE ME�RASICA DEPARTMENT OF REIIFNUE HA5 t�!lL1E0 <br /> MITH THE REYEMtI� LAMS OF THC STA7E OF ME:sRwSKA IN THE DET�RNItiATIOM OF <br /> THZS TERMINATION. <br /> ............ ?� .. :.,��r�:..� .1!:?:�.Y....... � <br /> ..�,��� �;'�� <br /> PREPAAEit�S SICNAT!litF TI?LE DATE ' .. <br /> � _- <br /> � 1�-���-� ' <br /> � � •� •����� • • •������ •• 0 •��• ���• e ' <br /> � #1Rl�KIZEI� 51c/fltT� i 1`ri� ' i,A:c - �-- <br /> - <br /> FOR C�UNTY OFFICI��.�S USE <br /> .� , ,.. <br /> � �y o1 �� `: , <br /> � � 't � � �• <br /> . I !� ' 1 � �; <br /> i <br /> , , . <br /> � � � ! ; . <br /> i <br /> � �.��— <br /> • i <br /> 1__ <br /> •` <br /> NEBRASKA DEPART�RENT CF REYEt+lUE QPFiCES <br /> ' N you have any questione reyartlinp this noTiCe.piease Contact the Nebraska DeparimeM o1 Revenue.P.O.Box 94812.Uncoln,Nabraska 69509-�f818.or any W ihe�egionel <br /> , pffiCOS IiLtad below.In NAbreske y0u may also dial tdl Iree.your bng distanCe aCCesa number and 800-742•7474 tor assistenoe. <br /> LINCOLN—(102)4T1-5729 GRAND ISLANO—(30B)381-SMS NORTH pLATTE—(30B)532�8?5l1 <br /> pYANIt—(402)5p5.2065 NORFOLK—(402)371-1620 SCOTT9BLUFF—(30A)632-1200 <br /> NEBRASKA DEPARTMENT OF REVENUE—White and Canary Coples TAXPAYER—Plnk Copy COUMY--Ci4idonrad Conv --~ <br /> THE 11�T�W� 3�10TICt(i� OL� 'rAX L2EN QOR TERMINATION) IS (ARE) TO BE FILED �.T 1fI'� _ <br /> Tf3� i1rl#��R;�,�. �-_-- - <br /> THE LOCtTt9EtiT(S) IS (ARE) NOT TO BE FORWARDED TO THE COUNTY CLERK. _ <br /> DISTRIBi1TION OF COPIES: <br /> a <br /> WHITE: TO SE VALIDATED BY THE REGISTER OF DEEDS AND RETURNED TO Tf1E <br />, � DEPAR.TMENT OF' REVENUE. � <br /> GOLDENKOD: TO BE KEPT BY Z'HE REGISTER OF DEEDS. I <br /> ' �J � <br /> BILLING IS TO BE OPICE PER MONTH AND THERE WILL BE Nb PRE-PAXr4ENT OF FEES. � <br /> 'I`HflNK YtiU F'dR YOUR COOPERATION. �sp <br /> ,.__..___ �— �• � <br /> �... . <br /> � � <br />