r_.� . '."g''.�,• . � \I ' ' K .(.i.i i:'.�Y•;iy:���c�:FR!"b�v.--�.vrq.-. ....� ,... .- ..� t
<br /> y r�4,�eo-"4 t;Hti 'r 4t _}� 'l'�'�Hy�'T tXi K.c�tY ! ln.�y'�`:�fa' Rv,._ �ir� �a.r 1 . . �!: ik•
<br /> c � _. -{,-.�" J!`•- r't S<_�i;�}.; r X }.t .k �T.ra r•1. �. � o� •f'�tiI';� . - i -� � -
<br /> ,.�. --'�_aG_•i� 1,J ( � i ; .ty}�- � � 4 I .ti�����4�,. . :
<br /> ". - �„P :� �.'., y,���y �. . , � n- .
<br /> � . . ... �'^ � ..:.r.,:ir.. _ . . ,y'1if.._t_.-...uf+i .,.� -�� ,1� ,� 1 r .— .._'__.
<br /> . ��• .�k��� . . .5 l � . . • .. � ��:�;yrw��,�'.r i� ���t� , S �,�.:���'
<br /> _ ,
<br /> � . �
<br /> .
<br /> , � f
<br /> . � , � " " , ��'�?�Z�.s.e.i.[utw►�� :�4�F� . _
<br /> . ..
<br /> �'s�i;�,�
<br /> ;, c � :r.;��:,.a;,:• - °-• .....-._.._L- - ---- -
<br /> . '��
<br /> ,
<br /> .� �
<br /> .,. . � ° t ,"i„�i:
<br /> . � -��?
<br /> ,� � r -�._��,:��;�;:.� . � �'� � �� � ���-f 01��� �:,�� ..
<br /> ;�..
<br />-•��'.�� 1�A���'��1M,�4�ii l�b.�� . . .. � '� � • .. 'M1ll
<br />-_����E�x`�,��;�.,�:���;�' HO�Q�0����� � � ' . �.
<br /> � 1 �,F� s4r,.4� cj+- � - - '
<br /> e
<br />������'�i r t � 1�'' ,;,n> �. �;,, . , INAT 0 � ...';, � __--_.
<br />-�'�n��'"�`.,y;J�' ,{,�t. r r s� iN0IY�0{t114 INCpME TA� , -
<br />� + � � -
<br /> t• r ,,: t�„�a� , ; ;.bs.u�,,
<br /> �'"'���'`�.��x�� �'�•, ,•��'� .� x� ynU IMq11�R� ABOtIT �N�R -
<br /> ,1"'�') '#:�`.t z� Y,+ .}�i s :. , . � —
<br /> ,
<br /> � �m-:;,� �,_ � T ____ �s `� A��OIIMT�. R�PEiI TO 1M�SE N1fNBERS �'� a��r,�s�{ - -_-.
<br /> '! il�hs� n t,yn�, 'ry, ^ --: _ �. '. `.� �rY.�.'�.��
<br /> ` " ' � 8GC• S�C• N0. �4844�3SS itOBEAT 1► BffEi. JR yfx+��
<br />?� ��N`; '�i 9e,c, ..� ,„�
<br /> 3�nl,��;�y�;�, r ,,f.j, zr pEBR• IDENT• NO� 8Zb5�td8 �� �`�'`'��'�r�.�`�'�s�-_-
<br /> '� +;?t;��'?,,�5;� ., t; ��^ SPOtJSE SOC• S�C• N0� ft R 1 80X 104 ;`'�� i� ��t;�;a�
<br /> , �,, � , Tw14A84•�� Y6AR 1Si89 CHRESCC N� 68�117 •; `�� �',s�, �,an 5'�' =-
<br /> ... � �� I.�HN NCi. 0902�OJtbb `�� '`" ` :t �
<br /> . �. ,�� ;��u� �
<br /> �— - - LIBN RELBASE NO• 934T4�9Q7 ''� � :.
<br /> j � ,� .. � 60UNTY NA�.L . •`� ,�4 ;.�,1;�' 4t�h =
<br /> j �a �+ �`��1 .�,'+r1;i, �1
<br />` ' � ° �� � QATE QF NO1I6C 03/t8I9# �` ' '
<br /> f n � , ,,.. ,:r } J
<br /> .jS�F �}i���r!n�'t�ir�<'��1;f�'.4'J! �}.
<br /> �f,t.,,� � � �,,,. ,:�:�� �C��-����3��' ryy,` ` � �
<br /> i , �,4,
<br /> •� ,;,�i' �t�i'� ti` � �NSTRUMENT NR�:r� . �'•.. , ` � .
<br /> '�}`,�1�Y��St�i 4�t�'+A+;t�rt'tf .� •t! r' ' 4`�'t 4� 4,°`'t .
<br /> � ptlRSUANT TO Tt� �R�Y� i.l►�tS I� Tl�t� STATE QF �6�tpSKAs �►ttT�CE ZS �+���#���`��.:�����'�.'��'���° '
<br /> i, „�",� �, ��''t,����'���y�f,,�,��,�ti' R N�REBY tiIV�N aY Tilff N�EBRA S K A D�E PII R T l I E N T O R R E V E N U E 1'M A i T N� i��t,`r'�;�; °`��' .°,`{�.�,.:-
<br /> , q, ��r ., .+,�. :. „+,�,;ti STATB ?AX LIEN MMICN HAS BE�N DU6Y �ILgD A6AINST TNH A8I1VE NAM@O ' "+<„' �' Y ^ --
<br /> �;• �� . ' , • TAXpAY�R FOR INCIVIDUAi. IMCOM� TAXES IS YERMINATEU• �� ����� �'��"•�
<br /> : '. ;, , �� ' • s�4+d.:"
<br /> ''�,�7i•nt�.-�� ,.'�., .- .,��'f:�i rr +d'�� ti?�
<br /> ,_-':�n.� 't. . o � � � �-��...' '� d�� r` iRl'{.� :�A-K�.'.
<br /> :,;,;�°:•,,.y�:�T�.,,�` �� � �� �- . • I MERtSY CERTIF� THAT TME NEBRASKA AEPARtMENt OF REVEIvUE HAS C(3MP6IE0 `�,.;, ��;,;r.•�'�;}�>.�;�-
<br /> � y� ' '� MItH TIiE REV�NtJ� tiAMS OF TM� StATk Oi� NEBRASKA t N TMff DETERMINAtIGN OF �,.�f
<br /> t -.:'7 �P . _ � .t y( � �11 ; � —
<br /> `��";t�R'� �� �' ' THIS T�RMINATION. � f
<br /> S, � :t, � nr.%`r �
<br /> � �j (q y�
<br /> »,� 41 Yl� - • `I !!(��
<br /> )�'r'�'�1;1�;,����1't.. .�t�`r��+�1t'�.
<br /> ,',i�'? ,�! ti�z ���� ,`... �l�`�`�� � � ---.
<br /> '�� �.:, ,s�� � ,� :
<br /> s l+�<<���(���r.�1V''•' ��i •���• • • •�• •• •���• � +'��r<j�}�t'���
<br />_}F„'j��. ,t. '�` .i� . . . �?' �����i�i+�f� �, +ptY.n. {} �'YJ itITiR5i1111`
<br /> ' ,�l.s.�" L_ PREPARER�S SIGNATUR� TITIE uATfi
<br /> �.� �.�L '<1.r1���l� �S�l'Lr6�SS�1._:.
<br /> �"T�'=r:=lat�1 1 S " 6 �4A+ 'r�i'7-�r!1�{ S= .
<br /> .;�;.e,;�,t ,SS�� � .; � ��`�;tt�,�� �,��.fi , i�:;
<br /> t.i�!�1 f
<br /> Y;'�r}',� 1 .�.;tti„ , i'�'!, 3J� / ,�ti,r ,� �� ., .r
<br /> ('f 7�. �.1 '�. .. •�j,f,'I,1,,.i; .'l� .t � •�• •• • •• •�f��`�-'������• `� .�'•:1'''1�rrvjf:`5��'�'�'��r�• ,
<br /> ;.:• ,,,.',:t�• �,'`� ' 'f IT1.E DATE ;;�<m`�,''r•,;. _►� ,,� ,.
<br /> �' � �.�.�'' �`� i�,'• AUTHORIxf IGNATURE .
<br /> �',.;.' : . . • ,� ", �t. ° , ,. :
<br /> .,:,�. .•,.. ;;: � •
<br /> ;.: ,.: ' . ;:;, ", , . . ��+ f��.
<br /> ;;u:�;f'' ;_ , �;''-;`p,',;;:;.. �,•• ' �1
<br /> �r�� ' i� i�Ak COUN7Y UF�ICIAL�S Usr �i,� �
<br /> 1` 5�, ;..�..:�� -i' fp,' • ' . , t �l;'.
<br /> ���,,�xy ,,i�t�,-�;�'�� , , . .. • _�
<br /> i.S l��M¢v1 {i}. �..�.,l�i. •�. . � „ f..� C7 fA � r'
<br /> �'i� �Y��'; I��ilt;�r� ' . . .... , ...1 ���.. . . '.tJ.. �'.
<br /> ',v.:41�i�n��sj�`y�j.,��,.}'j5� �t,,S•;:�; \ � �: ,{,�, 1� .
<br /> ' ;� nS�i;, �4��f�� e�r,l ^ � � I , �'�ti ��at� ���
<br /> - �. ��'' �h1 �S��,tir-lJ�t �r V ' 9 . 'J � - •y � t� ._...,.
<br /> 1 . •H.' -. .�ih/���_:,���.. � . :' ' - �t. � .� �'i��Y't��;�..
<br /> .i . . � ' '' � •.� g � .rt��.:
<br /> , ,>� , ' :;; p � 7 , • � -s .� ! � . n .
<br /> f -�, ' ,.. � ' , '_ � .. � y's`,�
<br /> ,� .. , � -�_ c1 ' �r�.
<br /> v,� ��• :t. .-' ' � i . ' � �� 1'� ' � �r� _..__�.
<br /> .+
<br /> �1.n;�iJ � .i . � � f� r� + '. ' . , ���!l a»�.-.
<br /> ' ' �!•''�.. '"5�� � . - � � � �, � � ���. ''•i���IYI'.n...
<br /> .l,�fiP�� ��1��__ \.. . , . .,� .:; . '.1 .,j! �...,� � ' � :.::
<br /> }iv� �� , �-. ',•5• '�' \ '� C9 (D , :l.1 r. '
<br /> ��� ���� T�f�. � , iti,r 6� , acV� _.�
<br /> ��,i��• ��j��{Zj�.i�ru�ir�}���� � �+ �.i � . t ' �" '�l `;,�jr i�t ���
<br /> 4/'.:11� !j 8��5'�r+ h �!t++ � �' � � . �� r��� •�� '4t� i.�
<br /> f � ., , I �.
<br /> '�Y�.T� iYt�{f,,' i �l!iti''����'. 'r:� � 0 1. 'i.,'� �'.S �,`-'
<br /> �� f�.S:..._
<br /> ��'�;':.���'����its�r���`'' ����'lv�� ,��,.I� ' . ,�' � . .
<br /> y, �! } �y•. "!� �
<br /> '-"�'�t;?.�,�Es;t., �, 4
<br /> �k:•� .,' ••�
<br /> �� ,�:�-,i . �. , , i' /Nl�l�ii OR MiVQNU$CFFIC�B ' �
<br /> �l;ri,;t�Y,":; y�.;' • ,:+1 ' � , .
<br />__ �.,..�t�s�}�►�1;,;,, , : , . �, a�oonaw+nra�«uar�q�.�o..o�•oonaam.�oea�aw�o.,a,ae�sae,au�oou�.wa..r.eesowe,a«.M►aw.� .
<br /> ,,:,r.,;;�.., . aeaK+wewaw.mrwa.�wya�n.awoar�eaa�...youranowau�a.eor�s�a,�e.�aooaraa�ra4+ao.wm+a..
<br /> r.,�,t`; ` -' , � • . '� 'LIlID�LN—�109��11�87�i OMNt118lAN�«�{80�eet�ffi!ffi NOf1'1HPLATB—(80�b86�60 :
<br /> ;�" r:` ���:c,�.,`� . • • ,. �:;�� mM1ANA—��6�Q'�OQ6 NO�K•..(qpQ�9T1,t8R0 BCO�ITBSI.UPR—f�D8I6�17E00 '
<br /> �;� ,�.'��:;'{;'� � . : T PAY�R—�Pank COUMY—GotdMUOdCopp • ��• , .
<br /> �,�`'�`•. , NEBRABKADEPARIliAENYOFREVBNUE—YMdMandCamarfl�ap�ee � n.����.e�ao '
<br /> �,. .a1lr�,V 1 .i��" . ; , 1 •
<br /> . ' . .r. . '��'.� ' BiqiMS�Op 7.1070 i1M.Ni ' .�
<br /> .. ',:� , • • 'i�','� ;t;i ,, - . � . • .
<br /> .. .., ' � ��I � .1'- • ' `�
<br /> _'�� t.•. '. . ��r. � � .`� 'I,�: . ; . . . r, •� ' ,:rr ,. .t_
<br /> �,!�a'S�:��',�:, . .,. . . . .. 1 ',' .
<br /> �,d,,':,. . - . - .. . . . _ � . . � +� .-.
<br /> . .�' �, . .
<br /> .P?i . . .
<br /> :�,.5��?�� .
<br /> -y�.}
<br /> +1•�� .. . ' .
<br /> �,1��� . .
<br /> , �'� , ,'���.1'0
<br /> .•.�. .
<br /> `•;l: � ,
<br /> ,•� ,
<br /> 'i;:. ' '
<br /> . . � ��� � � �
<br /> f _ _ �_
<br />
|