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� . . <br /> � �_ �p c� c✓� <br /> �.1J � � z � � <br /> � rn � � p 1 <br /> c� �.,, o '� � <br /> o i�"1 ''� z F-� <br /> -r � z r^ � <br /> C � <br /> m � �,1 r � �' <br /> rn � � n �i o� <br /> v �, :n <br /> 99- 1�38�s � � � � <br /> � . . , � v� � �� <br />� t.`.' � � ;� <br /> q� � � <br />\� .-�+. <br /> 4 <br />� � � Notice of State Tax Lien � <br /> � �Ir <br />� y-zy-97 <br />� rnbroske <br /> ) d�pa�tm�nt <br />�� of nww� <br />� PLEASE DO NOT WRITE IN THIS SPACE <br /> -- -.._-- �___ — <br /> �.._" <br /> I <br /> T�RMIiVATIOiV � STATE TAX i.Itld I <br /> INDIYIDUAI. INCOME TAX I <br /> I� YOt1 IIVQUTRE ABOl1t YOUR <br /> ACCOUN7t R��ER 7U THESc IdUMB�RS <br /> SOC. SEC. �1S]• 478547�58 <br /> NEBR. I�ENT. N0. 27872513 <br /> S�OUSE SGC• SEC• Af�7• <br /> TAXABL� Y�AR 1�3�5 MQNICA J HOi�AK�R <br /> �.IEtV NG. 962430458 2Q SOUTH 41ST STi2EET APT b� <br /> LI�N R�L�AS� NJ. 990921133 tOi�NCIL BLUFFS IA 51�01 <br /> COUNTY HALL <br /> DATE OF �iOTICt 04/02/1999 <br /> 9,7!'-103208 <br /> INSTRUM�NT �lt�• �• ••�••� •• <br /> PURSUANT TC TH� R�V�Nt1E LAWS GF THE STA7E OF NEt3RA5iCA� NtJTI�CE IS <br /> liEit�BY GIVEt� SY TNE �IEBRASKA €7EPARTM�1vT 0� REVE�U� THAT THC � <br /> STATE TAX l.lclV �IHICH HAS B�cN Dl1�Y �IL�D AGaiNST THc ABOV� NAMtD <br /> TAXPAYER �=OR INDIVIDUAL IAi��3ME TAXES I5 TERMIt�ATED. <br /> I HEREBY CERTI�Y THAT THE NEBRASKA BEPARTMENT 0� RtVENUE NAS COMPl1ED <br /> wITH THE �2EVEidtJE LAWS nF 7tiE STATE G� N�BkASKA iN THE DE7ERMINATIaN OF <br /> THIS TERMINATI�N• <br /> �� � ��A;� �/'�2-99 <br /> •������f�• f •� ������ •��������• �� �����1����• ��� f�����������• <br /> PREPARER�S Si��IATURE TiTLE DQl`E <br /> ._--- <br /> �r - <br /> :��. . . ..�� .��.. ..... <br /> ........ .. .. ..�S� ���°�� <br /> AUTNi�RIZED SIGNATURE TI�LE DAT� <br /> NEBRASKA DEPARTMENT OF REVENUE—White and Canary Copies TAXPAYER—Pink Copy COUNTY—Goldenrod Copy <br /> Printed with soy ink on recycled paper 7-145-79 Rev.10-95 Supersedes 7-145-79 Rev.5-91 <br /> �P(�S <br />