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I ST 20211 0Li33L <br />RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />P 0 BOX 94609 <br />LINCOLN, NE 68509 <br />CAS bt' (' /0-00 <br />CHECK <br />REFUNDS: <br />CASH <br />CHECK <br />RECORDED <br />HALL COUNTY NE <br />20211 SEP -A) P 3: 0 1 <br />RST.I WOLD <br />REGISTER OF DEEDS <br />RESERVED FOR REGISTER OF DEEDS RECORDING SPACE <br />(Sec. 23-1503.01) <br />HALL COUNTY, NE <br />