,5 � �: _�-*: •3°-xb -. -•�;r;,:. .�, .. t --,
<br /> . ,._. _ _
<br /> :c. . ,. ,. . . : ., - -- - - - - - - - -
<br /> •.��'',5�, '..�'g�R - :.f� .�.yt'I`R'a'' rt'�. =f+ `�v ' -�' �z �,�. '`Y.t= i'C"S'!","-°'.'+":" - - _
<br /> _ . _ _
<br /> r �
<br /> � z.;- - --��- _ - .- � _ - _�- � -- — -- �--- -- - -
<br /> -.i.tcl:;:�.` _ _ �#�{„+f9'i3?'.•:�ta.,=�t iy„. , «s, a - . : -- a _
<br /> - �Y.t1xa ' - _ - _ ••�� r�l� ..rvL � � ; _ . -__ -_ . .. , -. _ _ --.
<br /> ; _ _ —� - - < � �� —_- :a���:"� <:.� ' . �: 7 _-
<br /> . �.
<br /> , •
<br /> —� L ~--— _ '. �=, • : __-_ —„�"`=� -- - -- _
<br /> __ __.—�. -- -- - - --—
<br /> , •::t`ar�f, � , _. . ._ . �
<br /> .,1�c`. .. - �:..� - . . . � . . . . . . _�I��. .�_a/��V V
<br /> - - �i+`* ' . .•
<br /> _y:: _ � .. . .. -- - '
<br /> - , +-•� - . � ��O�.��� � E � . ' .. .
<br /> `. s"�.:�a'='i�:. 1M1�� - � `' . . _ .
<br /> - � . t7. �i. . _ . . � . .. .. ' � ��..-—
<br /> � _ - -,< � .. , ,• . INDIYIOUAt I�tCOMc TAX . . �`�..-�x---
<br /> � " � � . . . � T4� ..._
<br /> _ r ._{_d`� w� ' ' ' . . . ._ . . . iSi'.
<br /> ���� Y
<br /> � � � �__....._ .__ ` #li5t� ��� — - - -- - - }.— 3 _
<br /> - . , -._ - , --- -- -_
<br /> < Ifr Y�3Ei— it - �M - � S �--�
<br /> 5 A3 �f
<br /> . •S( _ ,� '���.. �� i L 1
<br /> ` �C i ,r � ��� +a� '�-= ----- " - - —-- - — -- - d � .� � —
<br /> - _i . ' " � _AG��l�tte-.E ER TD - . -.t��c _
<br /> .._ � j- �:�- _�'____ _� "
<br /> •� C __� _ _ .i�:..'�.. . . ._
<br /> - '.�),:'. __ . ` � .e G�
<br /> � � ,,� ;. � <. S�t• SrC. NO. 5Q840Cg17' cRt�tSt 6 � SNARt2t� L JaHNS�N <i _:_`.
<br /> ' `� .- NEBR. IQENT• NQ• I+6455129 , , �—
<br /> `. . . — BLAItiE � , .
<br /> � SPOUSE SOC• SEC. hti• 5fi552�i43b �6Q4 1 St3tiTH _ :, .�
<br /> :... .` . ` TAltA3Lt YEAR 1489 6RANt� IStAND . , .. t�F fr8�841 � . - .,
<br /> . "��` . < : ;�� LIEN NG. .. 91c�i80I65 .,." � . . . - .. .
<br /> ;,,. . . � ,�� � � j t�3lJI�TY - , . NkLL � �;•--.,:,: _:,. ;±;;;
<br /> ' ���=�Y': �• � _ . .. !_�AIE_GF N�T�I.��;.._ tt��I�/92 --- — ' ` =--
<br /> � ��`'`� ` � r ;' DATE AF ASS�SSNEN7 11/I3f 40 . [ _
<br /> r , ,
<br /> -- . . .:.'.. - � . !�t✓` .
<br /> � . - . � `'' -[iN3f.{'
<br /> � `�.-�'�`•' --. . , :.. � - - ,_ - . _,. . .; .
<br /> . _�: , . ._ � . ir . ',r[ .Y`,4e�r `;
<br /> � THIS KQTLC� fi� �?ATE TAx I.stN IS ZS5U� Sr 7HE �SR�>`i������'J�RTlkti'E U� � . . .
<br /> `,`sf�.� ' ..� �,i . , t RC.Ii�l��1� EQr� IAIt�IVIIIUAL I�iC +, E TAX� FU�SUAN? TC THE t���i+t� �F�_;�F �i�� ` . - _ � ` r.
<br /> . <, -•:: •� Sflt� AF C�f�A�K�� 1�itiT�CE IS HER��� GIY_N THNT I[wI3'$1(�'',�k�3i. fi�tt'�1�.; •'.�.'. F `� , �*"t;;
<br /> ..°;� � �/II1�5 INCttifllNt& [�EN144.7'I�S AND It�EREST� MHIC� ARE ���I(�It���.��ik�1�� l��.1�, � � `�-i` _
<br /> .:: •'.,c __� . F�iQlt �HE T(►StPAYER 5i��€IfIEt! �ABOY& A(�D REM�Il�t U�t�A�';:�!��{.,���k�'w� t,�:�.�.: i, ,,� , _
<br /> '"` ;��� . TH�Sc TAl►�S C�NS'f��ltTE 4 L�.�N' TN THE COUNTIf Ft7t� PB�::1'Y''TM :� � IN6"TG, r-_ . �;��,�
<br /> ;�"_ :��` � TNE TAXPAY�[� OR HER"r�aETF�. ACQUiREO ' � � �• .. , '�
<br /> :v... � �`. , - -fl�`�`.f'.
<br /> , `.,,..`�'::~ . � . : '.;t;!` . '• ` . . }
<br /> ' �;1�d�2"i,�,y:�,
<br /> r�� �_ . ,
<br /> ,. ��,'�. ! A�1Ni OF. TAX . . �. : . . . . . . . . . . . . . . ;�,�» . . . 62b.04 � , 1�t4���� �.
<br /> i;::: .... '' ; `` 2�b.S0 �` :: �qL 4
<br /> , . �. �- - - � - • ��I��:�� •• � s. � • •- • *-'f • • .• � � • s. • • • � •;�is��:i • • • . .. . ,r 6�+' �
<br /> ... �, .._ , .
<br /> � 7 - � . . _ ., . - -.r��.., �._.�
<br /> � � � .°,�,�;: E INTEREST tCGMPUTED TG dZiis�"�9I� . • • • • � • • • i . . . . 96.95 � .
<br /> . . TOTAL. AMOUNT DUE . . . . . +..". . . . . . . . . . ..;. . . . • 1t129.45 . � � .. . -
<br /> - � :";: . . I lt�RE�BY tERTIFY THAT THt NEBRASKd i1�PAR?l9�I�iT Qk- R�Y�iVUE HAS C�MPlE� ' � . ..` ,�-
<br /> • MITH�THF REY'�NUE LANS GF THE STATc �� NE81�d�S�fA:;.Zt�,�llE DETERM;ttATIQ�;(f�;!�F : • � . '=:�.,'`, i=
<br /> ; ' ;Y�4.;::. .i-
<br /> E��. �.. .� TME A�i�UhT SHGifN TO S� uUE� AHO TMC TAXf��tl�+�';;��fi;l�5;'�AILc� TO PAY TM� " ` :��;��:.;�, '�_
<br /> ``��� � AlfOUNT OUt AF7ER O�MAND. I�'_THIS NtttlC�= .�3-f ���`.�'� SAX LI�N IS Ah ` '
<br /> I ,F'�F ,�•,C-
<br /> � � � � € EXT�E'SIQN Or AN cF,e-�CTIYE l.I�tY IT S�R4�S:��+�n:.tLr'c:���.'�fe.._ i'Hc PitIORITY �F ':�� `' `
<br /> . ',';?;:t•°'
<br /> . _. . . ` � THE STATE�S IN E�1;-. Y�i 7h� A FEL�'i�. 4 ?���'� f ;rf��'TA�XpAVER. � , . ' ,.�.�6`�.:���.
<br /> ,:•�r�.�•-
<br /> :t' r.',�,,c:;� �
<br />. ' . ' � ;,+ • . - r. . I;:....rt-:,.;..;
<br /> ." ; ' � . �,�::r:`ailt,
<br /> + -.-� . ',;4f:t,u;,.
<br /> � �.. � ...� .... ..:, . ...... . ...... .. �-. `S=�f�9/ . _ . -
<br /> ................
<br /> � Pkc ER�S S 6NAT�RE T E L'AT� ,
<br />�:', ' • < ' _ . . '
<br />�;,r�,, ". � . � �,�� ����� ,�,�•. �i. �.�- .�-/y—`//
<br /> f;. � . t ��� 'C�����w •�• �`�7-ii�fi •�� s �N���� ���������������w
<br /> l.t.j;:. � , � '
<br /> ``ss;r,�• �.'�. ,4 Atr4T#It�r�IZ�.s��•' GNA U�i� TITL� UATE .. ; .
<br /> ,.:
<br /> {F'3r�.� •s�,• . .
<br /> ., (f',F � ' � , . � , � , '. ' • .,' : ._ ° . :r:i,'j"•� "
<br /> , , f,..;,s•. . . ' ,. . , . .
<br /> � . , • rf'';ir;;;,.� . ' ' �� t'OR CUUh�II�s� iii�`r��Ga:��*av. u�ST . , . ,.;:.;:�_
<br /> '�;,;;:;:
<br /> � �.ti:•. .,,. � , . .� �
<br /> . �•_
<br /> i ' � � ,
<br /> � ' i;�,. , . .
<br /> . . ',r.,,•itr�r. i �;��
<br /> t� . (����G�:y� . .
<br /> . ' ���fri -.�'aG�ii...�,: . � . �
<br /> � �:4f� �-• ifi �t=:;,:;�';1� �.�' ± .
<br /> ..�;,i{y��t .;'` e��u�,'�.ii�•) /��;t.��' � L�G�" • .
<br /> „i„ i�:., � 1 1 . .� �y�� .
<br /> •;�j`t„t..'.����t`.�'t.�t��,;'.:;�k:.,,.� i � . .. ,
<br /> �..;:�,t. ,�.•S.i��:,`�"``If`-!'it�'}^��•`) . '�- � �J�fi91V��� ' �
<br /> �'����Y� ( [� �I��''�rt F �t,'�(� } , . � ��a�'+si��3.:8aS111A11J�00Y►.N�6raM�al160YN11lora�Yddwtptonll �
<br /> <..'f ,t��<<�,: �� ��' �; :�- � rw�w+.�r�«���mwne�oRV�mera� o��f�►
<br /> ,r: ,,�. '.c��,.��•�,.,,�. . :a�sill�ObM�.blul�M�youn.y+�!r�aWfoli�s�aurKar��s�asanu�Eur�jil�s,s�f43�74ta,�a�aiia�,ss�
<br /> .F�;��_ .
<br /> � •�;� � d«',,,,5�,,,,�`;� � t�oo��—Nalm+� ' , . .+a�tou���a °��r9iiN�ra�s ,: ',�. No�rHrutte—ta�qs�mo � �
<br /> ,.. �, ,,,�, �f:,;;.•• � �:_ ��,.�.�. .:�r:t �'� sn�t9oo �
<br /> �?�i���<<;�».:,,;� �. � aww—trmfe�aMS_ , +�ts� ' ���le: soor�sKtl�—t�l
<br /> �, :� �'` ',
<br /> k.':`-'`}`rtr: ; �ea�swiaetec�r�roFr�HUe—��e c� r�t����a—�wcovr caur�rv�'--rda�+n�acaor
<br /> �'; °;lir''�s''�:t'�,' . . : ; ' � a•�as�ww.s�o
<br /> 1.;r'� • ,
<br /> :�r .�:r�;`y;�r,v�y.,FF� • . ` - s„wyw s�H�7f tir.si
<br /> .:�J{i�'r .};;aS,?�„�1�� � • : . • , .,;5�tj� y .
<br /> ��.�'j`�,Jj';!;F,i:� • �• . ,
<br /> , �..i,;' , , . .
<br /> S •
<br /> { � , .
<br /> l
<br /> /� . � • • � . . •
<br /> i � •
<br /> 4 • .
<br /> . . . . . . . ._' _ ' _ ' — ' ___._ _ ._ . . . . "_ ' _ ' '__ __ " . . " _' ..� .. ' ._ _ ' . _ . .
<br /> �
<br /> j 1
<br />. . _ _ _ . . - . . . I >
<br /> . �.�1 • .._.
<br />
|