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<br /> � t �08-4U�9002 CLAY9l"O�Y HURM�U�
<br /> �� .. , B(IC. S�C. NA. �4�36747 '
<br /> ,. N��R. IpETJT. N0. gF1�LTOlN, NG 688I6 �
<br /> SPAO�1C SOG. SCC. N0. 190 X — ,
<br /> T112NALE 7��AR ,,,'�
<br /> � LYL•'N N�. 0�1�9090 f
<br /> HALI� i
<br /> � CAUN7�Y •
<br /> � Dl�T�; n�' t+1UT�C� 09-2Q-�a4 -
<br /> �AT� OI' ASSE9SMENT � �
<br /> TIixS NQTICF AF ST�1Z'B TAX I.TEN IS ISSU�:D aY TFIf�, NFsATil�lfiK11 . ; ,,
<br /> • D�IPART�'1��1�P OI' REVENU� E'OR INDTVYDUAI� �NCOME TI�X PURSUI#N'� 7.'O �'HIF. ; �� ., ,;;; ..
<br /> " R�V��Uk� LAL�S nF' THE STATF OF NE�RR.SI(A. NQTTCE IS tlEYt�AX �ZVF�N ' .--
<br /> THP1T TND�VIDUAL TNCOM� �A?tE9 TNCI,[iDING 1PF;NALTIES �1NA IN�'�itl:^a'�', i
<br /> � WH�CH 11RF: SHOWN �ELO�J, ARE AU� �'ROM TilE Z`AXPAX�R SP�CSFxrD A130VF � ' ,
<br /> A�iD RGl�1ATN UNkAIn AFTER DEMAN�. THE3E TAXES CONST��IJTF A I+T�CN ; . � , ;_-
<br /> TN Tf��� COUNTX FOS2 PROPE1tTY H�;Y,ONG�NGi TO TIiE TR�X�AXRR Olft ` ,,` � .. -
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<br /> H�a�l�l�TER 1�1CQUTR�d. � . ._
<br /> AMOTINT Ob` TAX . . . . . . . . . . . . . . . . . . . . $ D.OA � .
<br /> . 1��NAI,TY . . . . . . . . . . . . . . . . . . . . . . . 56Q n 93 � . , :
<br /> TNTEREST (COMI�UIED TO 04-24—Q�1 ) . . . . . . . . . . . ���•1� ° �
<br /> TQTAL 1�1MOUNT DUE . . . . . . . . . . . . . . . . . . 1,122.04 � ,. _
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<br /> Y �i�IiEHX CEFt�'�FY THAT THb NEBRASKA DE�'AtiTMFNT OF REV�NtIF HAS j ; ;
<br /> _ _ - - ::_ . � L,`{)M°I.IEQ I9Z'�.'� m�{F. i:F�EIQiI1G LAWS OF THE STATF.� Oi NFFAR�►SKA IN TI�IIa � ' :
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<br /> D��'�RM�NATTON OI' T�� AMOUNT SHOWN TQ B� AUE, 11NQ TN� TAR�AXFR 1 - ' .
<br /> � HAS �AYI�EA TO PAX TFi� AMOp�IT DUI: AI'TER DEMAND. I� '�I�7C� NQTIC:� � '
<br />._.._.......___.� nF s�TATE T�X LIEN IS AN I�XTENSION OF AN EFF�CTTVE L���I IT S�RVT:.�'i ;
<br />_ _ .. � — - _..-- -------- ,_ ,_ . � � ---:
<br /> �8 COLJTTNUE THF PP.IORXTY Ok'` THE Smp�E�� INTEREST Ih rM� Ar�r�uw:r��a� ,
<br /> PRQ�'�RTY OF TH� TAXQAXFR. � ' , �
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<br /> . � AUTHORI U S�GNATURE Tl'1'LL� �+�T��
<br /> , I'OFt COUNTY OFFICIAL'S USE ;
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<br /> � NE5fiA31U�EAARTIAENT OF flEVENU�OFE'I�ES ^ —� ;
<br /> , ' , ' � Ilyout�w�nYWOtibM�splyd��plhianoUCe,AWp6ti�sontscMN�M1YbrA.tiNaOeparimenlolRevonue,P.O.8ox9�8�8.IJnoWn,ko��WafS850D�4818.us�ryrolthY�ylb�d
<br /> � oflbN IItIW be�ow.In N11xaYN You rtwy atco caa!t�A troa,your laiy dbtanco eccn�numhw oed f100�742•7a�a(or us3latanco.
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<br /> s �DAiANA�—(10�)6�206�7 �-� [�l�A��—N01)3T1•1620 3CO1T88LUFF—(30i)892-1200 .
<br /> • � NE0R1193fA QEPARTMEf�SY 1'wAlUE--Wh1te orM C�ary Gopins TAXPAYEt�--Plnh Copy COUNIY�--Got9enrod�?y�v &�
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