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<br /> � - i 'fhis Natieo of State TaK Llen is issued by tha Nobrctsi:s�D�Purbnent of ttevenuo for unpa�d t�uces purst�ant lo tho .. ��� ,:_
<br /> �'° �� �� reveneco tewa of tho etah of Ncbraska.Notice i�hcrcby�iven that t�xes lncludina penaltiee nexct interest,whi�il+� � . ����:_
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<br /> r"" � shown bctow.ure duc G�um tho taxpaycr spccIilcd p6a��and remain unpatd u`ter dcniand�'TnNSQ hL\CS C0719,{�1U�0 ��� .
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<br /> �5`�' , a I�en In the caunty ior real and persnnal property hclanginB to tho tnxpaycr on c�rcuS'ter pcqofred, • �rr •�
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<br /> Cat�pc�ry T�x Ptrlal O�t�of Amauot of Tax Pansity lonrut Addltlatu A�um�nt Ow e t-
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<br /> 1 herebY certlfy lhat tno Nebralka Departmont ol Rovnnua has compllod wlih ihe►OVOnuo t�ws of thA Stele Pi NeGt:Lka!ff Sh0 tlEtOf-
<br /> mination of tho ourlt fhoWn to bo tluo,and tho laxpayor nas fallaq to pay tho emount dua altor�Omanq. N thl�NOtICO of State TrH
<br /> � Lle�H 8n o lon of on ctivo on�t torvos to cuntlnua 1ho p�larity of 1�o steto'a intorost 111 t�0 8lfaetocl prop�rty o1 iha taMpaYOr. i
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<br /> Date '
<br /> . . � �,� r -.4�.�^F Titlo , .
<br /> �i R�venup Aq��Qe:rvi�l�... 7-L-� � �
<br /> .- T Itlo Oato
<br />' • Authorltatl Slynature __ �
<br /> � FOR COUNTY OFFICIAL'S USE � "
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<br /> � NEBRASKA OEPARTMENT OF REVENUE-Whfte end Galdaivod Copiea T�1XPArtM-YmK GoPV COUYTY OFi'ICC-Canary Coa�
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<br /> +� Supa�scue�4�494•74 REV.7•B1
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