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<br /> °�"!` ND IDUAI. NCOME TAX
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<br /> �'.� SOC• SECs N0. g0�iA2679? � ..�..- _---
<br /> " �•�:�. :3�sl3� IOE!!T• N0. 22706131 .`
<br /> r.�,; SpOU,SE SOto SEC• NO« gQ6621598 - -
<br /> � �i . �=i TAXABLE YEAIt 1990
<br /> - ,,;a; LIEN NO. 9121t�0292 . GRtG L � PAtRICE 1. SCHABFFER �
<br /> �y -----'---�.�.��,.� DATETOF NOTICE d8%Z/91 100� M CHAitLES
<br /> �����: • DAt� OF ASSBSSMENT OS/lsl9� GRAMD ISLAND NE 68801
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<br /> T � � -= 7HIS NOTICE OF S7ATE TAI� LIEN IS ISSUED BY TNE NEBRASKA DEPAR7MENT GF --
<br /> _ �"°�`�'���` . REVENUE FOR INDIVICUAL INCOME TAX PURSUANT TO TNE REYENUE I.AWS GF TH�
<br /> '���.���: ° STATE OF NEBRASKA• NOTICE IS HEREBY GIVEN THAT INDIVIQUAL INCOME _
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<br /> ` " '•'� � . TAXES INCWDING PENAL�IES AND INTEREST* iiMTCM ARE SHOMN BELOM ARE DUC -
<br />--�'^��'"��"`°"`'��' FROM YHE TAXPAYER SPECIFIED ABOYE AND REMAIN UNPAIO AFTER DEMAND. ___
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<br /> �_,.„�,., . TMESE SAXE3i CONSTITUTE A LIEN IN THE COUNT1f FOR PROPEftTY BEI.ONGINC TO -"
<br /> -�-'------ .�_-- : �-�' THE TAXPA�ER OR HEREAFTER ACq11IRE0• -----
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<br /> �.: ; .; .: ANOUNT OF TA1( . . . . . . . . . . . . . . . . _. . . . . . . 200.00
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<br /> a'�� ° • • . .` PENALTV • � � • • • � � � • � • • • � • • • + • • � • • • • 10�A0 e
<br /> ,"=,:' �'"�:.." IM'EREST �tOMPUTEO TO 08/02/91� . . . • • • • • • • • • • • 8+3b `-"�-
<br /> .�•.�' .. I� TOTAL AMOUNT DUE . . • • • • • • • • • • • • • • • • • • • 2�8.36 _
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<br />- �'�` •�` �' I HEREBY CERTIFY THAT THE NEBRASKA BEPARTM�NY OF REYENUE HAS COMPLItD ��
<br /> ' ' ''��=� '��� .. �� MITH TME REVENUE LANS OF TNE STATE OP NEBRASKA IN THiE DETERMINATION OF �� .
<br /> - �' ""�•�'•�;� • THE AMOUNT SHOMM TO BE DUE• AND THE TAXPAYER HAS FAILED TO PAII THE �-
<br /> � � ' � AMOUNT DUE AFTF.it DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN R.-_
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<br /> s::.�..,,.____ �>___.,_=�_ _- EXTENSION OF AN �FFECTIVE I.IEN I7 SERVES TO CONTINUE TNE PRIQRITY OF
<br />-°``'' � TM� STATE�S INTEREST IN THE AF�ECTED PROPERTY OF �irik IliKi'J►YER. __-__
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<br /> " � •� � �` � PREPARER�S SI6N RE TITLE DATE/TELEPHaNE _
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<br /> � ' - � AUTiiORIZ�a SI NATURE ITLE DATE o � ��:
<br /> Y ` FUR COUNTY OFFICIAL�S USE � '�
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<br /> NEBRA� BKA�TMENT OF REVENUE—Whfte and Canety Coples TAXPAYER--Pink Copy COUNTY—Cioldwxod Copy
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