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<br /> "`�� , �;: DA�TETOF MDTIt� �06/09/41 EtT i . '``�� �
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<br /> - � ;. �� DAtE• QF ASSESSlI�MT 05/2Z/41 FIENIN670N �- �s:=
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<br /> - �� ,r, ,�� - THYS.Nt1TICE aF STAtE TAX �IEN IS ISSUED BY TflE NEHR�SKA DEPAR"�JNEtiT OF , ,��-
<br /> , _:..=;,.:1:. , � REYEliL�.FDR IIiDIVIDU�L INCOME TAX PU[tSUANT Tlt � RL1F.�tilE LAMS OF TliE ::�;.....
<br /> 'a� ' ' ` �STATE�,��'NE�RASKA• K�TICE IS HEREBY 62YEN TlfAE� �il�1IIilIQUAL i!i[ONE .
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<br /> ;�'� ''�r �� . TAXES.II�iCLt�IN6 PEMAL?IES AHD INTERES?♦ 1tHICtt �AF. SH�iilil BELOM�ARf OUE� � ,,�.;�t, . _�_ ��
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<br /> w-�.' " TNESE. TAXES .CONSTI7UT� A t.IEN IN THE C�IlN1'Y �;`-'��tIIFEI�� BEL�NC3ti6 TO � �:������`
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<br /> �� . PENAltV • .:.� ,� . . . .. . . . . . . . . . . ..�:�. . . . . . 7.T9 .,�:,.°�,�•.���":,._
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<br /> ��� '. . . INTEItE ST «�l�fl?�4TED TO 09/Q9/91I . .4 ` �2: �� , '. -__
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<br />``'�';�� . ` �r � � � I HER�BY`CERTIFY THAT TNE NEBRASKA DEPARTf1E[�tT OF REYENUE HAS COMPLiED � -
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<br /> ' � � � � MITH THE ttEYENUE lAitS OF TNE STATE OF NEBttASI��:IN tHE �ETERMINATION OF ,�i�:` ' ; � ?,'�
<br /> � `' � •;:: ��'t ' � ?HE AMOUNT Si1QMM TO BE DiIE� �ND THE TARPAYER .[�A�� FAILEO TO PAY THE �`,`x � _
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