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<br /> � SGC.. SEC. N0. 30�0009 93" �„�'� .
<br /> H�eRN IDENT: 11�• , 303796�i+4
<br /> ,._� SPOUSE SOC. SEC. N0. 50�3t743T �
<br /> TAXABf.� YEAR 19Si2
<br /> L.YEN N0. 9323603T8 NILI.IAM J t INHZ A SIIZTH�� , `'
<br /> CtWNTY HALI�
<br /> r� DATE OF NOTICE 09/1'5193 BOX 862
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<br /> �OATE OF ASSESSMENT Ob/2S/93 �tAMD ISI.AND ME 6880�
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<br /> ,P� • ,�� TiIIS NQtICE OF SYA7E TAX LIENi IS ISSUED BY TIlE NEBRASKA D�F,AitTM�MT OF
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<br /> �- REYENUE FQR INLIIYIDUAL INLWIE TAX PUitSUANT TO THE REYSNU�C L�AYS tAF THE
<br /> �f ' " STATE OF NEBRASKA• NOTICE IS HEREdY 6I'YEN THIAT INDIVIDUAI� It�aME .
<br /> �,,,,; , . '� � ���k��-�-=--�r�,. TAXES INCLUDIN�i PENAI.TIES wND IN�ERE�Ts MHICH ARE SiWMN.8B1.aY.t11RE DUE
<br /> :.: �.�:� � � •-,;;�•s FROM THE TAXPAY�R SPECIFIED ABOYE AND REMAIN UNPAID AFTEii, �EMIkND.
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<br /> . _ . _ � � ��,,�. -a�x.; THESE TAXES CONSTITUTE A LIEN IN TNE COUNTY FOR PROBERTr, BBLOMwINC TO
<br /> ,, �' �`''�'a'"�•'•�`t � 7HE TAXPArER OR HEREAFTEa wCQUItiED.
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<br /> ,. � . AMOUNT OF TAX � • • • w • • • � ♦ � • • • • • • • • • • • • �$O�OO
<br /> fi � . � ,,. . pENA1.TY . . . . . . . . . . . . . . . . . . . . . . . . . . 21.5q
<br /> ` .. . ' ` ' � tNTEREST ��COMPUTED TO 09/15/93) • • + • • . � • • • . • � • 32w6^e.
<br /> , • . ^ TOTAL AMOUNT DU� • • • • • • • • • • • • • • • • � • • • • �64�12
<br /> ' ��'�'' �'� � � ~}� I HEREBY C�RTIFY THAT THE NEBRASKA DEPARTMEN7' Of� R£YffN1UL HAS COMPLIED
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<br /> � . � �� � • MITH THE AEYENUE LAMS OF THE STATE OF NEBRASKA IN TNE DETERMINATION OF �> �, �
<br /> F � � ` '" .�'` TH� ANOUNT SHOMN TO BE DUE s AN� THE TAXPAYER HAS pAII.�D TO PAY THE
<br /> ..;�� . �'::;:�����r,< •� ; AMOUNT DUE AFTER DEMAND. IF THIS NOTICE 0� STATE TAX LIEN IS AN
<br /> � � .. � � EXTENSION OP AN EFFECTIYE LiEN 3Y S€itYEa i0 COti?Ii�UE 'iHE PRIORIYY t� � �
<br /> � . ' � ' , THE STATE�S INTEREST IN THE /sFF�CTED ROPERTY OP THE TAXPAYER.
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<br /> ` ' PREPARER• SI6NATURE TI E DATE/fiELEPHONE
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<br /> .�� AUTH RIZED SI N TURE ZTLE DATE / �
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<br /> �°� ° � � fOR COUNTY OFFICIAL�S USE � '�''�
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<br /> �� � � NEBRA8KA DEPARTMENT OF REVENUE—V1RYte and Cerwy Coplot TAXPAYER—Pqik Copy CWf�fIY—C9olden►od CopY
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