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<br /> thM+� Is� It�t in twor M th� Unkrd 8tabt on wll• prespMlyt.�nd rbM�td �
<br />� pnop�rtx brlon� to this t�xptydt tor ttw �tnoui+�t of tl�tnx�+s; �nd "
<br /> �eldlttorn!p�1tNs�Int�rnt��rid cwt�t tt�t may axru�. �
<br /> � N�ms of Taxp�yer DUDLEY. t3� g< P�TT� JQ. t�ACt� :�: _
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<br />- pFtHP1D T 9�..ptUD� I�tE� 68801 , ' � - .
<br />"-� IMP'L3RTAN'C:'AEl.�A��:Slt�FORMATtON: For eaph asses�rne�t Ifs�ed below� ___
<br /> `'t�' unless notice bt li�a is;ce�ll�d by the date given i�:ootalnn(e�?,.this natice shaif, � e:;�:.
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<br /> Ktnd ot Ttx Endad id�ntifytn�Numb�r As�s mant RMliinp ot Assa�nant
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<br /> �.��{ 1040 121�i%.�7 �26-40-�.;t41 UB/US/.�B 09/07/9e Y1724.3v -_
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<br /> ' .�•:';�;r� ',"t�. � Hall �ountY T0481 � 11724..,35 .� �.
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<br /> ',��•,�;'���;raf;' 'CJri i'r�al Recordi�� 'riata: � ;.• , •° . �
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<br /> '�!��`�Z��s�'•�`� ..'. ' . Omaha. NE. + �P'
<br /> �x��,��,. . : ah.(s notice was prepared and signed at '� 6 , - , on this�
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<br /> � ��:. the L,�h day ofJun� , q� . ��..i;:
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<br /> (NOTBs Gertlticato of oNleot authotized by Inw to tnke ecknowlodgmente Is not osaentla�to the valldity ot Nottae ot Fndoral Tax�lon I
<br /> °�-=<�- - -- Rev.Ruf.71•488,1971 •2 C.B.409) �
<br /> , . PSrt 1•Kept By Recordtng OHice Form 688 m�Rev.10-�) �
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