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<br /> - � Notice of State T�x �.ien �� �
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<br /> TNDIV�D�UAL INCOM£ Tl1X g 4.�- ..
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<br /> l�1EBk• IO�NTw NO• 2881�938 "�
<br /> �PaUS� S�1C. SEC• NOo ��'` �
<br /> 7AXAHLE YEAR 1Si93 " ��
<br /> � LI�N N0. 94333u099 KRISTI A SISS[JN a . � �}. . fs;
<br /> C�UNTY MA�L '� " +�•��
<br /> �AT� i�� NOTIC� 11/29/94 1�13 N iiALNUT + �
<br /> �ATE 0� ASS�SSMENT tl6/Al/9y Gf3AND ISLAN� NE 68801 :.:f '� `�' "
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<br /> TF�YS NoTICE OF STAT� TAX I.IEN IS ISSUED BY YHt N�e�RASKA DEPAR7MENT qF '=`��-�
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<br /> REVENU� ��R YNDIVIDUA�. YNCaM� 7AX PURSUAN'i T� TH� R�bBNUE LAWS �F 7HE ��'�'�"'�
<br /> STATE OF NESRASKA. NOTICt IS NEREBY vIVEN THAV Ik1DIVIQUAL TNCd7M� ��'�"���'"�
<br /> ����i"��►�k:�t���i
<br /> ?AXES INCLUD3Pdu PENAI.TIES AND IN7ER��Ts NHICH AR� SNOMN BELOW AR� OUE ,...
<br /> �ROM THE TAXPAYER 5P�CYFIED A�OVE AND REMAIN UNPAIp AF'iEK D�MAND• �,: � �` f�
<br /> �:a�Xx�..r:,,.
<br /> � "1'HESr TAXES CONSTITU7E A I.IEN ZN THE COUN�Y FOR PRC3PER7Y BELONGING TA �' '�' �''"`
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<br /> � yN� TA3�PAYER OR HEREANT�R A6Qi1IRED. ����'�'"� —�
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<br /> ., AMOUNT GF TAK � • • • • • • • • • • • • • • � • � e • • • 0 164�t1�! �i::
<br /> PFNAI.TY . • • • • � • • • • o • • o • • • • • • • � � • • • e�2� " 1�__ ' ��
<br /> .�---_ - INT��tEST �CQMPUT�D 70 11/29/94) • • o • � • • • • • • • • • ?�lT - ��
<br /> TOTAL At+lOUNT DUE . . • • • • • • • • • • • • " • • • • • • 379�37 �
<br /> Y.�
<br /> Z HCREI3Y CERTTFY THAY THE NEBRASKA DEPARTMEN7 OF RkV�NUE HAS COMPLIE� 7 � ";�
<br /> WITH THE R�V�NUE LA61S OF THE STATE OF NEBRASKA �N 7H� DE��cRMINAT20N UF � .
<br /> THE AMOUAI7 SHOMN TO BE UUE• AND THL TADIPAYEit HAS FAI�.E17 T[1 PAY 7H� 4;_
<br /> AMOUNT DUE AFTER DEMAND. IF THIS NOYICE C7� STATt TAX LIEN TS AH �� ��.°
<br /> EXTENSI0�1 OF AN EFF�cCXIVE LI�N IT SEfiVES TO Gt7NTdNUE YH� PRIORI?Y OF �.�"''" � ,
<br /> THE STATE�S INTEREST YN TH� AFFECTED PR�PER4Y OF THE TAXPAY�R• �o8j T, y,� � �
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<br /> . �G��9����r+'iT�����• 4�s1���������� •• DATE/TE LCPHON�• , � �'�1it�b
<br /> PREPAREI3�S SIGNATUR� 1'ITLE �`�
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<br /> _ AUTHflRIZEID I�NATURE `�'!TL[ DRTE ,�a.
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<br /> �,�1 FOR COUNTY OFFICIA�.�S USC � � � � � . •w' �'•,'.�!
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<br /> � ueaoer�tn nGVOarMPNT OF REVENUE—White end CenaN CODIes TAXPAYER—Pink CoDY COUNTY—Qoldenrod Copy � �
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<br /> .. �ptln.Cd On�CCy1.NOd pCipC� SuponoCea 7•t�•78 Rev 0-DO I
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