|
:;�, .. �M�� � ..���_�.�� ,
<br /> �„'°�.� . .. � �YidL--
<br /> - .. .. ' �:.-Ln�.w�-_�
<br /> �, . . ~. 7�.7.1��':`i� � �i .. , _�
<br /> �4r� � .,� 4�:..... � /�. / .. ..u�M"y�.►,�`wy � .. .. .... . 7'��F..
<br /> ��.
<br /> �..'�4. . � . . � . ' . . . '- . - � � ., Jx." �y��wr� �. . -�
<br /> .
<br /> ..
<br /> . • . ..- �.- „o';4L%:. i Mq,..�y�yq+'kMUtKt�t�-. � . ' o � ,. �- . - - . • .. 1��'L"+�ly ms. —_.—..
<br /> w. . . 1.1 ��'y�'...t .� . - .�r���n.t~-' .. , - . _ . • ' ..����Y_,Y - _ _.
<br /> ' . ,. . ,� - ' „ . .. , - � l� �L.I�.
<br /> . .. � . 'i.i i��s
<br /> .. . . ,. -- .�,.
<br /> � .. ' ....�_tN
<br /> (l � •
<br /> .. . � � • �
<br />. �) ' . �Y1
<br /> .� � ��—, ? ������� �� �I�M�B ��/� ���■� _ �
<br /> . �r1DMYDRB /,�jj
<br /> ��parimait Qv
<br /> ol ravMf
<br /> c � .. t
<br /> � TERMINA�I�N OF 5'fATE TAx LX�N . � 1
<br /> , INllIYIDUNL INC�ME Tllx ��L�,^ �.�:����8 : . .
<br /> ��
<br /> IF XU:! I�Q�12RC A�[i�T YQUR ��
<br /> A�C��JNT� R�PER TO THESE NUMBERS �':�'"'"�-�'�s�-µ
<br /> �., •��;:;�;•:,
<br /> ,, � 50�. SEC. N0. 506177075 MICHEl. 6 CARIE R MAHL.Ef� ��t " ': ':F �
<br /> . . NEBR. IDENT. ND. 92998996 ' '
<br /> „ '� ,�:,
<br /> ,,.:.'::. � �
<br /> " SPGUSE SqC. SE�. ND• k828�2b7S 2317 1/2 S P6�Ti T=RS�3N
<br /> _ , 7AXABLE 1PEAR 1992 SI�UX CITY IA 5d.lOb �-
<br /> .. . � L�EN NO• �33170071 '-�
<br /> � , � LFEN REl�EASE N�. 94243079T - __---
<br /> �'CJNi'Y /�a// � '•�� �'-�_,
<br /> �.�;.�4-;,�°°c
<br /> UATE (]F NOTICE 08/31/�4 - -
<br /> �j .//O�q� ;�`.�'�;�,`:.
<br /> . . INS7RUM[NT NQ. L�........
<br /> ��'.. �
<br /> . �r,�r�-----W—
<br /> PURSl1ANT TO TNE REVENIlE LAWS OF THE STATE UF NEBRASKA� NO'1�ICE IS I;�;�--��•-
<br /> HER�BY GIVEN 6Y �HE NkORASKA DEPARTMENT OF REVENUE Ti�AT THE
<br /> STATE TAK LIEN M�lICH HAS BEEN DUILY FIL�D AGAINST TN� ABC�VE NANED ��--
<br /> " ' TAXpAYER FOR INOIV1AUAb INCOME TAX@S IS T�RMINA7ED. ,�`� �.F.�:�
<br />_ .. _�.:-_'_—__ +h�•~��..
<br /> I HEREBY CCR7IFY THAT THE N�eBidASKA DEPARTM�NT OF ItEVENUE HAS COMPL,YED �s
<br /> aYTH TNE �d�YENUE LAMS OF THE 5TATE OF NEBRASKA IN TH� DETERMENA7ION OF �
<br /> . THI5 TEK(9�NATION. 4�; �
<br /> •�II
<br /> �dwy�� � ;�:_
<br /> ,�
<br /> `_ • �or���• •���������• o• o�s�r��s�o • •������• ��������� •r���� ��,
<br /> � • PREPARER�S SYGkATURE TITLE pAZ� Y�� •
<br /> �. ,_
<br /> .:r�� ,;
<br /> ��y , � ,�� �1�4_9�/ <� '�: �
<br /> � � .,�
<br /> ��� t������ � •���� ������ ������������• ���s����• •����• „
<br /> V .�.•. . �,�
<br /> . AU7HORIZ�D S G 11TURE IYLE DATE �,,•�.�,
<br /> „�_ '''�-�i�.
<br /> t.i-��:... :;'�
<br /> FDR C(]UNTY OFFIC�AL�S USr .j � . --
<br /> , � � ��
<br /> l� V • i ' .0:�� .
<br /> �� f � �, ,'�.
<br />_ � � ° cn .. , .� . . � •�;
<br /> �•. cn `�
<br /> � `',� �� -F ��'" � (� II v~.
<br /> ;.. n
<br /> c � � � � � � I •.��I
<br /> V` ;�A � r '''�� � -�G t� I � ! , �'I
<br /> „ . � 5��� ` > � 1-'a � � �,/ � � �, J.�
<br /> f `V 4 � � -n ll� N �= �� � eyo i • �i
<br /> � � ° .v � � , ;
<br />., S �1 ;� �� � � n � � � 4�,
<br /> �� .� � i—� x � oo p , s
<br /> :� �`� N'' '�%'' W �� y,I
<br /> � \ �� � � � � � � - ��
<br /> � a - .
<br /> ✓ P'� �Yi
<br /> ` � �a D � ' �'
<br /> . __ _ __ _ —._:
<br />- _- _ _ _ _ .- / .
<br />_ N:BRAI'�PARTMENT OF REVENUE—VYhlto end Canary Coples TAXPAYER—Plnk ConY COUNTY—Gotdenrod Copy � ��
<br /> ' Q��Pmted on mcyc�f papor �.ueao aev s•9� ' i�
<br /> }
<br /> IIWm�ede�1.taStY Rev-0•90 I
<br /> ' + I
<br /> �1 . . .. . . .... .. _ . ... . . . . . ,.. . ._ _ . . . . _ .....�___._.._.._.__....__..�__ - .
<br /> � ' , �
<br /> , y ...
<br /> �
<br /> , , . � �
<br /> � ., _ �
<br /> I
<br /> � . �
<br /> , „
<br /> �
<br />
|