Laserfiche WebLink
-;;�i?y,,f, • �-_' . . . , ___.�.r..�.. •r;• ,,,_._ . . _ . <br />. � ''��t:: -� . � �. ' <br /> ` ,� _rr <br /> .�v... � . . .. " . .. . . - <br />- , �I � .nf+� � [�/.Nne . . .. .. .. . ._. . .. . . �. ' .. .�r� � ' <br /> 1&P. <br /> �(' <br /> -� , ,. .. � v . .. . .. , . . . .. _ . . .. .. . . I .. :. <br />- n „ n.cruN�� p /s v %�N � ... i�',*�►i��ifir i <br /> ' . ��ttm�nl �M��V� �� ����e ��A ��8h �, �5 , <br /> of rw��iu� � <br /> — � <br /> ' � <br /> �, 'i�RMINA73WN GF STAYE 7AK LlEN � , <br /> - -�:;,�: INDIVIDUAL INCCIME 7AX � <br /> . . � <br /> IF YGU lNQU'iR� ►18nUTi Yt]�R � <br /> ACCOUNT t RCF�R T� THES� NUt•18kRS i <br /> I <br /> SOC. SE�. N�7. :058420y9 UAriRrN C � R�a�CCA ADUY � <br /> N►:BR+ IDENT. N0. 278at�819 <br />_ • SP09JS� S�C. StC. NLJ. �Oy94476Z PO BUX 30f3 � <br /> TA�iA�i1.E YEAR i992 GENOA N�= 6ab�+� <br /> ;� LI�N NU. 94U12G678 i . <br /> ^� LI�N RrLEAS� Nil. 97048Z116 � .. <br /> -_ . . C(�UNTY HALI. � .. <br />_�;; . . „_ ��7�: �s� �:u's.c� ��l��0°� . <br />. r. < -;'� - I <br /> �� � .. INSTRUM�N'T N0. •�.`:.lUi?.`��� } � .; ". <br /> , <br /> . , PURSUAMT TU TH� �tE1l�NU� I,Ab�S (7F THt Si'ATE [�F MrSP.ASY.Ay N�1'��CE I5 i � � <br /> � NERCt�Y GYVLN 8Y TH� NtBRASKA D�PAP.TML"NT oF R�V�NUE THAl' 'T9iE ' <br /> , _ SiATE TA!( LIEN W�dGH HAS B��N DULY FILtU AGA'tNS'� T�i� At3U1V� NAMEU I , f �v- <br /> �AAf HTGti - - - - - - - --- - - `----=" -- -- <br /> 1'u,tC 11VL11�lUUA1. .lYVQ.:UI".� (AXt, 1J 1 CIiMl(�A 1 tU• �. 5;;. <br />. Y W�R�BY CERTTFY THAT ?NE NEBfiAS�A fJtPART�4ENT QF R�:VkNUE �1�15 COMPI.IED � <br /> wITH TH� R�VEtVUE Ls1WS UF THE STA�� G� NtBRASKA IfV �'HE DETERl�'IINAT�SJN OF '�•'"��� <br /> t'H1S TeRMINATtQN. ""� <br /> . �, F,. <br /> .G F `? � `�-�� $'S_' i � .. <br /> •�• � •��a�• •�• � •• •�• •�o� • " •�• �����VI���������� .,�•i..�� . <br /> PRCPARER�S S GIVATUI�E T TLt DAT� � '� <br /> � 1�. <br /> e <br /> ,j -��SS�.- ' ,cA •''.� <br /> \ . � -r� <br /> . *' <br /> •�• •��is��• ����• •• •• � • • • s� •��������������• <br /> AU7F 11RTdED S ATURE ITLE DATE —�;,-� <br /> � �� � p��... <br /> , m��_ <br />; , hGR C�UNTY L1FI=ICIAL�S US:: �> . � � '"�'' <br />- � wJ � <br /> r \ �i� <br /> . . _ . � �\\\��V� I'��/�: <br /> � JI� <br /> ' V �_ <br /> �, .,���m_ <br /> '1� ` � � ' �}�:�• .��`;l',;�.i;;. <br />- .� � `� C.�J`l C`j fI'1 � ' � �!W:"�4��i•,��n <br /> .. •• � � �z ^-f � ao � -,� ,f...� <br /> � � �,y� � �-'� � � � ��1;:.� <br />. ., r t� -, . .. <br />_ . � � "'S V -+� K f� � .. � . <br /> r�� ] , r� -•� � � <br /> _ � � rn w7 -� � CO T� :'C � � ,. . .i.;, <br />'-- � \l, i �,.�� 3 �' ?y p"'�' � � '.,1, <br /> � ' � � � I. . .. <br />= • h-" �t � `'` , <br />- , � 1 `�-., p ' � � , � . <br /> !-" � <br /> O `'..`. � <br /> ,. � � �. � U3 � � <br /> _ _ -- --_ �\. ! _ <br /> - �� --- ---- -r : -- <br />_ . � ! <br />_ ` NEBRASKA OEPAATM[NT OF REVEI`UE—W�i;e&r�d CQt13�y COpi@5 TAXPAYEq—Plnk CopY COUiUT'—GOIdelYOd CO{1y <br /> - .. [�pry'�f p���p�M 7-14578 Rw b81 _ <br /> t '$Wa�Mt11•tIS7i RW.Q-90 <br /> r. <br />-� - ., . - ., . . ' <br />— , � . <br /> i�. , � ,. . <br />�r ' . <br />•� . <br /> .i, .� <br />;l , . <br />