� ,��{� . i� .. . r _ . y~ t f.,st-.,c-�,.. "'= _' .�. � — �."� --.
<br /> Ri=,: �• • 4Z� £ � .I -F. 4 t,t
<br /> ..�:1i .s t. ' � •.C n .,�.�yiN.. 't � - �y y�]3�x. .�__
<br /> T 0 . .''�•{ -fr�_- � �,�,� gi,, ��? �j �� '�'! . -F, le FSt.F�,.
<br /> �c n#� �` • �ic� ' f ��� "t�r$'•�!^S.Y��7"-�'.,-�` ...'+ �.� s Si < s. %n �..4.-:�i'P � t��a�s.,
<br /> + C ; ,e . � -o:� ---
<br /> .a . . . ` �" ....-_'_'_'_
<br /> . .
<br /> _ .. - . < . ._ . .. . . . �t' . .-
<br /> . _. .tt''. � i - _'
<br /> �� �T '�' ' .. S . YL -.T-=' .
<br /> n .. . - . : .. :d. .r.F.'. , . . . .., , 'r',, ., s _
<br /> i ,
<br /> _ k'.•- _
<br /> , p= �.
<br /> . _ _ .� . . . - -
<br /> -.x � i tl X� _ -
<br /> N� . � r - . . . � _ .. —
<br /> • � , n. . �i . -
<br /> i �f+.
<br /> . .-. , ��. .� + . ' _ . � .c ' -
<br /> � �.�: '-r tL`— e, .. � :4� < . . G <'` 'a � } ... � c n� ,�. i_._• .-� -- —
<br /> ��' r j. >c .�il . . �i:� t� .. � - , k � _n�.,-,� :
<br /> � Sr. }t �:,'s_ � i yl �a.. �,.t 4':. �. � f Y 4. � C `n kG` .. .f � . rti`'.K...�* ._.
<br /> c . �
<br /> r .. 4�� � -.�, -- .. . � . � , � r:. r.�,F" �,�..� - ' � 'c ►'�� '.:'E4 ��_'_
<br /> . .'.. .C'� r1��� �`, •' ' :. - - . ,°' ,.. . . <�� ._ . . t�` - ' t zr.�,_ . __..
<br /> ��` �'E 2�; t �'. .�._. .. .}.' _. .,, [ . ••.: .r, + � �,�,�L i.. �� -� _
<br /> 'r � :�'• '4. �„ .�, � _'�i'Y7Yyoq�.��iAdP��. -�-=f�.rL.h+t - — , .
<br /> t
<br /> �1fX'�.5.:.._, f i , .—.
<br />.._ .. - ' . � . .. . � ' - . , � ` .. � . . , -
<br /> . * � � '. ` .. � � -., . . ��� , , ' ��_ ���� � - .—
<br /> ,ixa — • ' �7Q��C'��� ����� 1� • � --
<br /> a� ' -
<br />, . . : . Ziv'13�V�$��lAL �I�OHb '.�II� � 1�N�WA2. . . ' • `
<br /> _ �- - -- - -- - ' . • _ . ._ . _._ , ,_ � , • __ ' _--
<br /> • SOC, SEC. NQ. . = �2-�422:� : , . . --
<br /> ' N8�3R. �IDENT.. NO. �43U6Z� . . _
<br /> �SPtIU68 SOC.r 3EC. Y�i�. � �ti5-72-�978 , Joc�y iri & Dl,ane H Oo119ns �. _
<br /> � 'PAXABi.� YF,AR ,�`� � 19g2 � � � � .. _
<br /> � LIEN.L�B. ' 86�23b4�' ..' . � 2,,Bax 84 .
<br /> . � CO�R'SF . ` . � Hall .' . , � Grand 7slaud H6� 68802 .
<br /> . D��.4F �I�F ' � 05/p3/� . .. . , . ,- .
<br /> : DATE OF ASSBSSME�T: � � �
<br /> t .��P�`�
<br /> , ZNSTAUM8N7' I�O:. y�t G" ��t/�• : � ' . . � ' •, . . .
<br /> . ���� . . `
<br /> .. " TfiZS NOTTCF: OF-��'A'1`� TA$ ;I.IEN IS IS&�.BY� T�S NBHRASRA D�PARTM�'IiT OF �
<br /> . �VE�iO� FO�t IIr'�IVIDUAT��f'�ICOPl� TAS �URStiAIS'� TO TRl�;REVE� I�AS�7S OF '�BE
<br /> • ST�TE t}P'-=�..�BR1�iS1CA. NOT�CE �8 '.��Y. GIV�I, �iQ .'� "..IDUAL TNCQI� .
<br /> '. '�11XBS-��.�iC�►T�DING �`ENALTT85 1l�tD �,tiTER��T, WSICH ARS SBC�;�i���. .�iAE DIIg.� .. .
<br /> . , .E'�tt1M� '� TAXPBYEY2 SPSGIPIBD AHOVB AD1D �A�2N i7NPAiI1,��::�P'�ER �D��?. . �
<br /> ' �gg .�S CQNSTIT7�TE A I,I�N 'IN THE COIII3�'Y EOR FROPER�' �ELONCING TO :,
<br /> T�E.'rAX��iY�R OA $ERF14�£TB�t.ACQDZR�b. . ' . .
<br /> . , . .
<br /> ; � piMpUisT'flY�' TA%- . . . .. ..' . .' , . . .. :� . . �.�- . .. �. . , � , � :243..08. . .
<br /> �� `�pP.�i1SLTY,. . . e . . . . . ,� . .: . . .. . . . . . .. . �. � � . - 12.25
<br />= � �/O3/86')' . :' :�_.. . . . . . ".� . �05.1? :
<br />- . � . .I.NT$RE�`�;�C,OI'!�l�+t`tJ�ED T►'0 �360:4a ��
<br />_ . • • �i'�'.r�i ��� d� . . ♦ .. • °s . .. : a • . :, r� . • 'a• .' , ' .. �.
<br />_ {:..V_, ', �_�1 , , ',
<br />_ � .,�::,,'�,,c .��EItE$Y� CERTII�?� THAT THL NS�F�S�A D�P'AA'4��T'1' OF ��� ,� f'�!lPLZBQ , ..
<br />_ .•."."'.^9�I�H.'�HE .RL'VE,N�.I.AWS OF THE ��'�.'�'� OF t�I�BR?!&H1l� IN "1'A8 DBT�ItI�lINl1'1`�ON.�DF�` : ,
<br />"' 'T� �II�l�iT .SHtI�FTtT TO' BS DQB, A�iD .THE TAXL'AY�R.. BAS� FAIbBD .'1'Q .P�iY T�E�. .
<br /> , . AbiO�;';'�T3E AFTBR D$MAND. IF 'PRIS� ,HQTICffi �0�'. STl�Tg T1lX �LiEN I$. � .
<br /> � �ir'�a��,�{y'".:..`�� 14;� �FP$L'2'�� i�, I'1� SFI�VES .'1!4 CO2iTxtiET& T� �'RTOR�TY �OF
<br />_ . ' 'T�E 5�,A,'CE�S� IDiTEREST IN' 2HE AL�F'ECTBD PROP�;I�'�`Y ��F T�E g'�P7ilY�C: .
<br /> . �: �� .�
<br /> . .:�:�:..;: a ��� . T :
<br /> � ... :..�:.�..��:�
<br /> � . .«i�.�;�r�����������r���� . •- i DATE/TEL'&PHO� • . . ' .
<br /> �� 'S. SYGNPiTi�tS T �S
<br /> , , � ',,�n�'�A�f�,y:, . , . • . ., ` ` �: / . ,
<br /> ,ti�t,tt.,���"�� ' ),: /� +�
<br /> :>';4,:�.. : . �l�� ♦'��� � .. .
<br /> �;,1;,.,: ,� . � . '��
<br /> � ..: � �'�:�!'eZ..,• . ..;.....r •...a...� .. ,±�.,_�. �.'•.�...�.•......�..
<br /> _ ` AVTH���B� S G�TiFRS � ZTLE . . is�;'�,����. OA'1'E '
<br /> � : ��;:�.� ;,
<br /> ;� . ,.�.. . .. ,,.,,� }� , ..
<br />_ ,.�. . . �
<br /> .. . EOR CO€JNTY OF�YCIAL'S dS�,ti'.���; � � ' s`�'
<br /> R . M� 'w % .'�
<br /> �� . • ..:.J,:�.'�I� ' �` M,' _ .,� ':`..
<br /> ' �,��i' 4...;•;r, \\ /\ . � , a'�_ • :'�.
<br /> i :..� .
<br />- �. . �OD �P"3 � . � � .
<br /> �s � � �..a .
<br /> ' � � 1..� � � � : . . � G ' . ..'�"��t�l.., . ; tT'j,� -
<br /> ,� .� � �:"� , • . .� � � . . �' � _ �.,,' , ', 1 �
<br /> _ �1'ti ':4 ` �O� � � � � � . -°n � � .``+ sr�''► . .. ,��. .
<br /> v �
<br /> � � . .,,0� � , rn •� ..� ' r v . . iA `�' .
<br /> - , di� � . m � • . . � �.r°n _ O • � � ' :� �.��;
<br /> � � � � ,..., ��. .
<br /> �� . . � . . .� � . � �
<br /> Z1 � �. .
<br /> _ • . �
<br /> - ' � �
<br /> - p�C���l�.c'"""�"���'G� . „ r .
<br /> :; �us�u►o��n�rrro�a�ue—WtiiLS�Cs�erll�• .T1q�AYER—�xcov�► cou�,nr cia�o���.e
<br /> � �pfl�al an�!Q p1a► , � . .. • Aye.ai�a ue�ro Aw.wo ` �
<br /> \
<br /> . �r:t�et . ' -- - - a. - Y..�'.� . ,es--4..� i i- .
<br /> �—_ _`. . ' . _ . • ' . � . � ._1�._ � � �'."AYtf�r.ti�. �111 - . ..
<br /> . � . . • . - ' . .�` �i:t+t`�.r ]• _;ss T ., i(+f �`_/ .
<br /> �1 l '�`,y.yy�;, .i �
<br /> � •• � , . � t � ' � ' '�.�.5�,F�,a ��Tt,.1 ��"'!�,.��..T__'
<br /> . . . . _ • . . .. :tr:: : ; -.
<br /> . .. . .. .L . . 1'��-..- . .'?. .f"....'� .� .,
<br /> , � . - . . � . . ' . ' . . - . ' - : 1. -t . � . __.
<br /> � . - .� . . - . .
<br />- . - . . • . .. . . . . . . .. . . . . . a._...i. .o f,L�-'�
<br /> . � __
<br /> _
<br /> . ,
<br /> . . .
<br /> •
<br /> ..
<br /> . � .
<br /> .
<br /> .�
<br /> . , .
<br /> i�:
<br /> . . :.'
<br />.. "__.._ . ','_'_ '__._.' _ _._.._ _ .1..___ _` _ _.v___'. _ '" "" ' '_§ .' .__"_''
<br /> . ,- ., .. • , ..�_. . ..— — . —. __ - - .
<br />. ; - .. _, _ :. ' ��. , , . • , . � �_.
<br /> . .. ' . '. . . _ . •.. : .,- _ J _
<br /> _ � �---�. J• .
<br /> •~ �� + i
<br /> . . • • . - . . . .,� �� }k`�,�y�f��--•. i .
<br /> ♦
<br /> . , _ .. `i ' . .. _ ,_ L� � t . �� , _ � .
<br /> � _ . ' � , .. , ��. - • . 1 ' ; . y��' '�� .�'r }.�*- T '.
<br /> , . . . i ' . . . . � . 'i .�.ej��t .�t,�"=;•�+��y'�'`.��'rz .
<br /> -' - .. . . . . . .z:ta.. _ _. - . . � � � ' . . . .. _ . . . . . rF -- - - �— � ---
<br />
|