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<br />12/15/2006 16:56 FAX 14024714429
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<br />NEBRASKA uee
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<br />14I 005/005
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<br />Notice of
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<br />, 2'00611136
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<br />copy
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<br />PLEASE DO NOT WRITE IN THIS SPACE
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<br />INDIVIDUAL INCOMt 1~~
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<br />'~Of-. '''SEe. NO~'",,: 560153170
<br />NE5R. IDENT. NO., ',:' .:" 36"46270
<br />SPOUSE set. SEC~. Nb.
<br />TAXABLE YEAR
<br />L1EN NQ.'
<br />,:./
<br />CCUNTl', , . "
<br />DATE Qf .N'OTI,"E.;" .
<br />C~TE O,f':\'sst~'SS'MENT'
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<br />,.,/'..,01
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<br />1992
<br />96~2,70050 .
<br />HAI,..l-
<br />" . 111-22/96
<br />" ",09/1-,6J96
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<br />BERNAL TOPETE
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<br />.'e1.01 E GORDON p~. ;LOT 106 ;' .. , ,
<br />,SIOUX t IT,Y , .. : . ...... ,: :I~ !11.06.
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<br />lHIS NeTICE Of SlATE'TAX lIEN. IS ISSUED BY TME NEfKASKA OEPART~eNT GF
<br />'RE~EN~E FOR I~DIVICUAL IHCO~E TAX PURSUANT TO THE REVENUE LAWS OF ThE
<br />SlA1E OF NEBRASKA. ~CTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME
<br />TAkES .INClUDING PENALTIES ~ND INTEREST~ W~ICH ARE SHCW~ BELa~ ARE DUE
<br />fRG,t-l 1"HE TAXPAYl:R SPEClfIE.D:"A&OVE AND R.EMAIN UtJPkID AFTER DEMAt.m.
<br />THESE ~AX~S ctNSTITUIE A lIEN .IN THE COUNTY FOR.PROPERTY BEla~GING TO'
<br />, T~E TA.XPAYER OR. HEREAFTER ACQUIRED.
<br />. A"OUNT'::.Qf' JAX-,~;r.'.: ..: . '.. '., ... ,._~:..:... :.... ...~..j:.::::~:.:.-_..:.__~::::..::;--:.: 1-66.;0.0 ~ - ,.
<br />..---.P~NAlTY.. '..'. e.... ....... .\.. .....';i....::..... 8..30'
<br />'lNTE-R~T (COMPUTED TO 11/22/.,6) . . .'.. . . . . .' 4B.22-
<br />TC1AL AMOUNT DUE- ... . . . . ... eo . . . .. .. 222.52
<br />I HERESY CERTIFY THAT THE NEiRASKA DEeARtM~NT.,CF REYENUE HAS COMPLIED
<br />WITH HiE RE~ENUE. lAWS OF THE STAT~ OF' 'NEB,RASKA IN ThE Df:TE"",INATICJN Of
<br />THE AMOUNT SHewN Ie BE D~Ey AND THE TAXPAY(R HA5'FAILE~ Te PAY THE
<br />AMC~NT DUE AFTER DEMAND. IF THIS NCTICt.Of STATE lA~ LIEN IS AN.
<br />E*TfNSION CF" AN' EFFECTIVE LIEN IT SERVES TO ,CC~TIN~E THE PRldRITY OF
<br />THE STATE-S INTEREST IN lHE AFFECTED PROPERTY Cf THE TAXPAYE~~ .
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<br />~~.:-.R,!~~ I S _SJ,GNATlJ~ DATE ITElE PI1CI~E
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<br />AUfhCRIL~: SIGNATUR= LATE
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<br />j NEBRASKA. DEPARTMENT OF REVENUE - White .snd Canary Copies TAXPAYER - Pink Copy . COUNTY - Goldenrod Copy
<br />." I'tinltld oWl! M>y ~ tltJ mcycJed fHJPIN ' 7-'.!i-79 Rov. 10-95 s..I"""_ 7-' .5-79 _. 5-!l1
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