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netrraska ~OtIC@ of State Tax Li@n <br />dapxtment <br />- -- ~ DISEFlAR6E OE STAl~E TAX CIE)i <br />IMDIY2OttAL INGOliE TAX <br />If YOt! II~u2 RE AlOUT rouR 82 ~? 14 9 3 <br />' ACtDIA~IT• REFER TO THESE ~IUIldEitS <br />SOC. SK.. AIO. 526703:~T8 NEMRY Y(C MARY E 6i=DFORO <br />ISM. IDEIiT. AID. 2542E SbT <br />5-OU&E SOC. SEC. NO 917 ii 91ti!` <br />TAXAtI.E YEAR I9T9' GitAlp TSi.~ND ~ b8801 <br />LI@I l10. 802!3726;5 <br />LIE#1 RELEASE MD. 82I22ti48 <br />CaI~ITY ftALL <br />DATE OF NOTICE 04/24/82 <br />IiJRSRMMT TO TFYE REYfMU6 LAMS OF THE STAVE ~ MEiRA9CAf t~QfICE IS <br />IEREBY GIYEM 8Y THE NEHRAS~e/1 iIEPARTI~IF OP REYE/Nt,~ THAT: Hf MDTICE EtF <br />STATE TAX II EN /MIGN FiAS BaEM DiJLIf FRED AGINiT' TAE A80VE RtMEtlr <br />TAJrIrAYER FQR II~OIYIDIiAL INCOME. TAXES IS DISGil~RC~'.. <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARIM9IT OF RE~tEIKiE MAS OOMPLIEEI <br />MITII THE REiIENUE LAMS OF TtIE STATE ~ NEBRASKA. IN lilE DETERMIMATIQII OF <br />'lflS DISCMARGE• <br />I~ ~ /G- ,~~.- <br />.• r•.~./. ~. ••. . . a•• .:.••a.a...r•. <br />!'R ARER~S RiRE DATE <br />AU IIED SIi~~ j`I <br />DATE <br />Fat COUNTY OFFICIAL'S USE- <br /> <br />If you nmvm ;ni puestlo ns reparCMq this notice, ptmaae ccnuet tna Nebraska DaparYmentof itevenue,.SOx 94818,.Lincofo, Nmbraski.68 S09, or any..or <br />[tM rmgl0 nl: OYil.:mi li{ted belcw_ in Plmbraske ydU aY;y d:sp tltal loll lrel,ypyr tong ptst;f4G6 aCCas3 num Der and-800.742.74'79 Stlr ass[;tan Ge. <br />L INIX7LN - (4027 47t-1971. GRANDiSLAND- f3061 3&t8829 NOR7MPLATTE - {3081532$250 <br />OirtAHA -- !4021 564-20GS. NORFOLK - 1<02t.37i•'1626 *.~C0T7S BLUFF. - 13081632.3)i37 <br />N EBR ASKA DEFAftTpAE.N70F REVENUE-White and.Canaty.Copies TAX-AY£ii~-Pink.Copy COUNTY-Goltlanrod.Copy <br />7-I45-.79. <br /> <br /> <br /> <br />