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78008239
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Last modified
1/12/2010 2:47:10 PM
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1/12/2010 2:47:03 PM
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78008239
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<br />~~ti~~ ~~ ~t~~e T~~ ~~~ra <br />neblask ~i - <br />,c#ap+3rtmart - - 0 Raad irKSruCtitNts ewe TLYalfra side. - <br />hl rGYenua _- _-...._. __.._ . - .__.__...__ .__'.. _ <br />t_4an Seriat M~mDar - - Corrniy taste - - 3c~a3 5acutity Nunt#sar ~ - ; y j- <br />tVetyraska I.Q. 3VUmhar - t.,iLn 3YPe - -' E.~Ln ~ikif Wits $DDtt>¢'s $DC:at 5¢curi#y - <br />- _~`i itrlvtnaf Lfjrftlq'rit%Sr tsf 6e¢ NunYpat - - - - <br />_ -.~ .~ - <br />~t~~- ~ arnswat ~ c~:~nLY ~t~ra t _- tt <br />-- r - - - -- - - ~ -- - - - t A7t~ ~cn ~iaaursc rav ~rrP.rz. G tE - v~ i - <br />~ti~itd£^~+tdAbAE ARitI L2}CATt4fV dtNSRES$ `--- "--...~..._ ~. -.-..- -.-__. __ ..... <br />}--.. - - .Name - - -. <br />~:itiness NamL - - <br />a~.sat-r'ccfs - - - - - -- - i.SLrsa2-or.Ot M+3_ ttnp ABa~ss - .~.~.-..__.._ <br />~Fty Stat¢ - -2iP Coda - -City ~ _~ State ~ ZiP CortE <br />~?t~stant Ga i reven~`e taevs #Lf-ihe State of "~iebt~~fza aatiee s:hereiiy ~ivett that taxes (inclining-peit8lties, interact <br />2mt +icitai~s} ha+'~ been as,~s~d a Harz dsi~ t ing above taxpayer and reittaifr unpaid after detttancl. TTtese ta~+ <br />r - :.e.f„ u H~ ,.tn„_t.at~~ g t>? thg-tea t ayer ar.herea€ter acaaired. IaeRS for sates anti u~ - <br />- toiiasxsuu°a ueu iip°.,.e ii ~r ~ .; _ -_ ~_ ~ _ _ --~ - <br />tan~s ~' attach ti the real irroperty of the taxpayer icscatett st+ithin the coetnty or hereafter actin"cert. 1 <br />€sz - - .Date at - - - ^ E3a'atxvt of i`' <br />tort Tax Period ~~ ~ArnO+aiY pfTax PattaitY interest Additio~-Assxsmgr,t true ~ <br />4~st.~tiar _~-_ -~ 1 - <br />1 ` ~ _, <br />~ ~ I <br />i <br />~ j <br />i <br />~ } - <br />~ -- -- <br />~- ~ __ 4 . <br />i i ~ ( i i i _~_.--- <br />~~^,TAL tw F~ is <br />± nataDy cartify that tn¢ NLbrasxa OaDartmant of xeY¢nue tfas comPiiaC wtih the r¢wanue laws Dt the 52ate pf N¢Ci'3515a- in the ~~!er- <br />- ~ ,~ _ t,+.e ~.hg;r}t? ghtctys ?D itL true. antl- Tha.taxDayer 1185 faii6C 26 Pay ins amount due after aemar.C. }f then Nar~sL of Staie Ta%Y..:cn <br />- an L%ten~ flt an eftect;Ye Elan K s¢rv to contlnuL the Driorify Cf the Stata's fnt¢rLSt in the att¢ctec GrflD¢rtY D' *.nt ta~PiYea-. - - <br />~~Y ~ - Reif as•a 514PSture:`FtFe 6ata <br />-(~"~~~'~ - _- - -. .. Fl3fiCO4SN4YOFPfCiAL'S1iS€ - ._...I - <br />__._ " tiERRASKA DEPA7~Tt~EAiT QP REYENL'E. - 43ihiie and fiarrary GaPias TAXPAYER- Fink C;)py C4UsVTY iii=FtCE - Galdenrad'GoPV -- <br />- - - SuDercedes 4444.?s Rev. l i-]7 <br />- _ ~ A -. - - - - .:~.. - - <br />
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