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<br /> TER!lINA'iION � STAT� TAX L2FN
<br /> INDIYIDUAL INCOME TAX
<br /> IF YOU INQII$AE ABOUT YOUR
<br /> ACC�Iik?• REFEit TO THESE NUMBERSs
<br /> SOC• SEC. NQ]s �0826855b
<br /> NEBR• IDEN�. t�tis 27906205
<br /> s�a�se sac. sE�. No. oo�ut� a s�x
<br /> TAXABLE YEAR 197?
<br /> I.IEl�t NO. 0872263Q4 Z41? M KOENI6
<br /> lIfik R�LEASE N0. 9601216C� 6RAND ISI.AND NE 68803
<br /> COUNTY' HAL� .
<br /> - - --�ATE-� N�TICE . . ...Qili?�96 . . .. . . . .. ..... .._.. _.__..._ .... ---- ------------�--- --
<br /> 2MSTaU!lENT NO. .�:..��Q��°� ,
<br /> PUlSU�1�f� TO TKE REYENUE LAMS E]F TNE STATE OF I�RASKA�s NOTICE IS
<br /> HERESY �IYEk �Y' TNE NEBRASKA DEPIIRTMENT OF RF�fE�lE THAT Ttl�
<br /> � STATE TAX LIEN MHYtH HAS BEEN IItiLY FILEO AGA2Ns"T '�HE wBOY� 1iwli�D
<br /> TAX�AYER FOR I[�1DIYIDUAI ItitGll� TAXBS IS TERMINATED• � '
<br /> I HEREBY CERTIFY THAT TtiE NE6,"�ASIU DE1?�l?tTMENT 0� REYENUE HAS COMPLIED
<br /> MIYN TIiF REYENUE I.AMS OF THE �'FATE OF NfBRASKA IN THE DET�AMII+IA?ION GF ,
<br /> THIS ?E I N. ,
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