| 
								          	..     e.7.:   . �__.	' -  .   '	. ' 	'     ,   Y� .'	'  _      .    . ` p   '  	'  �      +    �     ,   .	. •'     t.~   ``.q��-�^�
<br />  -  ` 	- 	,{,�       .   .  `   ..     `      .     ,   �   	4  '       _    .��      . .	:      _    `   .    . , 	• , 	'      	�.
<br />     										t""   			�'       			l
<br /> ..  	..     						.     -    	.  .�      .. � '  .      	.  "    		.       _ .   _    -'!f ei-`'-x     y
<br />      ..     4� .-				--     —     <-'� � � �----=_-  =-   -- -=�  --  ----- 		�.       		-. .
<br />   	.   �	,
<br /> 	.	•--•---*-r    	— T-
<br />      �'-_-     		�.       �  '    -   		-      	-    '       --  		- 						'
<br />				-----"'- .._ 	w�U.:�-
<br />      -	.		�       	,-   -   '       -     '---r--`--'cr'=.'__..   �._ --      .		' �  .    r 	'    	` •       --�
<br />   �      -  �  '�     �	'     �  	. .    • `    y    	. .   .  ,    ..    ,  .    �t(      �  `  ^,`' � �  . .   .	•	..    N,�      �    	.•�  _
<br />     .  •  �,.r       t ��_�     .i__._C�:.lL � '_.�.�L,,,._ ,   �-.���...��.._..���.. -. .�..J-..��..��-...��������.�.--I'.�....'Y.:      —�      u.'�'�       . /.     , �,  ,   '   y  V_
<br />   ,�.�.a-»_�u.�.. 																	.  :  � -  ,�.��rt�Se+TGIC.
<br />     																				'S	�.w
<br />			�  										`					i 'a     .
<br />      												/�       	n �
<br />  	p```      `  �      								���f  �\   �       C D     	�       	` �, '  �•  �`   �t��.-
<br /> ,	�     \  	fir. 								j�i� 1   0       ._ ...� 	���    	5.,    '-=tQ:r'$-�M:.
<br />   �      ���\e	'�.   �							T '�"   �       --� rn     	�				_�
<br />     		��	� i�1							.� C_       �       v -°�     	a     			.  --
<br />  `	�   		� e							`'  "       ~       � � 	�a    	�---�--� -._ .�°
<br />  				� �							�  ��   3       � D 	,,,Q, a�   	. .  .�	�    ..   _
<br /> . �      			� �       						�7  1 •     f-+  	� 	� � 		'� .,    : �  �  +'�
<br />  				m    							��   :�    o  	�      	�   	�  	� � 	�.
<br />       												�       	�� 	�       	�._,:�;�t�_,,..��.:--
<br />       													�  			•-
<br />       													�	�   	� 2    		�T.�:.�.,:�
<br />  �.  		��`' 														�  	-.`,`-�3a�+��i�"��`-
<br />       		�:       	--�:       				I��tic��f �t�t�'�'�c d.��n      		�' ,;�y'�  :�::�_,�,-
<br />       	� 														��	f•  r,  •k��-�1�
<br />      																				�
<br /> 						�T'l,     C-TM:s^-�^yN�•
<br />       	°'o'�      								pl.Eq8�0atd��►�lHTF�SSPACE			'.   .    • -'- :.T°.
<br />       	dmrwa+a     																,,,,,,,,,�;,,_:air�ae�r _
<br />   																				�-"
<br /> . 																			_.�u i;a�'r.���.`�aa
<br />  �      																		�-<<'-�"��:�=
<br />.. -.4.       																		'   'Y.����_
<br /> 							7ERMINATIOK OF STATE TAX  �.IEN      						_`. -•     ;,:;£.}_
<br /> 								INDIVIBIJAO. �f���84� TA1C    								�'.��..—
<br />     																				.. .  .A
<br />   																					�a T.
<br />  � �      																			.  .C'�:,'�,�.i.
<br />.       					. 														,   �R�"  .       ___
<br /> .  		IF YG3� INQtd�fEL ABCUT Y�t�tt  														-
<br />    		I1CCOtdN?s  REFER TO TQtL�SE NUMBEEtS  						�     						—
<br />    																			_   	_ ,;�_  �   _=_
<br />    �		SQC. .SEC•  N0•      	50550597'�												.  ::>;:;':;.:_,
<br />  							115833��  												'���` �
<br />.�  		N�OI�o Id1EEi8• N0. N0•  507528149    	EDWARY� � � V�l��9EA. COJt      				:..�;.�  ;k;:,�.:. ;....
<br />   											R       									., f .xi.:
<br />   �		SPQUSE SQC. �#L   		1995 									.		�      �,, `, ....�
<br /> _._  -     	TAXd1�LE YEA�       															*���` �`�--
<br /> 							952290133    	RR1 BOX 21     			�p y1y45 			x="   y"
<br />    		LIEN N0.  						LI7TL.E SIOUX       							.  ;�-`:.=r_=
<br />  .� 		L3EN R�LEASE N0• 	9b2¢��4      										';. �      .:'�g;:.,�;.:
<br />     .       	COUHTY       			9  													;.
<br />   							4/25/96												• ,;�;   �"':
<br />     		DR�TE QF NQ'L�Q� 										. 					_.;.�.:.�'�:._.
<br />      							-i� �a�.�
<br />  ��   ,       	sNSTt�ut+lENT 		9�:......     											'�      ==
<br />					Nt3•     														,`� !f'.;�:::''   -:�—
<br />      																				l�: '.;.
<br />      �       	PUASU�NY �TQ� '�HE REYENt1E LAMS OF THE STATE GF NEBRASEUt NGTYCE IS			_  �,�, .�,. .  :;•. ;�;�
<br /> �   		H�[tEgY 6�Y�i 8Y THE NEBttASGUAt �EPARfhENT G� RE1dEKUE THAT 7HE     				;$Y��,,  	, `,
<br /> 																				:,5��f y.    . .
<br />     	.	STATE 'iAX LIEN MMICN HAS BEC� DUlY FYL� A6AINST THE ABOYE t�IAMED   .		'',   �5�,�'.�`.'`. .° :
<br />      		TAXP.�YER FOR INAYVI�lJAL INCOME TAXES IS TERNxNATED•     						-.t   ,��:�;�,1:-�.
<br />    .     																			,'a��;':?�. •,  . � .
<br />    					YFV THAT 4F�E NEBRASKA DEPARTMENT OF  REV�CNU� HAS CO1�Pi.IEO     		°�I�,:,:�   � •
<br />      �       	i HE�t�B� C�RY														---
<br />      		MITH THE REYE�iiIE LA�iS OF Ttfa STATE O�r NEE�RASKA IN THE DETE[tNIt3AYIQN aF 		�  �#��Y�T_._,
<br />      		TNES T     B�d�A�YOPt. 									�   �			.    - �   �_  ��h  "::s,,..:�.,
<br />																						.Y:•�.
<br />																				'!!���7�:l��. .
<br />' �      		s::n�																4,R,
<br />    . _   		.    'h    						�     							.		� �h'..��j„ �.
<br />.�.-.•�• �     									'd  											_
<br />       : . 														�      			. .
<br />	.     		�  								•����•	•������.�  •�C�m�r   		-"r-    �,. ,.
<br />  								••       ••••••       			DAT�
<br />     	.      	�.�  �  ��,   ........    												-�-----�--- —
<br />    �  '•       	PRfPARERo.� �RGl1ATURE	�'���    		'       					.     	��`
<br /> .� �   				�    						.     			�''J•!�    			z�  	=
<br />,  . 										�  •��•     �•  s	•��w��������o�•
<br />     																			� .��'�,.P.
<br />;:;;,�; `    						+ 	.  .....      				O�TE
<br />..._2�.-:. �'.%     	•@!66     •���•									.       				_'_      _'  _  ...:.
<br />:����   		A4i�G'�fr��IZED SIGN     RE	TITLE  										�_ . _.���_.�..T�_
<br />   ��      '  																	'   		-- -
<br />       																			�!�'�r�
<br />   			/'�      						, 				COUN7Y—GoldenrodCopY  		�'.px,�-
<br />    . . 		�,3	E AHTMEM OF RESI=r�fUE—Ylh�tt�3nd Can�11 Cap.as    TAXPAYER—Pink Co4Y      					�.•r� ' r'      .
<br /> 														7.US7DFt�r.t496�OCrseda��•1,S18Rev.fr9t     	.•�fi��;{	—
<br />       																			,��i�9�''(�.`il,
<br />   		N47Yd WE11 soY hl0nruxSde�D�   														,�. 1 .    ..
<br /> � --      														. ,     ,     	.    '.^^.r!C"��,       •   ��'..T
<br />       .      		..�,.;..—�^^�,��_ ._... .   .  _ _�_.' ..    .—�. �,�,�Yt.�. �  •    -	.       �      � .     _      .    	•�      '      .R'�..'
<br />  .    .    . 	. .    -   	. 	'	. •  _   .    .     _   _    ..   .     ..a  ,    			' 	..  . .     �    . . .    ._    , .     —_...�
<br />      '     .    	.     .       .. ,  '  	,     	'		.  . .. -   �     _  '     �       .     . '   .       .['_.	-   .     .     •_'     ,
<br />   	..     .       '  '    	Sj/ �'•    			' 			�    		•  '		' '       	,  	'
<br />     			•  	��   .   												�       		•
<br />  �    ..  	�     	t    !t--   �'     .     '   ,       -   , '   ..  	_      ''r,:-       	'	-    ..  	�      ,  	-       	"    � _"
<br /> 	. 				i..    			.    		i:�..      -      							.    	-.
<br />  .   �	-    .  .		1�}iy,M1.	,  _       		_     	_�.,:�r.    	.  	,     . 		.    	.   	•-   .
<br /> -   	'      .       	•  - •1�1:.			. 	.     				.			�    .       .   .			-.
<br /> 	'   _  	'  ...   �    .       	:ll,{\	. .  		�  	.  _    		_     .  . .	'	'  	'      ' '    ..   �� _
<br />. . .'  "       '    . 	•   	�_	t7�2.�l�i�  '   	'  � �     _   	.   		,      �  	-  '   •       .      . .  	- 	�  .
<br />   .  ._.       		�  ..       .	.�•		-  	- -   -' -  '		-  	--   -   —    	—     --      -
<br />     ---   ._,...      ..     .-       .      .      ...  .      .. .  _. 	_      	-     				—    �    -  ----  -    ---- �  --  r�
<br /> •		..     -- , --.-----'-----'�' --'-       -  '---- ---    - .	.       	'   .   .  	. �       	,--       ..    �     YR.
<br />      	,       				. 	.  	. .  			:     	.   �   .   ':� 	.   .     _  	;   �  	;,R.
<br />       .    	- 	�     	.   .   -       		. . .       	.   				.  		�      	. .	. �1.____'
<br />      �      ,'     '		.     	: "   '     	.     		� 				�     . �,  : � .    •	.   •  �       .'     !_--,.
<br />     					.
<br />	,    		� 			"     	.......... . . ..•-•-•-•--..    	; �    --      , . ._.    ..     _----    -   •..._.   .   	. .
<br /> _   			,:_     -�  ..  , �   .—     				•• _  ..       	'      ' :    •  �   ' 	�  '     '  �     	�.      .
<br />      				.  �      •   '	�  ,  ,    	.    .   	"�1   ,.  , �      		�      �..      	. . .  ,    . . .       .  .
<br />       				..      	.    .   	. .       .       .  		. 			..	,      �� 			.
<br />
								 |