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<br /> - � 6��� Notice �f State 4'ax �.ien
<br /> -:� Y v u� YNCaME �x .
<br /> � . ' �`:.�.�': ::. ° .y� S47C. SEC. NO• 505505977 �A� i�a,/
<br /> ` ."'a.'�;. NEBR• IDENT• N0. 1158334T
<br /> ��`- � � � S�t1USE SOC. SEC• NO• 507'f 281�i9 � -
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<br /> .�T �;��;, ' . TAXABLE YEAR 1991
<br /> °' �t. .� L^ZE,,Nu N�/O. 9�21.9r90622 EL3MARG E 6 YERNEL COX
<br /> _ '..g :�,���aj!.rs.r��-' �.VMA�1 ��
<br /> _+..-r.:-..:;.:`;,,:b.t.;�.. DATE OF NOTICE OT/17/92 ROUT� 1 BOX 2T
<br /> ��..,x ,�. ' D�TE OF ASSSSSMEN7 Ob/02/92 RIVHR SIOUX ZA 51Si3
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<br /> �,;a; TM2S NOtICE t]F STATE TAX. L.IEN IS ISSUEO BY THE NEBRASKA DEPARTMENT OF
<br /> ,:,: p�. �.•..•`:-• REVENUE FOR INDIVIDUAL INCW�lE TAX PURSUANT TO THE REYENUC �AMS OF THE
<br />_ •�• r.;r� • STATE OF NEBRASKA• NOTICE IS HEREBY GIYEN THA7 I�IDIVIDUAL INCOME
<br /> �� ;'' ' .�.� •-'��=�' tAXES INCI.UDING PENALTIES AND INTEREST� MHICH ARE SHOWN BELOM ARE OtJE �
<br /> "'" -"�' :.-.. FROM THE TAX�AYER SPECIFIED ABOVE AND REMAIN UNPAIO AFTER DEMAND.
<br /> _=;'�' r+��-=�= THESE TAX�S �COHSTITUTE A LIEPI IN TNE COUNTY �OR PROPERTY BELONGING TO
<br /> ._=;,�`. • • ��.:��F THE tAXPAYER OR HEREAFTER AC�iUI1tED. '
<br /> _,.T.� :�; , � ' �. ! AMOUN7 OF TAX . . . . . • . . . . . . . . . . . . . . . . . 402•12 i
<br /> :::,» PENALTY . . . . . . . . . . . . . . . . . . . . . . . . . . 20.31
<br /> -'`�� � INTERES7 �Ci7MPUTED TO OT/17/92) • • • • • • • • • • • • • � 14•34
<br /> �� ., ; Fn:�,, �� rOTAL AMOUNT DUE . . . . . . . . . . . . . . • . . . . • . 436•57
<br /> '.�.;�•.,.,+•:�- :.�. ...' � I NEREBY CERTIFY THAT THE NEBRASKA DBPARTMENT OF REVENUE HAS COMPLI�D
<br /> — ��M'��� �� . MITN Ti?iE [tEYENUE LAIIS 6F THt STATE OF NEBRASKA IN 7NE DETieRMINATION OF
<br /> ...-`�:�,kµ:��.;;:a. � :=' THE AMOUNT SHOMN TO BE DUE♦ AND THE TAXPAYER HAS FAILEO TO PAY THE
<br /> _ ..- ,=.y; :;� li�itiifiif Sli� A�TER l3EC�d!!D� IE TNIS �lOTISE Q� �TAT€ TAX l.IE!! �S A�! _
<br /> . EXTENSION 0� AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIQRITY OF
<br /> � � THE STATE�S INTEREST IN THE AFFECTED PROPERTY OF THE ?AXPAVER•
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<br /> '`�'T PREPARER�S SIGNATURE TLt DAT�/T�LEPHONE
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<br /> _ '� .��• AUTMORI SIGNATUttE TITL� DATE C`�'c _
<br />� �~'Y ant4 a• � \
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<br /> � NEBfiASIfA DEPARTMENT OF REVENUE—VNtite and Canary Coples TAXPAYER—Plnk Copy COUNTY—�Goldenrod Copy f
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