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<br /> INDIVYaUAL INCO � TAX �.=-___
<br /> SOC. SEC. N0• 50219115�1 F��:°T�
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<br /> TAXABLE Y�AR �99� '�
<br /> LIEN N0. 962T80Q15 TAMMY H GILLILAND �_
<br /> COUNTY �/a!/ ?35 MAEN S4 Po BOX 610 -.-
<br /> n"� �`"'��` DATE 0� NOTICE 10/04/96 MGOSOMIN SASKATCH�M/INS063ND -
<br />�: .:�;�:; � xX Q001A0 -�
<br />� y r;�r DATE 0� ASSESSMEPIT 07/16/96 CANADA .
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<br />.' �`� '�HIS NOTICE OF STA7E TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMEt�7 OF
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<br />="� •'�__=��?� REYENUE �OR YNQIVY�UAL �NCOME TAX PURSUANT Td THE REVENUF L�11i5 OF THE
<br />-�-'��'=-w STAT� OF NEBRASKA• NOTICE IS HEREBY GIYEN THAT INDFVIDU�L INCOME _
<br /> 9M��.�'�a..i.�.
<br />_ `-_""' .T�:.� TAXES INCLUDING PENAL7IES AND IKTERESYs wNIGN ARE SNONN BELOlI ARE DUE
<br />�='��q�"�. . FROM THE TAXPAYER SP�CIP=ED ABOVE AND REMAIN UNPAID AFTER DCMAND•
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<br /> �::;,'�lz . THESE TAXES CONSTITUtE A O.IEN IN THE C�UNTY FOR PROI'ERTY BcL,ONGINC 0
<br />�:{'.r''.`•,'��- THE TAXPAYER OR HEaEAFTER ACQUIRED. ,•
<br />"��='W'�'�` �y AMOUNY �E TAX • • � � • • • • • • • • • • • • • • Z80e0Q
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<br />�-`�'�t`^Y PENALTY . . . . . . . . . . . . . . . . . . . . . 28.0 _
<br /> •�='"�Y� ENTEREST (COMPUTED TO 10/04/9b) • • � • • � � • • 1i.88
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<br /> `�`"�`.r� '= TOTAL AMDUNT DUE . . • • • � • � = • • � • • • � 319•88
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<br /> ''�:�^�*%• , I HEREBY CEitTIFY THAY THE NEBRASKA DEPARTMENT OF REVENUE HAS CO P I _ _
<br />�!"'�� 'r�:��"� � MITH THE REYENUE LANS GF 7WE STATE �F NEBRASKA IN THE DET�RI9YNATIfJN OF _
<br /> �'"� THE AMOUNT SHaMN TO BE DUEt AND THE TAXPAYER HAS FA�[I.ED TO PAY THE _
<br />' , �'���``�� AMpUNT DUE AFTER 9EMAND. IF 7HIS NOTICE OF STATE TAX LIEN IS AN =R_
<br /> EX7ENSION QF /!N EFFECTIVE LIEN iT S�RVES 7fJ CONTINUE THE PRIORITY �F �;:'s:__
<br /> !`'���,'• THE STATE�S INTERES'� IN THE AFFECTED PR�PEftTY OF THE TAXPAYER.
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<br /> � PREPARER�S NATURE TX LE ��T �""'���
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<br /> '�. >> ' AUTHORIZE IGNATUR� TITLE y?�'4�
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