. ;�;:_:i. �
<br /> �
<br /> ���� � � ' .,
<br /> ,,�;i . . .,
<br /> .*R�. . _... ,
<br /> . � o�.. - - - �..�n.�-, ._ . ..,.�a�+,t
<br /> .. . .. „ . - . �. l• '.F�..�..�.1"_"�— .
<br /> .,1�1.w� +����.;-�
<br /> .. . .. ,. . _ «���`
<br /> , ,�
<br /> � � �� ;� � � �
<br /> � �\� � ;v �..� � m �
<br /> � � �� �'�� � rn �a � o � A _
<br /> � � �� 'A, �� •� � � � _' .. ..
<br /> 4. \ a � � � � 'j S h•al .�rs. .
<br /> " W
<br /> „ , :;� � C x r�n N .,
<br /> � � D� 4o G�
<br /> G
<br /> .-' � ,, • , + � m � 0 3 rw- p � a
<br /> ... ��� ' Q � � �.� H � O� c°, �
<br /> � �, –1) � , � n � � .. .. �
<br /> � �;� � � ...M�. � 3
<br /> ' �� v- � . . :K4d`e_aa�!�1�.
<br /> , � O O O 1M"cL-v���{J""t'.::
<br /> � � �� �J'*--—'
<br /> ... � � � -'. .
<br /> Notice of St�t� Tax �.i�n �.�.�"�
<br /> .. � ��r -� .. ::�� -- _
<br /> � �. - � . - :,
<br /> . � _ � ... _
<br /> PLFJi3E DO NOT WRITE IN THIS SPACE ' :`;�� .----
<br /> , _3�'___�,�r:
<br /> �' �-.i�:
<br /> , t � �„ } .
<br /> ��� =11- __ --
<br /> �. TERE'�t�Ti��aTEON OF STATE YAX LIEN —
<br /> } , R�.9AIVII�d�AL INCOME TAX
<br /> � IF Y�U INQUIaE /lBOUT YOUR
<br /> ` r` ACCOUNTs itEFER TO THESE NUlt�::K�:
<br /> �. �� SOC. SEC. ti0• 521544�14
<br /> � +� NEBR. IDENT• N�. 39261946 RD$� M AWIL/1tt
<br /> SPOUSE StJC• SEC. N0. 1995
<br /> ���� �� 9629Z0088 308 EA5T STIi
<br /> . L.IEN NQ. ME 6E1801
<br /> �' LIEN RElEASE N�• 463�i01�89 GRIIND ISI.IIM� _
<br /> - ' � C�UNTY HAIL
<br /> DATE OF N��3CE 12/OS/96
<br />_.. .. . ��-/D�'�9'.5� �r�--�
<br /> :�,, .._ ... it�sTau��T No. —
<br /> �;,.{ .,w. ......�..
<br /> -*°'�'"'`'".; PURSUAMT TO tHE REYENUE LAMS OF THE STATE tIF NEBtiASKAs �TIC� IS --- -----�
<br /> �i r _ `w HEttEBY 6IYEN BY T�� NEBRJISKA DEP�R7MENT 0� REYENtlF THAT TNE
<br />�� � � `'� STATE TAX L-IEN MHICN HAS BEEN DULY FILED AGAIE�IST THE ABGYE NAfMEO
<br />°'�-: �` ` TAl(PAYER FS� INDIMIDUAL 3t�iCOlIE tAX E S I S TEaMI�IATED•
<br />..r y,� `,-.. . �
<br />- W':': ,�: ::. px'Q'�1 7iiE REYENUE LAMS 4F�YHEBSTATE �]�PNEBRASKA ENaTHE DETERl4INA?RON OF
<br /> �.:;.�,::�•�.
<br />=- ��- �� � TH�IS TERM�MAtION• _ _ __
<br />-��`� ;"�� � �°�/ � -- -_�--
<br /> .�,, .. �
<br /> . .... _ -
<br />� � ��� . .�. . ...... ........��9�, --
<br /> �� PR�PAR�R�S SIGNA7AeRE IT 4� D/iTE -----�_----
<br /> �� �� , d2-1��� :�,�
<br /> :�.� .. .,..:..� . . .. ... .. ..... -_:,�=�- = -
<br /> . t �� •�fi�7'i •�s � � - -- ----_
<br /> - AA9Tli�RIZED SLGN/1TURE TITLE DATE ':k�`'�`"=?�,.,.�rt
<br /> " -r,. rt����af�
<br /> � ,, ;s„�'_' �ti,=
<br /> -,','•; . .� �'1`
<br /> . . ;:••s;�:�.:�,i:;,�,�
<br />� , �. . � • � �., :r c....:•,;':
<br /> i 'f;k,.,.,:..
<br /> �l !', � rA:u f'�.'.
<br /> ' �/V0D � ' - '
<br /> -___ _ -__ K�����...........�.nennurueu7 AF CiFVFNUE--WhIts30lld CBflfl!'V COpIOS TAXPAYER—Pink Copy COUNIY—Goldenrod Copy •
<br /> --._ .___. ,..n,00...�o, __ -- --
<br /> __.._ ._... _._._._ PrCOnnvrv�vw r.............. .._._ --__r --______�. .
<br /> �7kOn� � i•t�a•ro..v..�v-wwra�--. .._._._. . .__
<br /> ' Pnn»1rviMloy ���P+DS� �
<br /> � ,
<br /> _' � - - ,jz '— _ " '
<br /> - _._. .---�_:..-._�..--�-�--�.m+ ""r� . � x .,.v.., . , I�+en!!d'•�
<br /> ..._.._ yfi�i�tiK
<br /> ----�---._... . .� �
<br /> .. . ..
<br /> .. ., v� �. �,t,. . ,,,,�a.y�+k
<br /> . .. � � , .� � �
<br />_ _.� . . . - , t
<br /> • �__
<br />
|