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<br /> � NE�R• IDENT• N0. 3343�95b --
<br /> . � l SPOUSE SCC. SECo N0• 2Z5888053 � . '�-==���
<br /> � � 7AXABLE YEAR 199b `,4���
<br /> � ; ' �. I.IEN N0. �3T3120047 , '.. `'?=
<br /> ; � CGUNTY �yy t9ICHAEL L E GAY�E A JOlIi�SON , ..: .;?�`-
<br /> :.� . O/a'PE 0� NOTICE 11/OS/97 T818 � HAZE�I��OD � ��`��.
<br /> � DATE QF ASSESSt4ENT 08/22/97 PNOENIX AZ �5033 � �:'._"?��.`
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<br /> . � � THIS NOTYC� OF STATE TAIt �IEN IS ISSUED BY YHE NEBRASKA DEPARTFlENT O� . ,�,:,.��
<br /> . REbENUE �0� I[�DII9IDUAL IIdCOi�E TpX PURSUAId7 YO THE REUENUE LAl�S QF THE . ''����"-
<br /> • � . 58ATE OF NBBRASKA• NOYICE IS HEREBY GIVEN THAT INDIVIDUAL INCOt9E ��--�
<br /> ''` . � TAXES ZNCL�I�ING PENALTIES AND SN7EREST� WHICM ARE SH��tYH BEL�W AR£ DUE •
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<br /> ` f � FROQ4 THe 7AXPAYER SPECIFIED ABOVE AND REMAIN t1NPAID AFTPR DEMAND• . • . �x��
<br /> � ' T6iESE TAXFS CONSTITIJTE A LIEN IN TNE CDUNTY FOR PROPEKTIf BE�ONGING TO - -
<br /> - � THE TAXPAYER OR MEREAfTER AtQUIRED. . . . . °
<br /> �.;
<br /> 1 AMOUNT OF TAX • • • • • • • s • • • e • • e • � • 174�00 , . ..
<br /> � � � � PENA�TY • • • � • • • • � • o • • • e e • • • � • 3�9e80 . .
<br /> ,. s INTEREST tCOt4PUTE0 TO 11/0819T� • . o • o . e . 0 8e88 �. . ' � .•
<br /> � { TGTAI. At40U�l7 DeIE . • • • • • o . . c . . . a o . 21�•68 � �
<br /> :' � I MEREBY CERTEFY THAT tHE NEBRASKA 1�EPARTMENT OP REVENUE HAS CGt�PLIED � � :
<br /> : , � !lITH THE ttEVENUE �ANS OF TNE STATE OF NEBRASKA IN THE DETERMINA7ION OF . . .
<br /> TME AMOUNT SMOWid TO 0E DUE• ANA TiiE TAXPAYER HAS FAILED TO PAY THE
<br /> ; At90tJNT DUE AFTtlt DEk�AND. IF THIS NOTICE �F STATE TAX LIEN IS AN . �
<br /> ` � ; EXTENSIOM OF AN EPFECTIf�E LIEN IT SERVES TO CONTaNUE TME PRIORI7V GF � � � ..
<br /> '� TfOE STATE 8 S IfdTEREST IN YME AfEtLTBO PROPERYY Q� TH� TAXPAYERo ' �
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<br /> j PEi RER• IG ATuRE TYT E . DATE/TELEPHGNE • �
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<br /> . AUTHORIZE� SIGNATURc TITLE DATE
<br /> " NEBRASKA DEPANTMENT oF REVENUE Whrte and Canary Copies TAXPAYER—Plnk Copy COUMY—Gotdenrod Copy � ' �
<br /> _ . � lo�nrodN*mwynNOnraoycrodpnpar 7.�aS7BRAV t499Supm5eCesl.ta5.7gppy 5�9t . .
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