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<br />:�;�• . ` INDIVIDUAL INCOl9E TAX � `r� :.--�-
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<br /> SOC. SEC. N0. 5335482b4 ' �� �'
<br />..���.,..�_�. �' ����p NE�Ro IDENYo {�100 284�5571� _ . �
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<br /> � { SPOUSF S�Gs SEC� NO• 534487594 � � '¢,�a'•�°
<br />'� . � '� TAXABLE YEAR 1993 ,. . y ��
<br /> LIEN NG. 9TZ550326 '`� �
<br />;°;��; �� :� taut�TY MaRK b� 8 �6JGR�ING . �� °� ��Y.F=.
<br /> ?"�` DATE OP NOTICE 09/1� PG 6CX 401 � •�� ` �f�'
<br /> � � j DAYE GF ASSESSMENT 05/19/97 NEQLA IA S35S9 � '' {�='`
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<br /> � �. f THIS NOYICE OF STATE TA7t LIEtd IS ISSUED BY THE NEBl3ASKA �EPAR?P4ENT OF ' ' '`�`
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<br /> � ��-� REVENUE FOR INDIVIDUAL ENCOME TAX PURSUAN7 TG THE REVENUE �A6tS OF YME ' � '�`�_
<br />-�` � �� �• SYAYE OF NEBRASIlA. NOTYCE IS HEREBY GIVEN THAT INOIVIDUAL INCOQ4E .. °�"
<br /> � • •� TAXES IMCLUDING PENA�TIFS AND INTERESY9 WMZC�1 ARE SHO�JN BELON ARE DUE . � -
<br /> ,�` j FR0�1 TNE TAXPAYER SPECIFIE3� QBOYE AND REi�tA�N UNPAIO A�TER DEMANDe : �:�
<br /> � � THESE TAXES CONSTIYUTE A LIEN IN TME CCUNT� FOR PRGPERTY BELONGING TG •� '���"
<br /> . � TNE TAXPAYER OR HEEtEAFTER ACQUIRED. �� . :
<br /> • . A[�GUNY OF TAX . • • • a o a • e • • • • • • • • • 175•29 . . .
<br /> ,�� PEtdALYY • • • o � a • • • � • e e • • • e a s • • �$7�82 � ,
<br /> . � INTEREST tCOMPUTED TO 09/12/9T) . . a . . . o . 0 1T4.50 ., .
<br /> ' J TOTAL AMaUNT D6JE . . • • � • • • • • • � • • • • 508.63 . ..
<br /> • I MEREBY CERTIFV THAT TNE NEBRASKA DEPARTMENT QF REYENUE MAS COMPLIEO �`�
<br /> '; � ' t�ITH THE REVENUE �A6�5 G� THE STATE OF NEBEt�SKA IN THE DETERI'�4INA?IGN GF � '� �
<br /> �" ; � TNE At10UNY SHOi4H TO BE DUEt AND TNE '�AXPAYER HAS FAILED TO PAV TNE .. : .
<br /> � Qt�OUNT DUE APTER OEN1AND. EF THIS NOTICE CF STATE TAX LaEN IS AN
<br /> �'��; �� EXTENSIGN OP AN EFPECTIVE LIEN IT SERVES 7G CONTINUE THE PRIORITY OF .
<br /> ,. 'j THE STATE�S INTEREST Ih1 THE AFFECTED PRGPEl3TY OF T1lE ?A�PAYERe , , ' �
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<br /> PR �RER�llS$�''•SIGNATIIRE TITnLE ���� , �+y•e���� •�DATE/ EL.EPNONE• � �
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<br /> � � AUTHDRIZED SIGNATURE TITLE � DATE '
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<br /> ' NEBFiASKA DEPAiiTMENT OF REVENUE—White and Canmy Coplo9 TAXPAYER—Plnk Copy COUNtY—Gotdonrod Copy '.
<br />� - � � PHMOGWiTASOynkonrOGyNBdO�� 7'.ta}7qRa t697:.upOR000s7•tlS70Rtrr 59+ �
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