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<br /> . � I�VBIIIIDUAL INCONlE TAX � � �*,.�`�.._
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<br />=?;,... ..: . _ SGC. SEC. N0. 544889933 ' ;:�
<br /> r:. NEBRv IDEHTo NOe 3T31T236 � � `���
<br /> , � SPOUSE SOt. SEC. N0. Sa5043908 � ° • —_
<br /> -•:� � YAXABLE YEAR 1993 .` ��::,��,•�-�"-?�':
<br /> `` . � j LIEN N0. 97234028y . • —-
<br /> . ' COUNTY HALL R�GER G � kti�ilDEE L Tii��68S ` , --_
<br /> ;': • DAYE OF NOYICE 08/22/9? 3l3 S VINE ' "..-::;a��':=
<br /> , ' DATE OF ASSESSMENY 0?/03/9Y GRAfVD ISLAND N� 68801 � _`�'��
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<br /> , ;: '�HIS NOYICE OF SYATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTP7EI�T �F � ' .•�"`�:°�
<br /> . ..-:��:,
<br /> '�.:-� �: REVENUE FOR INDI{lIDUAL ENtQI�E TAX PIJRSUANT TD TME REVENUE LAt�S C� �Oi� . � .�- ,-.�.�
<br /> STATE OF NEBRASKA. NGTICE ES HEREBV GIVEN YHAY INDIVIDUAL INCOME �• 'a"'`
<br /> . , .�,
<br /> ' . TAXES I{dCLUDING PENALTIES AND INYERESTs WHItH ARE SHO�N BELpi� AR� DUE Y• �� . ��
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<br /> FRGM TNE TAXPAYER SPECIFIED ABOVE AMD RE�4AIN UNPAIO AFTER DEMAND. � �'��``
<br />'_i.`.. � _ TNESE TAXES CONS�ITUTE A LYEN IN THE COUNTV F�R PROPEIiTY BE�.ONGING TD •'..`;;�...
<br /> - . � THE TAXPAYER OR HEREAFTER ACQUIRED. . -
<br /> . � � aa�auNT o� t�x e e o o ♦ o 0 o e � • • o 0 0 • • • 305.00 �,� ., . .
<br /> � .� PENAi.TY • • � • � o • o • • • • • � • e • � • • . 15.25 . .
<br /> ?;�' . INTEI4EST �t0�1PUTED TO 08/22/97a . . o . . . . . . gT.�+g �".�.,� ;.:
<br /> ' � :� TOTAL Ab10UNT DUE o . . o . . . . . a . . a . . . 408.04 �.
<br /> `'.• . I HEREBY CERTIFY ZHAY THE NEBRASKA DEPARYMENT OF REUENUE HAS CG�tPLIEO
<br />- � WITN TME REVENUE LAMS OF TNE STATE OF NEBRASKA IN THE DETERMINATION OF "' �
<br /> � :., . THE AMQUNT SNDNN TO BE DUEs AND THE TAxPAYER NAS fAILED TO PAY THE �
<br /> Af��UNT DUE AFTEft DEMANDo IF TH1S NOTYCE Q� S�ATE TAX LIEN IS AN � �
<br /> ' � EXTENSION OF AN EFFECTIVE LIEN ET SEtdVES TO C�NTINUE TH£ PRIQRITY OF �
<br /> - `f � THE STATE�S INTEREST IN 7HE AFFECTED PROPERTY CP THE TAXPAYERo � . '. � ,
<br /> ;'��, � �¢ /� 's �f 0.?�j 1 s7.2.� . •
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<br /> . i PR RER� IGNATURE TIT DATE/TELEPNONE �
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<br /> ,. � e •• • eo 00000e •o•=is���io�� s�
<br /> � •�eo 000�oe• eee00000000eooe000 ' .
<br /> � AUTN�RIZED S;GNA7URE TITLE DAYE ' � �
<br /> NEBRASKA DEPARTMENT OF REVENUE—Whfte and Canary Copies TAXPAYER—Pink Ccpy C�UNTY—Gotdenrod Copy
<br /> � ; i Pnnt00w(IAeOyNkOnraeyclepaeD6i 7.iGS79ROV.169SSuyorcB0p97.74S7BRBV 691 . .
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