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<br /> , � INDIVIDUAL INCOME TAX � . .� -
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<br /> S�a SECo NOo 508T44666 � �-� -���
<br /> N�+Q�• IDENT• N�. 366�2Z96 � �
<br /> ' . SPOUSE S��Lo SEC. NO• �'•� ��'�'��
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<br /> TAXABLE YEAIR 1995 �T—
<br /> � uEp� �ae �6341019T MICHAEL K CAMERON � - ���e'.�� =3_
<br /> cour�r N Au _ �
<br /> DA7E �F NOT2CE 1Z/Ob/96 80�i NORYH �YH STl3EET � ih'..�� � � ;
<br /> DAYE �F A���SSMENT O9/�.3196 MISSOSdRI VALLEV IA 51555 ... � ^ ��'' � � ;
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<br /> V[�E1S NOTI�� OF STATE �'AX LIEN IS ISSUED BY THE NEBRASKA DEPARYMIEN4'i OF � -�l�� .
<br /> REYEN i J E f O R I N O I V I D I JAL IHC�FIE TAX Pt1SiSUA�3T TO THE REVENUE LANS B� THE �'• . .. �`if ;_
<br /> �- : STATE OF NEBRASlCA• NOTICE IS HEREBY GIVEN THAT INDIVIDUAL IHC�p1E -'�_, �. . � `
<br /> ' TA�(ES INtLUDIN6 PENALTIES AND INTEREST� NNICH ARE SHOMN BELON ARE DUE �.`,�: ��
<br />' �R�D4 THE TAXPAYER SPECIFIED ABOVE AND REMA IN U N P A I D A F T E R D E M A N D. .; . • �.l
<br />.�� '�l�,irSE TAXES CONST�7i UTE A LYEN IN THE COUNTIf FOR PROPER'rY �ELONGI[tiG TO �-�Y'_ ���-4 ' -
<br /> � 4'�-�'c TAXPAYER dR HEREAFTER �C��IIRED. �i" �'��
<br /> T36.38 � ."_��-
<br /> AMGUI�T OF YAX . . • • • • • • • • • • • • • • • • :
<br /> PENALT1f . . . . . . . . . . � . . . . . . . . . . T0.62 �"r,���..�,:�,:._ :�"�-
<br /> INTEREST �CQ��T�D TO 12/O6/9bD • • • • • • • � • 42.6T .-""`�`�'�:.--�;�_
<br /> 849 6a � ,=�s�� � s:_:
<br /> TOTAL AMOUNT E3UE • • • • • • • • • • • • • • • • • _.::�i;;;?;,��
<br /> � I HEttEBY CERTYFY THAT TH� �EBEtASKA DEPJlR31�ENT OF t�EYENU� HAS CQ��'�BED '�"�
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<br /> � WITH THE REVENUE LAWS OF �'WE STATE �F NEQR9►SKA IN THE DET�I�°B4YNA4�N OF �';�;'z_, .___._
<br /> � THE AMCiINT SHONN TO SE DUEt AND THE TAXPAI7�R HAS FAILED TO PAY T�?E :`�-��;��. =
<br /> � AMGUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN I S A r 3 " �
<br /> EXTENSION Op AN EFFEG7IVE LIEN IT SERYES T� CON7INUE 7HE PRIQRIY� zF ,w..�.�.=��
<br /> � THE STATE�S II�iTEREST IN THE AFFECTEO PROPeRTY CF THE TAXPAYER � ��`n� ,:
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<br /> � � /AU4QIOI�I SIGNATURE '�ITLE DA1E � �%�::.
<br /> � r��.�RASKA DEPHRTMENT OF R�VENUE—V4'hite and Canary CaFies TAXPAYER—Pin'+Copy COUNTY—Do!derrod Copy
<br /> � x.r..�.,�ma aoy n�r on mryuaawam �nss�aa�r�ass s�s�aeai:-a.x�aev sa�
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