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<br /> ; , , �'�� INDIVIDUAL ItdCGPfE TAX ,-.,_ � 5?i_.".,
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<br /> S?OUSE 50C. SEC. NO. 485503809
<br /> �';� � . " }�,�.,, .
<br /> ' YAXABd.E YcAR 1996 '
<br /> � � LIEt� NOe 9T33900�b . �f �'
<br /> CGUNTY � AOBERT V � &�cu�na v �fa�T�tuSON �� � •.�;.'"�;.
<br /> DATE �F NOTICE ia�o5I57 3Qab fUL1.ER AVE '=-�
<br /> ' DATE QF ASSESSP4ENT 09/09/$T CGUNtId. BWFFS IA 51503 '`�"
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<br /> � ' THIS NOTICE OF STAYE TAX LIEN IS ISSUEO 8V THE NEHt3ASKA DEPARTMEN� �f . `��:-���
<br /> � � , � REVENi�E FOf3 INDIVIDUAL INC0�1E TAX PURSUANT TO THE REVENU� LA�OS GF 'iME ' . . •�.:'�;�
<br /> •''` � STATE G� NcBRASKA. NOYICE IS HEREBY GIVEN TaAT INDYVIDLAL IMCO�tE � ' �_
<br /> ° . � TAXES INtWDIN6 PENALTIES AND INTERESTs aHICN AttE SHObN BELOW ARE DUE ' _� ?"
<br />' - '� � �. ; FROM 7HE YAXPAYER SPEGYEIED ABGYE AND RENlAIN UNPAID AP7ER DEMAND. � ." '=
<br /> :.,:�.._
<br /> � � THESE 7AXE5 CONSTI'�UTE A I.IEN IN THE CGUtdTV FOi4 PROPE�TY BELQNGING TG " �T ��
<br /> .''� 'i ?HE TAXPAYER OR aEREAF7ER AC6UIRED. . �� � �
<br />' ,�l`. � .'� At�DUNT OF TAX • � • • • � o • • • o � � � • e � � 271�00 . :`
<br /> '*: � , PENAL�V . . . . a . . . . . . o . o . . . . . . . 54.Z0 .. .. . ..
<br /> ' � IH7EREST �CG�lPUTED TD 32/05/97) • • • • • • • • • 15•64 � . ,
<br /> '� TOTAL AMGUNT DUE e • � • • • � � • • s • � � � s 340.84 �.�
<br /> � I HEttEBV CERTaFY THA7 T6iE NEBRASKA DEPART�IEHT OF REIOENU@ HAS COMPLIED �
<br /> � � � 1 � �11YM THE REVENUe LAMS �F THE SYATE G� NEBRASKA I�f YNE DE�ERMIMATION OF � ,
<br /> � � � TME At4GUNT SHDNN TQ 8£ OUEs d1ND 76lE 7AXPAYER MAS FAILED TO PAY THE � . . _
<br /> � ; AMt1UNY OUE AFTER DEf4ANDa IF THIS NOTICE GF STATE TAX l.IEN IS AN .-
<br /> `�.t'�, �. � EX7ENSIGN OF AN EFFECTIVE LIEN I7 SERdES TO CONTII�UE THE PRIORITY OF . .. . . .
<br />- . � � THE STATE�S IN7EREST IN THE AfPECTEO PROP�RTY OF �ME 7AXPAYEfto . .
<br /> � .(� . . '
<br /> � �� e�e����e� ����.� �... �?��'i�o��?ls1a3 .
<br /> - . � I PRE RER� SIGNATURE TI7/L�E , � DATE/TELEPHONE • •
<br /> � �,�j-yyl ��� 1C2.v- .�Q,�ac�rt v�i� . .
<br /> � ' e o •e�e�eo�eeeeso�o eeos���• •s�e������e���e• 00000a000000000000
<br /> . ; AUTHORIZED SEGNATURE TITLE DATE f
<br /> � NHBRASKA OEPAii7MENT OF REVENUE—VYhite and Canary Copies TAXPAYER—Pink Copy CQUNTY—Goldentod Copy � . ' .
<br /> ,, i Pnn.bOwMSOynAOnioCydoOPaOei 7•14S79Rev t695Supo�so6os7•taS78ROV 5�9t � .
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