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<br /> - SGC. SEC. NO• 523982376 . . • -—«<�;::
<br /> � � NEBRo IDEidT• NGo �60159308 ' . ,• `�!�'•°:..-�.•-
<br /> � ' SPCUSE SQC. SEC. N0. ��'��'��
<br /> - ' '` TAXABLE YEAti 199b . , :.:'�''
<br /> LIEN NAo 980100243 , .:� `�.:.,"
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<br /> � COUNYY HALL JULTA/�M�`�NICttERSON � . '�:;>;;�r:
<br /> � ' ` DAT� OF tdOYICE Q���O'1��8 �Z���i�•`N�O�� _. • �' w•__.
<br /> DATE OP ASSESSF1ENT lA/08/1999 GRAND ISLAND Nf 68801 ' ��•..:-'•��?�:
<br /> . . � •� • �;TY�
<br /> , . �' _ . . �. �1F`.....
<br /> _ _ �,_ �MYS N�?ICr �F S�ASE 7AX LZEid ZS 2SSlJEC SY T!�!F tdEBRA5�4A QEPAR7M�N? OF ��_-��_.-:_' ��'':
<br /> � ' — ;..t;.:
<br /> � s REVENt1E FOR INDIdIAUAL IMCOME �AX PURSUANT T� TME REVENUE LAWS OF THE � �.�l•-�: :
<br /> �� 5'PATE OF lUEBRASKA• N�?ICE IS HERE$Y GIVlEN 'tHA1 INDIVEDUAL ZMCGME � '' `�:"
<br /> � ,� TAXES INCLUDIM6 PENALYIES AIdB INTEREST9 MNICH Ai�E SHOMN BELGH ARE DUE " ��;
<br /> � t FROM 7WE YAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DFMAND. �
<br /> � '�� � `'} '6NESE �AXES CONS7I7U7E A LIEN IN TME CaUNTIf EOR PROPERTY BELQNGING TG � • �
<br /> - � � � •�� TNE TAXPA�fFR OR HER�APTER AGQUIRED• �: ,, •�� �.���
<br /> ` AMGUi�'f OP TAX o e e • e • • • o • o • • • • • • • 363.Q0 . ,
<br /> '' - . '-� PENALYY s s e • • • • a • • • • e • � • � • • • � �Oo�S .. . ..
<br /> ::":, : : . s IN7Et�ESY tC0�1PUYE0 TO 0�/10/1998I s • • • • • • • 24•1? �
<br /> . . ' � TOTAL A�40UNT DUE e e e s • o • s • � • • • � • 0 4�Te92 :
<br /> , I HERE�Y CLaYIFY THAY YHE NEBtiASKA DEPARTMENT OP REVENUE HAS COMPLIED
<br /> ' HETM THE REYENUE l.AhS OF THE STATE GF NEBRA5KA IN THE DETERMINA7ION GF . . ,
<br /> ! , YHE A��4QUNT SHOION TO BE DUE9 AND TM� TAXPAYER HAS FAILED TO PAY THE � �
<br /> ."�� � Ai�10UNf GU� AFTER DEMANOo IF t�FS WOTICE OF STATE TAX LIEN IS AN ' �
<br /> + �xTENSIDN Op AN EFFECTIVE LIEN It SERVES TO CONTINlIE THE Pt3EORI7Y �F .
<br /> . • � � THE ATE�S INT EST IN THE AFPECTED PR�PERTY OF THE TAXPAYERo ,
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<br /> � . . .. � - a a3-9A o�-3d's-�o� .
<br /> � ♦ o00o e �ao e eooso soovomo/�0000000d"o .
<br /> � PR P E S GNATURE I E � DATE/�EP ONE •� � �
<br /> - . � e e��� �oao`ioiae�ea}eee�eo �. .
<br /> - „ e� • seeoeooeo � .
<br /> � AU�WGRIZED SaGNA7URE 7 TLE � DAtE �
<br /> 1 � NEBHASKA DEPARTMENT OF REVENUE—White and Canary Copies TAXPAYER—Pink Copy"a%�Oa�NTY�Go� ��d�rod�Re�g9� • � �
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