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<br /> � � INDIV IAUAL ZNCO�IE TAX -- _'�:���:'.:h�
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<br /> . . SOC• SEC• N0. 50b��390T "' ;� ,..�,
<br /> . . , � NEBR. �DEIdT• NOo 38480603 �;��,`;�'�':
<br /> � - SPOUSE SAC. SEG N0• . � ;"Yt��.v
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<br /> . � TAXA�LE YEAR 1996 . ` �� ''�
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<br /> _ � LIBN N�• 980100363 . �� .,�"
<br /> � � � CGUNTY aAL� DAVID GARCIA : �.:•u'4`
<br /> ' � DATE aF NOYICE Ol/10/199a 2308 h 6TH ST .
<br /> �;;",:�y,:=;
<br /> DA7'E 0� ASSESSFIENY lOfO?/1997 GRaND ISLAND N� ��8a� '�:��"`r
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<br /> THES NOTICE OP STA4E 7AX �IEN IS �SSUED BY TNE NfiBRASKA DEPAR7MENT 0� ;:y�_,:�,;_
<br /> -. . REVENUE POdt INDIdIDUAL YNCUM� �fAX PURSUAi� TO T:�E REbEMU� !�lMS �P YME -: -:-.n��
<br /> -� ; . _ STATE OF N�BRASKA� �`TItS�AND INtEREST�VMHICHAARE�SHOMNUBELOMCARE DUE • ;�
<br /> ' ?AXES aNCLUDYNG PEN . � �'��
<br /> �ROM THE TAl(PAYEEi SPECIFIcD ABOVE AND fiEMAIN UNPAYD AFTER DEMAIVDv ���' �.
<br /> ...f .. .�.: �
<br /> � � TH�SE 7AXES CONSTIY.UaE A LIEN EN TM� CDUNTY FQR PRnPER7Y B�LQNGING 'f0 � : , �� �,
<br /> - THE TAXPAY�R OR HEREAFTER ACQUIRED• . �- . . .
<br /> ` AP30UidT OF 7AX • • • • o • • • • � • • • • • • • • 389•49 �. '.,.'
<br /> PtNAL711 e e � � • • • • • • � • o • • • • a • • • �•�3 •
<br /> � INTEREST �COi�PUTED 70 01/10/1998) • • • � • • ° ° +.. : . ,
<br /> . TO?AL Ah'IOUN� DUE • o • • • o e � o � o 0 o e e • 512oT9 ' . .
<br /> I NEREBY CERTYFY THA7 TNE NEBRASKA DEPARTMEN7 OF REVEHUE MAS COt4PLIED ,
<br /> ' k�I7M 7HE REVENUE LAtdS OF THE STATE GE NEBRASKA IN THE DfiTERt�INATION GF • � .
<br /> I THE At40UN7 SH060N TO 8E LUEq AND TME TAXPAYFR HAS FAI�ED 70 PAY TNE � ,
<br /> „ ; . 1 AFIOUNT DUE AF7ER DEMANDo IF TMIS ND�ICE OF STATE TAX LIrEN IS AN _ �,
<br /> ' EXTENSEON OF AN EFFECTIVE LIEId IT SERVES TO CONT�NUE 7tlE PRIORIYY GF . _ �
<br />. � TNE STATE�S IN?ERES7 IN THE AFF�CTED PROPERTY Of THE TAXPAYERo .
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<br /> • •• m"' � DATE/TELEP ONE
<br /> • � PRE A ER SI t�ATURt T LE . �.
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<br /> ' .i URE ITLE �� DAYE � . .
<br /> AUTNORIZED SEGNAT .
<br /> i COUNTY—Qoidenrod Copy
<br /> ' NEBRASKA DEPARTMENT OF REVENUE—White and Canary Coples TAXPAYER—Pink Copy
<br /> 7.1aS79 R9v tQ44 Su00rLOQfls 7./6579 Rw 591
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