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� � <br /> .._... ,:. - <br /> , ; �� <br /> .� . <br /> , <br /> o�.� ��1� _-. <br /> �`�� co � ,.u'� ` `. =m P <br /> � \ \ �' : . � . <br /> .. ;� <br /> _� � <br /> ��� `�i � �y or+'a � Q } � „ _ <br /> �'' ':' � rV o � � <br /> (1�,. � �7 •^ ��`� °� � n a � - <br /> . `�1 � 'C1 G� � `� � r w �, _ <br /> �� � "^, �' � r ,� N ' , <br /> 1�� ' a� <br /> �/1 , c;, i�.. }-+ n OD � - <br /> T ' � � v..i � ' <br /> G7 � � ° �c <br /> � N . ��r. a <br /> �:G`i�iGaae' <br /> A Notice of State Tax Lien � � ����;-;:;�: <br /> �� �'�°s� <br /> /4 � <br /> n�Wa�t� `O ;'---- <br /> O�p�rbnxit \ <br /> ol rwur» ���G:i z��-;, <br /> .. . PLEASE DO NOT WRITE IN THIS SPACE �p <br /> : �'�"� <br /> �,�'� <br /> �t,��. <br /> � INDIV IDUAL INCOME TAX <br /> ..' <br /> , SGG. SEC. N0. 507025079 <br /> NEBR• IDENT• NOe 28493540 `�X� <br /> ,.... �_ <br /> - - -�� v°.^.S�d w��: ���o ��e RA7of,iR17 '�°�'�'` <br /> � TAXAB�E YEAR 1992 '' <br /> s �IUH Yp• 96 �Q}31 GERALD J � WENDY CHMIEL SR _ <br /> � <br /> UATETGF Nt)TZCE 1 /06%96 441T SOUTH 19TH STREET �<� `� <br /> �' DATE Op ASSESSM@NT 0�6 ��`96 PHOENIX AZ 85040 � ' <br /> �� (� <br /> t <br /> THIS NOTIGE OF STATE TAX �IEN IS ISSUED BY THE NEBR�SKA DEPARTMENT �F ____ <br /> �� � REVENUE FOR aNDIVIDUAL IN�OME TAX PllRSUANT TQ THE REVENUE LAWS OF THE - <br /> STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAY INDIVYDlJAL INGOME <br /> " TAXES INCLUDZNG P£NALTIES AND INTEREST� MHIGH ARE SHOWN BEL�N AR� DUE ,- �� <br />� " � FROl�) THE TAXPAYER SPECIFIED ABOYE AND REMAIN UNPAID AFTER DEMAND. �°"'��'"s'' <br /> � � � THESE TAXES CaNSTITUTE A LIEN IN YHE C�UNTY F�R PROPERTY BEL�NGIN6 TO �:N=-: <br /> { THE TAXPAYER OR HEREAFTER ACQU=REA. ��--� <br /> . AMGUNI[ OF TAX • • • • • • • • • • � • • • • • • • 2�6.00 :.:R, <br /> � �. . . . . . . . . o . . . . . . . . 12.80 - - <br /> PENALTY . . • • ' - — <br />- INTERE5T (C�NPUTED T� 12/06/96) . . . . • • • • • T5.2� :.-�' "� <br /> . 70TA� AMOUNT DUE . • • • • • • • • • • • • • • • 344.05 __-- <br />= I HEltEBY CER'�IFY THAT TWE NEBRASKA DEPAR'�MENT OF REVENUE HA5 C�MPLIED =_. <br />- WITH THE REVENUE LAMS OF THE STAT� QF NEBRASKA YN THE DETERMINATTQN OF : ':� <br /> � THE 01fM0UNT SH�11N TO BE DUE� AND T�HE TAXPAYER HAS FAxLED TO PAY THE �,�.x�,.,�;- <br /> � AMtIl1NT AU� AFTER DEMAND. IF THIS NOTICE OF 5TATE 9'AX LIEN IS AN `^ � <br /> EaCTE1VSI0N OF AN EFFECTIVE LI�N IT SERVES TO CONTINUE THE PRIORI7Y OF ' ' <br /> �,r .,�z��� <br /> - THE STATE�S INTEREST IW THE AFFECTED PROPERTY OF THF TAXPAYER. � :;�=,�:;:�;'w�-'�-� � <br /> J `�' ��p �i� �-/9-9 9/ ��,'�'�:"``:���,-�����M <br /> 30,/ <br /> � .'r:'i. � •• •• ��• !���`��if 1V1(��F�f'"�i��' �Ff������a •��Y=!�i%� . <br /> � � - E �y��� DATE/TELEPHONE - . - <br /> PREPARER SIG AiURE TITf. , <br /> ��f�•��i• fii��Y1��i��� ��'�� r� •��i�i��i��������• ., „ ' <br /> � AUT�D SIGN7ITURE TIT6E � DpvE .. <br />_ NEBRASKA DEPARTMENT OF REVENU�—White and Canary Coples TAXPAYER—Plnk Copy COUNiY—Gotdonrod Copy ' <br /> ----- � -- � . . zuR.7u FLv 10•05 SuueneGef iM5-78 Rev.G•9t - -------- --------- --- <br /> _:_.�-. . .._.� � PonM7M1[lf neon pap�� -- __.r : _. <br /> �4 � _'"_.'_—_'_'_"_"'""''"'__ " ....... _'"" '_" .,. '�_._. _. , _. <br /> - __ ._............._..-. . . .._' _".._. . . .. .. .. .... . ..._..-..._..._ –. <br /> _ _ - .. . . .. - �_.. _..sa✓���4° . � . <br /> .. i) <br />'_ .) <br /> �...._� _ . -.ii. . <br />