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<br />-.� ,. ,- PLEASE 00 HOT WRiiE tN THIS SPACE \ .. � '', '$•a
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<br /> s• T61v Notice of State Tea L�Ls Lssued by the Nebtastra Department of . . ±;�'�:.:
<br />.. . • ' Iteveaue for anpatd ta�es puisuant to the�ev�ue Iaws of the smte of _. �. .''� �`=
<br /> -• '-` Ne6rasEm. 1Vofitoe!s tte�rby gtven t�ast�fQC[adIug peaalttes aad .--- �`::
<br /> - `t� in�w6Lcb ern shown 6eiow, aie dae fivm the 3aagayer spec[@ed � , �'.�.
<br /> � � LeDow ead�smadn anpatd e8�dem�and. Tiiese texev cansfItnte a ilea Ia �� ''�'
<br />.F �� the coa�ty[or�al and pecsoaal pruperiy be2ongfng to t�taspayer or �. `'��;
<br /> • ... .. `7 heeraRer acqate�d. . �-.---i�"_
<br /> . F N9MSSlatde�ratlanN�anber LlenFiledWiCl SOtlatSOpnity0rF0Qera11.D.Number Spouse'BSodelSe�urilyN�mme1 , '�"-`��, -
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<br /> 36907Q49 �I R�`mD�d'pCoia1y1O1eAt 621-18-0309 `j,��.
<br /> � L�nSa�1N� L1enType �af Ue� Got�ty �»... :
<br /> � �j: 973040069 �1 °A�"� Q�Ot Q C0"�0 2-17-98 HALL ���.:
<br /> `� BUSiNESS NANfE AND LlOCAT[ON ADDAESS TA7�AYER NAME ANO QIAIUHCi ADOAE35r
<br /> ' � � B�inessNarne � . ' -�;�;;
<br /> ' � � '. - . . :`'
<br /> ' � . � � B TAZAR A P —AMBRIZ �f•�''-
<br /> saeetnaaress stee�oromern��ngaames� .'`,�"_
<br /> _ .. �_�'• 2656 CARLETON NE :_-�
<br /> c�fr s�e zvcoce GH s�aze a�coae .' `:..`�-='°
<br /> G IS7�AND NE 68803 �'�
<br /> � �� Baleneeo! " • �:_�s.,,:.';
<br /> ' Cetcaory TmcPCriod �Q� AmountofTmc FbnaRy t�araB! AQdftions A�amm�t0uo � ' �
<br /> , , bo . �''��
<br /> �:F
<br /> , . — — 50 00 •:�`;
<br /> , . , . � ,.aw!4
<br /> :. � � 22 1 93 9-10-97 219.00 10.95 72.70 302.65 � ` �```
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<br /> ' TOTAL $ 652.65 �
<br /> � ' IpereOycertiythattheNebrBS��epaiDnerrtofitevenuehaswmpuadvAtl�therevenuelaw9ofineSBteofNebraskainBieQetermtn8tton �
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<br /> oftt�98rtauirishownfiDedue.and9ie�ayerhasfaltedtopaytlfeemo�aitdueeftmdemarb.NtNallotloeofStateTaxUonbaneoCensionof
<br /> . • � aneftecW9tten.aservestocominuetnepr�ar,ryotmes�ate'smterestlnmeaftectedprupertyofthetaxpayer. �
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<br /> ! AW16 e0S1�RRe TItf9 .
<br /> . � �q,NEBRASKA DEPARTMENT OF P.EVENUE•Whfte and QWdenrad Copies TAXPAYER-Pink Copy COUNTY OFFiCE-Canary Copy •�
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