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<br /> ' INDIVIDUAL INC�ME YAX '` � '�
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<br /> - S�G SEC. NOo � ��;:�'�:`:
<br /> 5086083g4 � �:�:;
<br /> NEBRa IA�id'Pe NO• 1g422372 <: ��>`.; ,
<br /> � .,: .
<br /> . '.t SPGUSE SQCa SECo NOe 5Q666927�a �- V.-.-''i�'�„,
<br /> YAXABLE YEAR 19Srb .��.N�; ,;:: ;
<br /> . LIEN M�. 9T3340152 � �. 'r;:`�::;;:;.'.
<br /> CGUNTY NA't! DcAN M � DIAN K NIESE1.r+lEYER � • � ''
<br /> . ���,,;�Q
<br /> � DATE t7F NOTICE 12/05/9? 14bS2 DANBORGU6H RD •� -=`: �;F.:
<br /> ' DAYE OF ASSESSt�IENT 09/10/9T YIJSYIN CA 92680 � � �`'-.'
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<br /> ' ` "I THIS NOTECE OF STATE TAX LEEN IS ISSLED BY THE NEBRASKd1 DEPARTMEN7 O� � . ,�-`n�'=
<br /> � '', REVENUE FGR INDIVIDUAL INCG�tE 'IAX PURS�AN7 Ta YME REVEtd1JE L.t1tlS OF Y�IE . . . =. �;;;
<br /> . . SYA?E �E NEBRASKA• NpTICE IS NEREBV GIVEN �biAY INAIVIBUAL %NCOME . ' :`��'
<br /> • 7AXE5 INCLUDIAIG PENAl7IES AND IhTEREST� MHYCH ARE SHO1�N BELDW ARE DUE � '�°�
<br /> � � FR0�1 YHE TAXPAYER SPECIFIED ASOVE AND REPIQIN UNPAID APTEft DtMAND. . � _
<br /> . TKESE TAXES CONS�ITUTE A LYEN IN Y11E tDUNTY FOR PROPER7�f BELONGIN6 '�0 .�� .
<br /> . ... TME TAXPAYER OR MEREAFTER ACQUIRE�.
<br /> . . At`�lOUSiT 0� 7AX . . . . . • . • . o o • • o • • • • 637.00 • , -
<br /> - �� . PENA�7Y . • . o • o 0 0 0 o a o o a a o 0 o a e o 31e 85 . '' �
<br /> � INT�RES� (CGi11PU�ED TO 12/0�/97) o . e . e a e . 0 39oT6 ' � �
<br /> i,; TOTAL Ai90UN7 DUE • • • • • • • • • � • � • • • • 7a8.63 .� ,r.
<br /> ' I HEREBY CER�IFY THA7 TIiE NFct3RASKA DEPARTMENT OF REVENUE iiAS COMP�IED �
<br /> ' �JITH THE REVtN�lE LAhS OF THE 5TATE 0� NEBRASiCA %N 7HE DETERMINAtIGN OF ' �
<br /> THE A�tOUNY SHCwN TG BE DUE9 AND THE ?AXPAYPR �aAS FAILED TG PAV THE ' . �� �
<br /> ��� At�OUN? DUE AFTER DEMQNDa IF TNIS NOTIC� QF STATE T�X LIEN ES AN . �
<br /> EXTENSIOM �F AN EF�EC7IVE LIEM IT SERVES TO CON7INUE THE PRIORITY 0� � ' . :
<br /> THE SYATc�S INTEREST IN THE AEFECTED PROPER7V OF ?HE TAKPAVEt3s :. '
<br /> �- �. , �s� � � 3- 9� �/�� �-s�a3 � . .
<br /> • �oo�eos ��o• •�o�� e s ooeeeoveao oeeooes oo���d'��ea�C`s^����o�• .
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<br /> PR �R• IG ATURE TITl.E DATE/TELEPHONE
<br /> � ��tf(do�b�o 0000�ooeo eoo' e000e- eosao 00 ooeooe o��eeee�o�o���ooe �
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<br /> �. � , AU7hORE2ED SIGNATURE TTTLE Da7E
<br /> NEBRASKA DEPARTMENT OF REVENUE—4Vhite and Canary Coples TAXPAYER—Plnk Copy COUNTY—�oldenrod Copy � . �
<br /> PnntodwrflrtOynhon�ayNatlD3D�� 7.14S79Rav t0�A5SWOrsodB97.14S78RW S91 � .
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