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<br /> � � ; ' YNDIVIDUAL INtOME TAX E . ., .��<�"=�
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<br /> � � SOCo S�Co NOe 48�ab2766? ,�r(���'`�°:
<br />_ � ' NFBRa ZDENTo N�o 19716575 .- -- •�-=�
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<br /> . . SP�USE SQG SECo NDo 50T6237T4 � ' ���;
<br /> �� • 7AXA6LE YEAR 1996 � ;�r°:;``�,
<br /> (' . LIEN 1�10• 9804�i0044 F. � �i:�.,z'`:
<br /> ' ,• �O��y �,y RICHARD � DONNA J CARLSON . ,—�;
<br /> � " DATE 0� NOTICE 02/13/1998 1Z23 N�RTH 2OTH ST - = Q"� '
<br /> � . U CLBLUfr� IA 51501 � ( � .
<br /> � DA7E OF ASSESSH1Efdg Il/05/199? C� Itf I F �.%,
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<br /> �� THYS IVGTICE �!F STATE TAX LIEN IS ISSUED SY YHE NEBRASKA DEPARTi�ENT OP � .. ' �•.''�?��
<br /> , REIIENUr FaR YNDIVIDUAL INCOME YAX PUASUAN7 TO YHE REVENUE l.ANS OF THE ' �..;':�
<br /> ' SYATE �F NEBRASKA. NOTICE IS HEREBY GIi/EN YMAT INDIVIDUAL 3NCO�IE � . •� �"�'
<br /> � ' ' TAXES YNCLUDTNG PENALTIES A(dD INTERES�'� kIHICH ARE SHOaN BEL0�1 ARE D�1E
<br /> �; FROM 7HE YAXPAYER SPEtIFIED ABOVE AiVD REMAIN UNPAYD APTER DEMAND. . � ` ��-
<br /> ' ; THES@ 4AXES CONSTETUYE A LIeN IN THE C�UN'�Y FOR PROPERTY BELONGING TO , .
<br /> ' � '� THE TAXPAYER OR HERE�►FTFR ACQUIREDo �' -�
<br /> �_. . .
<br /> AM�UNT 0{F 7AX • e o • o a � � e � � � • • o . . . 19883a00 . . _, •
<br /> �; ' . ) PENALTY o o • o 0 0 o m • e s • e o 0 0 0 0 o e . 279•30 �
<br /> � INTEKEST tCO�lPUTED 70 02/13/1998D • • • o • • o 0 1�t1•00 ' �� '
<br /> � ' TOTAL AiNOUNY DUE o o e e o 0 0 o e e o o • e • • 2�301s10 " '
<br /> � � I MEREBY CERTIFY THAT THE NESRASKA DEPARYf�fENT OF REVENUE HAS COMPLIED �
<br /> ' � i . C1IYH TgiE REUENUE LAaS OF "�HE STATE OF NEBRASicA IN '�HE D�?ERi�INATION OF ,. .. .
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<br /> � � TME AM�tlNT SHGVIN TO eE DU�9 AND TtlE TAXPAYER MAS FAILED TO PqY 4HP
<br /> ' AMOUNY DU� AFTEit DEl9ANDs IE THIS NOTSCE OF STATE TAX LIEN IS AN �
<br /> EXT�NSION OF AN EFFrC7IVE LIEN IT SERVES TO CONTINUE THE PRIORITY 0� ,
<br /> ' � TNE STATEaS IINTEREST IN TME AFF�C�ED PR�7PERTY OF TNE TAXPAYElio � ' . _
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<br /> �°• � AUTMORIZED SI6NATURE TITLE �" DATS
<br /> '' , � NEBRASKA OEPARTMENT OF HEVENUE—White and Canary Cflples TAXPAYER—Plnk Copy COUNN—Doldenrad Copy
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