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<br /> INDIYIDUAL INCOME 'rAX t , , - � -
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<br /> .• S�C. SEC. N0. 50731754�i
<br /> 3T08160� .�4�'"���'—
<br /> � . NEBR• IDENT� ND• .� , ;�'�t� ,� —
<br /> , SPOUSE SaG SEC. NO• lgg4 —
<br /> _ TAXA�LE YEA�i ��6 pRANCISCO R LOPEZ : { �
<br /> LIEN N0. 96341 - � �
<br /> � COUNTY HALL 4:"�.. .,...;..' .
<br /> � DATE �F NO'PICE 12l06/96 615 N PINE NE 68801 f� " . '; � —
<br /> . D A 7 E O F ASSESSMENT 10/22/96 GRAND ISIAND � _�"� ;; ; --
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<br /> - r 7NII� NOTItE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPART�IEN'� OF ,� (t�. • __
<br /> REYENUE FOR INDIV I DUAL INCOME TAX PURSUANT TO THE REYENUE LANS OF THE f�, �.�
<br /> ' STATE OF NEBRASKA. NOTICE IS HEREBY GIVE[d THAT INDIVIDUAl. INCOME _
<br /> 4AXg� IHCLUDING PENALTIES AND INTEREST� OtHICH ARE SHOWN BELOW ARE DUE �.�-
<br /> FRON TH� TAXPAYER SPECIFIED A8011E AND REMAIN UNPAID AFTER DEMAND• � ,�' ��_�,�.4.,r
<br /> THESE TAXES CONSTITUTE ER`ACQUIREDHE COUNTY FOR PROPERTY BELONGING TO . ,
<br /> THE TAXPd11f�R OR HEREAFT . :'i�.
<br /> . � AMOUt�lt OF TAX • • • • • • • • • • • • • • • • • • 239.00 •;�,;:�_ ,� - � ,� ._
<br /> 31.95 ' �,�'�-;- �
<br /> PENAO.Tf�f . . . . . . . . . . • ' . . . . . . . . . 35.30 . ���'=`='__..
<br /> � ' IN7ER�CST �CO�IPUTED 4� Il2/06/96) :• .�;�:.,...
<br /> � � '+ . TnTAL AMaUNY DUE . • • • • • • • • • � • • • • • 286.25 , , t..*:.--,
<br /> �� .;�,.�:. �- •.:..�:
<br /> � I 4�EREBY CERTIFY THAT THE h=�BRASt(A IDEPARTlIENT t7F REVENUE HAS COMPLaED __
<br /> 4�ITH THE EtEYENUE LANS OF T!� STATE CF NEBRASKA IN TNE DETERMIPIA'�I�LE& OF . ,.,._
<br />� THE /U90UNT SHGNN TO BE DU�s AND THE tAXPAYER HAS FAILED TO �AY THE � �:��� �
<br /> A�30UNT DUE AFTER D E M A N D• II� T H I S N O T I C E O F S T A T E T A X L I E K 1S AN � ,-:�,�.r�:.
<br /> EXTENSICN�OF ANEE����INVTHE AFFECTEDRPiiOPERTY G�I�t�� TAXPa1fER�.i� OF --.-
<br /> THE STA7E S INT � .
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<br /> ��THDRI IGNATURE TI LE DA� _
<br /> NEBRASHA DEPARTMENT OF REVENUE—Whtte and Canary Copiea TAXPAYER—Pink Copy CAUN7Y—Gotdenrod Copy � . � --
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