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<br /> � � ACLOtOtdYv �EFER TO TMESE NUMBERS � ' � '��'"
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<br /> � , SOC. SECa N0. �38543818 , � -
<br /> " � . IdEBRo IDENTo P10o � `�
<br /> � - SPOUSE S�Co SECe NOo Z76T0015�s � _ ';-.
<br /> � � �AXpBLE YEAR 1996 JEFFt�EY B 6 DEA9IS� R BOLY�N , ,
<br /> 972340039 409 OELO►�G AV�N�JE � . ' ' � `��'
<br /> LIEN (�tGo . .
<br /> � 6IEN �ELEASE �100 98H9�aa� tOUNCYL BWFFS IA 51503
<br /> COUNYY �
<br /> DAT� OF I�OTICE 03/13/1998 . � : -
<br /> ._..� IWSTRUMENT N0. o��e�:���o� .' . .
<br /> � PURSUAN7 YO THE REVENU� LAWS OF THE StATE OF 1VEBRASf:A� NOTICE IS �
<br /> � ` HEREBY GYVEN BY YAE NEBRASKA DEPARTMENT OF REVENUE TNAT tHE .
<br /> �� SYA4E TAX LEEN �HIiDUALSINCOtEDTAxESjISDTERWENATEDHE ABOVE NAMED • .
<br /> .. . ?AXPAYER FOR INDaU , .
<br /> � I HEREBY CERTI�it THAT THE NEBRASI:A DEPARYtAEN7 QP REVENUE HAS Cat4P�IED
<br /> Y1I�H TNE REWcNUE LA�S OF 7HE STATE OF N�BRASfCA It11 tHE DET�RMIPlATION OF
<br /> , 7HIS 7ERt9II�1ATI0No � �
<br /> � �� . a �'°'�`�a°,�° oeoo oo���9�....e .: . .:. �
<br /> . G���� DA7E . ..
<br /> . . � PREPAREFt°S SIGNATURE T�a�E
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<br /> ED SIGNATURE TI LE � .
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<br /> . ; � . .
<br /> � NEBRASKA DEPARTMEN?OF REVENUE—White and Canary CoP+es TAXPAYER—Pink Copy COUNTY—Gotdenrcd Copy ' .
<br /> � � AinteQ w'tn soY�n1F on rvryclo0 psDe� �•�aS7fl Rw.ta95 SuDersndo�7-1�}78 Rw.�1
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