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<br /> PLE.55E DO NOT YVRITE IN THIS SPACE f.' s���__
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<br /> , INDI1tIDUAL INCOME YAX ' .�, r��� �_-
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<br /> - S�t. SEC. H0. 2T0481772 �. •.�: ��l
<br /> NEBR. IDENT. NO. 392Q79T 1 '!;:�i',,���
<br /> SPOUSE S�C. SEC. N0. Z79b6S306 �'-= � �
<br /> 4AXA�LE YEAR 1995 f� �'�
<br /> LIEN N0. 963 80Q08 DAVID L 8 �AElEiIE R HAMMOND . ��`'� °—
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<br /> CGUNTY f�/JGl� , �, ° : �
<br /> DATE OF NOTICE 12/13/96 3�3SUMMIT ST ' ' .:..`�,��.:: �•-
<br /> � DATE �F ASSESSl�lENT 09/Z4/9b FOSTORIA OH 4�li830 - - `� :. .
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<br /> THYS AIO�ICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT �F �'"° �'+�'�.
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<br /> REVENUE FOR INBIYIDUAL INC�ME TAX PURSUA[dT TO THE REVENUE L/�MIS CF T�IE � :W.�i:�`�-J'--�-� -
<br /> ' STATE OF NEBRASKA. NOTICE IS HEREBY 6IVEN THAT INDIVIDUAL INCOME .� ���.r
<br /> TAXES INCLl9DING PENALTIES AIdD INTER�ST� NHICH ARE SNOWN �ELOM AR� DUE ��•• ��:
<br /> � �rROM THE TAXPAYER SPECIFIED ABOVE ANO REMAIN UNPAID A�TER DEMAND. � � °��=�''
<br /> - " THESE TAXES tONSTITUTE A LIEN IH THE COUNTY FOR PROPERTY BE�ONGING TO .���
<br /> r--�R �-:-��
<br /> - THE TAXPAYER OR HERBAFTER ACQUIRED. �
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<br /> Al40UNT OF TA� • • • • • • • � • • • • • • • • • • 346�00 _�i�;" ' �___.
<br /> PENALTY • • • • � • • • • � • • • • • • • • • • • ST�30 '' '�: °��-
<br /> � INTEREST (COMPUTED TO 12/13/46) . . • • . • • • • 20.65 � `��
<br /> � � TOTAL I�dWOUNT DUE • o • e • • � • • � • • • � • • 383.9$ -•�'��'����".
<br />� I HEREBY CERTIFY THAT TME NEBRASKA DEPART(�ENT OF ttEYENUE HAS COMPLIED , .,�•.'��'��:�:��;.r-
<br /> � MITH THE REYENUE LAMS OF 7HE STATE Of NEBRASKA IN TNE DETERNINATION GF � � • • �,.
<br /> � THE A�lOS1NT SHOiiN TO BE DUE• AND THE TAXPAYER HAS FAILED TO PAY THE �.�:,:��.,;<> .,,•,. .
<br /> /�M�UNq DUE AFTER DEMAND• IF THIS NOTICE OF STAYE TAX LIEN IS AN � �`""�'"�"4
<br /> EXTENSYON OF AN EFFECTIVE LIEN IT SERVES 3A CONTINUE THE PRIGRITY 0� _ ._._�`
<br /> • THE STATE�S INTERES IN THE AFFEC7ED PROPERTY OF THE TAXPAYER. -"�"'"
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<br /> � PREPARER�S I NATURE TITLE � DA'PE/TELEPMONE r"� • � � —�=�
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<br /> �t � j• ��• ✓�/��e o�d�y�i/e o e�fi���i�o 0 0 ��e g�o o e o e e o "
<br /> ; ( AUT�ED S NATURE TITLE v DA� � , `---
<br /> .� / NEBRASKA OEPARTMENT OF REVENUE—Whfte and Canary CoA�es TAXPAYER—Pmk Copy COUNTY—Ootdenrod Copy i1 �� � �. ��
<br /> ,/ ���a� r 7-1sS78Rlv t699St�erceAOl7.t4S78RCV S91 I�
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