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<br /> --_�. TERMINJ1tY0M OF STATE TA� �IfN 92�,,,,, lOno��
<br /> � �� IMDIYIOUAL INCONE 1'AX �/
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<br /> - IF.�IIOU INf�VIft�, ABOUT YOUR � � '
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<br /> ,_���{ - _ -- "� id ACCa1N�• REFEq. TO TMESE NUMBERS __
<br /> 50�. SEC. NO.r. 503g63533 RAYNOND M GRAY
<br /> __-� NE�3R. iOENT«.NW+ 231ZS3d1 116 E BI SM11RK RD
<br /> SP�IUSE SOC.. S�C. NO.�
<br /> �'��`•':;:� TA1tA8l.� Y�AR ' 1987 GRAND ISLAND NE b1>Ol
<br /> -_ -—-� 1,jEN NG1• 088246061 � _
<br /> _-,'" �IEN R�LEASE K�•� 913�70347 ''
<br /> _��,,��� COUNTY � HALt. .
<br /> ----"z�.yr�_ ' Dl4'iE 0� t�t3TIS£ 13./13/�1 � -
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<br /> __ _ �:_=�:�,-�"�` P�If�SUANT TQ TIfE REYENUE �Awr O� T!!E STAT� uf N�SRASKAs NOTIGE IS _
<br /> - �,;:" H�REBY GIVEi� SY THE MEBRASKA DEPAR3MENT OF REVENUE THAt THE
<br /> — .,� '�-��� StATE TAX L�IFNi MHICH HA5 BEEN DULY FILED AGAINST THE �1BOYE MAMED
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<br /> �;a� �" .. .: tJ1XPAYER �4R �NUIYIQUAL INEOME TAXES IS TERMINATEDo
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<br /> _ ��,, I HEREBY CERTIFY THAT T!�!� .�T�BRASKA DEPARTMENT OF REVENUE NAS COMPLIED
<br /> -_ ,�!�'�:� MLTH THE REV�t�Uff LAMS OF tHE STA�E OF NEBRASKA IN THE DETERNINATION OF
<br /> �� " � =�• 1�NIS T�RIIINATt0e1+ ,
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<br /> ' `"'{�I � NEBRASKA pEPARTMHNT OF REVENUE—YYMte and Canary Caples TAXPAYER—Pink Cvpy COUNTY—CioMo+�rod Copy
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