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05/02/2012 WED 15:12 FAX 402 471 4429 UCC SECRBTARY OF STATE �-+� 8a11 <br />� <br />�� <br />� <br />�,�..--�z�-- <br />Nebras.ka Qeper[ment of <br />I�E'I�NiJ�E n <br />www,revenue:ne.gov �� <br />This No�'ce of State Tax Lien is issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given thattaxes including penaltles and <br />interest, which are shown below, are due from the taxpaye� specif'ied <br />below and remain unpald aft�r demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />37016237 <br />210201 <br />f�looz/ooz <br />2 012035�0 <br />,TE TAX LIEN <br />.�-�S(o0 <br />11(e�9 <br />�Regtster of Deeds �County Cle�lc! XXX XX-2010 <br />10/22/2002 QOriginal �Conbnuatlon I]Correc�ed HALL <br />BUSINESS NAME AND LOCATIOAI ADDRESS TAXPAYER NAME AND MAILINO ADDRESS <br />RODRIGUEZ/CRISTOBAL <br />518 E CAPITAL #S <br />GRAND ISLAND NE 68801 <br />Category Ta�c Period Date of <br />Number Assessmer <br />22 1994 02/91 /2000 <br />22 I 7995 I 02/11/2000 <br />Amount of Taa Penalty <br />275.00 68.75 <br />295.34 73.84 <br />Interest I Addi�ons <br />186.27 <br />173.39 <br />TOTAL <br />8elence of <br />sessment Due <br />530.02 <br />542.57 <br />1,072.59 <br />� nr�wr a�wy u�a� u�e �vwrasKa ueparunen[ ar rcevenue nas oompuea wnm me reve�nue iaws or tne st�e ot I�enrasKa In tna a�emuna6on of tha <br />artrount shown to be due, ar� the ta�ayer fras tailed ro pay tt�e am�nt due after demand. If this 1�6oe of State Tex Lien Is an a4er�sian of an <br />effecGve lien, it serv� to oontinue tl� priority af fhe state's inter�t in tffre affected property of the ta�ayer. <br />� �Q Revenue Agent S ( �j / a... (402p471-5928 <br />sign Pr sSignalwe � e 3 Telepf�ne umber <br />here ► �— Revenue Supervisor �", � . ,Za� 'L <br />honzecl Signatu TiUe Date <br />�-484-1974 Rev. 2-2002 Suparsades M49/-187A Rav, 70-1995 <br />� <br />� <br />