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07/12/2012 T8U 14:07 FA]L 402 471 4429 UCC SECRETARY OF STATE ~~~ 8a11 <br />i�� <br />201205720 <br />E <br />�002/005 <br />08:68 RM <br />� alt�tbraska 4Sr��rtrticrrrc m <br />�tE�''E��E NOTICE OF STATE TAX LIEN <br />WiMivOr.n►Y�nu�r.at�►'.�Ov <br />PLEASE DO NOT WRITE (N THIS SPACE <br />This Notice 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 that taxes including penalties and <br />inte�est, whlch are shown below� are due from the taxpayer specified <br />below and remain unpaid afte� demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />9688862 <br />07/08/2012 <br />BUSINESS NAME AND <br />QX Register of Qeeds �County <br />lien Type <br />Qoriginal �Continuation �Corracted I Hall <br />ION ADDRESS TAXPA►YER NAME AND MAILING ADDRESS <br />0 <br />Jesus Castaneda <br />t or Other Mailing Address <br />1116 W. Oklahoma <br />s�c� <br />Grand Island Ne. 68801 <br />Penalty Interest Additlons Balance of <br />Category 7ax Period Date of <br />Number Assessment <br />2 � 01/01/2011 05/11/2011 <br />03/31/2011 <br />2 � 04/01/2011 12/18/2011 <br />06/30/2011 <br />07/01/2011 <br />2 � 09/30/2011 12/22/2091 <br />2 � 10/01/2011 03/27I2012 <br />9 2/31 /2011 <br />21 01/01/2012 05/11/2012 <br />03/31/2012 <br />Amount of T� <br />� �� <br />515.00 <br />245.44 <br />1,155.28 <br />639.90 <br />20-3856452 <br />XXX-XX-2333 <br />19.95 5.81 <br />128.75 22.45 <br />12.27 8.44 <br />195.53 25.16 <br />32.00 6.05 <br />TOTAL <br />Assessment Due <br />25.76 <br />666.20 <br />266.15 <br />1,295.97 <br />677.95 <br />$ 2,932.03 <br />���a�vv� w�an� .,�a. ��� �.a.,�a„w „cNmunrsm vr nevenue nas compnea wrcn me revenue iaws ot lne Sta[e ot NebrasKa in the determination Of the ! <br />amount shown to be due, and the tanpayer has failed to pay the amount due after demand. If this Notice of State 7ax Lien is an extension of an i <br />effective lien, it serv continue the priori the state's interest in the affected property of the taxpayer. i <br />e � �� _' Revenue Agent � ��2d/� 402 471-6067 ; <br />sign rep rers Signature T�tle D e Telephone Number � <br />here � /� �'L . , �-- Senior Revenue Agent 7—/ � - / L '• <br />Authorized Signature Title Date . <br />4�494-1974 Rev_ 2-2d02 Supers�ies 4494-7974 Rev.10•1995 � : <br />, <br />t <br />