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07/12/2012 THU 14:07 FAX 402 471 4429 UCC SECRETARY OF STATE a-�y gall <br />�� <br />�� <br />� <br />201205721 <br />�J003/005 <br />�ea�w �.,t as <br />�E'�'E�� NOTICE OF STATE TAX L1EN <br />�,...,..�.����.ri..�d,,. <br />■ <br />PLEASE DO NOT WRiTE IN TH1S SPACE <br />This Notice of State Tax L.ien is issued by the Nebraska D�partment of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given that taxes inciuding penalties and <br />interest, which are shown below, are due from the taxpaye� specffied <br />below and remain unpaid afte� demand. These taxes constitute a lien <br />in the county for real and perscnaf property belonging to the taxpayer <br />or hereafter acquired. <br />9688862 <br />�� �'i � � �Register of Deeds �County <br />Llen Type <br />07l08/2012 [X]originaf []Conanuation []Corrected Hall <br />BUSfPIESS NAME AMD LOCATION ADDRESS TAXPAYER NAME AND MAILlNG ADDRESS <br />,lesus Castaneda <br />� o� Other Mailing Add�ess <br />1116 W. Oklahoma <br />sr�te <br />Grand Island Ne. <br />Penalty Interest Additions <br />Category Tax Pertod Date of <br />Number ASSessment <br />�� 11/01/2011 03l01/2012 <br />11/3012011 <br />01 09/01/2010 �0/26/2010 <br />09/30/2010 <br />Amount oi Tax <br />30.85 <br />126.20 <br />20-3856452 <br />XXX-XX-2333 <br />0.00 0.85 <br />0.00 10.75 <br />TOTAL I $ <br />68801 <br />Balance of <br />31.70 <br />136.95 <br />168.65 <br />amount shown to be due, and the taxpayer has failed to pay the amount due after demand. if this Notice of St2te Tax Lien is an.extension of an <br />effective lien, it se ntinue the prio ' f the state's interest in the affected property of the taxpayer. <br />e • � 402 471-6067 <br />� Revenue Agent / � <br />sign Prepar r's Signature Title te Telephone Number <br />here e Senior Revenue Agent 7� //—/?� <br />orized Signa ure Title Date <br />A-494-197A Rav. 2 ZOD2 St�petsedes 4-094-1874 Rev. 10-1895 <br />� <br />