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08/31/2012 FRi 14:05 PAX 4p2 471 4429 UCC SSCRETARY OF STATE �-�� Hall <br />� , ' <br />20�.20'7325 <br />�002/002 <br />a ce�e - ucc sn <br />�s: , <br />hauRico <br />z 0s:22 ru� <br />�,%rL�— <br />�le6r�ka=Deparir�ent of <br />. .. <br />. . , . , . <br />�� NOTICE OF STATE TAX LIEN <br />f�. ���: _ :.1�1�E <br />viewvy; revenae:ne..gov <br />This Notfce of State Ta�c Lien 1s issued by tl�e Nebraska Department of <br />Revenue for unpaid taxes pursua►rt to the revenue taws of the state of <br />Nebraska. No�ce is hereby glven that taxes inciuding penafti� and <br />Interest� whlch are shown below, are due f�om the taxpaye� spec(tted <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taacpayer <br />o� hereafter acauired. <br />98918273 <br />91295767 <br />�Reglster of Deeds �Cowty Gedc� XXX-XX-1143 <br />08/30/2012 �Origirra! �Condnuatlon �Corrected HALL <br />BU5INESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MNLING ADDRESS <br />MAURICO RAMIREZ RAMIREZ <br />3806 E SEEDLING MILE RD . <br />GRAND ISLAND NE 68801 <br />Category Tax Period Date ot <br />Number Ass�sment <br />22 2008 03/1612Q10 <br />Amount of Tax � PenaRy � Inter�t <br />518.00 � 25.90 � 87.43 <br />631.33 <br />TOTAL I$ 63�.33 <br />I hereby c�afy that tlte Nebraska De�rtrrient of Reverwe has oomplied with the revenue laws cf ine btate or NenrasKa m vie ae�erm►na�n or me <br />amount sFrown to be due, ar�d the taxpayer t�as failed to pay the amount due after demand. iF this Notioe of State Taz Uen � an ext�sion of an <br />effeaive lien, it serves to wntin� the pri of t�e state s fiterest in t� affected �operiy ofi tl�e taxpayer. <br />��y�u�,,.ne Ja. �` J� pv� Revenue Agent g��/a (402}471-5739 <br />sign Prepare�'sSignalure T' e Date TelephoneNumber <br />here ► Revenue Supervisor �- �o, �Z�- <br />rized Signatu Title Date <br />4-494-1974 Rev. 2-2002 Supersedes 4-A94-1974 Rev.10�1895 <br />� <br />� <br />1� <br />� <br />Additions I Balance of <br />Agsesament Dua <br />t <br />f, <br />t <br />I . <br />t' <br />