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This Notice of State Tax Lien is issued by the Nebraska <br />Revenue for unpaid taxes pursuant to the revenue laws <br />Nebraska. Notice is hereby given that taxes including penalties <br />interest, which are shown below, are due from the taxpayer <br />below and remain unpaid after demand. These taxes constitute <br />in the county for real and personal property belonging to <br />or hereafter acquired. <br />Department of <br />of the state of <br />and <br />specified <br />a lien <br />the taxpayer <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska Identification Number <br />46941878 <br />Federal Identification Number <br />Lien Serial Number <br />11319185 <br />Lien <br />Filed With <br />County Clerk <br />Social Security Number <br />XXX -XX -3822 <br />Spouse's Social Security Number <br />XXX -XX -3870 <br />Re of Deeds 1 <br />Date of Lien <br />02/20 /2013 <br />Lien Type <br />County <br />HALL <br />7 Original • Continuation II Corrected <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />ISIDRO OROZCO MONTANEZ <br />MARIA L CASTRO <br />2223 N SYCAMORE <br />GRAND ISLAND NE 68801 <br />Tax <br />Category <br />Number <br />Tax Period <br />Date of <br />Assessment <br />Amount of Tax <br />Penalty <br />Interest <br />Additions <br />Balance of <br />Assessment Due <br />22 <br />2008 <br />01/27/2012 <br />482.00 <br />24.10 <br />91.55 <br />597.65 <br />22 <br />2010 <br />05/04/2012 <br />510.00 <br />25.50 <br />45.87 <br />581.37 <br />TOTAL <br />$ 1,179.02 <br />I hereby Pertly that the Nebraska Department o Revenue has complied with the revenue laws of the State of Nebraska in the determination of the <br />amount shown to be due. and the taxoaver has failed to Day the amount due after demand. If this Notice of State Tax Lien is an extension of an <br />02/26/2013 TUE 12:14 FAX 402 471 4429 UCC SECRETARY OF STATE <br />effective lien, it serves to continue the priority of the <br />► <br />sign <br />here ► ,�►�s %� <br />201301521 <br />Nebraska Department of <br />REVENUE NOTICE OF STATE TAX LIEN <br />www.revenue.ne.gov <br />y� <br />te's interest in the affected property of the taxpayer. <br />Revenue Agent --2 D <br />Title Date <br />Revenue Supervisor <br />Title <br />Hall 0004 /007 <br />NE Sec of Slate lohn A Gale <br />9913709398 -1 <br />OROZCO MONTANEZ ISIDRO <br />Filed: 02/26/2013 1:04 AM <br />(308)632 -1203 <br />Telephone N mber <br />2 <br />Date <br />4- 494.1974 Rev. 2-2002 Supersedes 4-494-1974 Rev. 10 -1995 <br />