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This Notice of State Tax Revenue for unpaid taxes Nebraska. Notice Is hereby Interest, which are shown below and remain unpaid in the county for real and or hereafter ac wired. Lien is issued by the Nebraska pursuant to the revenue laws given that taxes Including penalties below, are due from the taxpayer after demand. These taxes constitute personal property belonging to `Federal ' Department of of the state of and specified a lien the taxpayer Identification Number PLEASE DO NOT WRITE IN THIS SPACE f i ka Identification N 41980999 Lien Serial Number 32270888 Uen Flied With E Register of Reeds ■ County Clerk Social Security Number XXX -XX -1392 Spouse's Social Security Number Date of lien 02/17/2004 Lien Type II original L continuation I Corrected County HALL BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND NAIUNG ADDRESS SHEILA R SANCHEZ PO BOX 184 GRAND ISLAND NE 68802 Tax Category Number Tax Period Date of Assessment Amount of Tax Penalty Interest Additions Balance of Assessment Due 22 1999 07/01)2003 925.27 65.55 401.07 .00 1,391.89 the revenue Imes TOTAL of the State of Nebraska in the determination $ 1,391.89 of the I hereby cer6fyi the Nebraska Department d Revenue has complied wldi Aug. 21. 2013 3:11PM NE Secretary of State — UCC No. 0559 P. 2/2 effective lien, it sign here 201306844 Nebraska Department of REVENUE www.revenurirne_eov Revenue Agent Revenue Supervisor Tale B�IcIii 3 Soo ff 11 11 � I I I Lllh i 8913721359 -5 Pus; SANCHEZ SHEILA R Filed: 09/21/2019 12;38 P11 amount shown to be due, and the *geyo has failed to pay the amount due alter demand. If Ilia Notice of State Tex Uen le an extension of an to continue priority of the state's interest In the affected properly of the 'wafer. (402)471 -5928 Telephone Number 52. 1 .7 Date • 1491 -1974 Rev. 22002 Supersedes 1.401 -1971 Ray, 161995 SCAN