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201309042
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Last modified
8/19/2014 2:24:36 PM
Creation date
11/15/2013 8:34:15 AM
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DEEDS
Inst Number
201309042
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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 <br />or hereafter acquired. <br />Deparbnent of <br />of the state of <br />and <br />specified <br />a lien <br />to the taxpayer <br />PLEASE DO NOT WRITE IN THIS SPACE - . <br />Nebraska Identification Number <br />36954144 <br />Federal Identiticalion Number <br />IJxt 5enai Number <br />40650056 <br />Lien Filed Willi <br />County Clerk <br />Social Security Number <br />XXX - XX - 6423 <br />Spouse's Sodaj$ecaxity Nunber <br />E Register d Deeds I <br />Data of Llen <br />05/10/2004 <br />Lien Type — <br />[original G Cortinuelion ['Collected <br />County <br />MALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />PAGAN/JULIO E <br />822 S SYCAMORE ST <br />GRAND ISLAND NE 68801 <br />Tax <br />Category <br />Number <br />Tax Period <br />Date of <br />Assessment <br />.Amount of Tax <br />Paaafty <br />Interest <br />Additions <br />Balance of <br />Assessment Due <br />22 <br />2000 <br />01/15/2004 <br />1,330.00 <br />89.80 <br />300.32 <br />.00 <br />1,703.12 <br />• <br />�, .. ■° <br />amount sham <br />'''- ■ -art -• <br />to be due. and the <br />■ I., _ <br />tamer has failed <br />,. _ _ :� .. ., <br />to earn the emotes due <br />nnenue was <br />after demand_ If <br />TOTAL <br />• _ '7. • "Yr _ ,7-7 <br />Oda Medea d Sara Tax Iinn at an <br />$ 1,703.12 <br />_ , , of <br />epdnaxd,v t of an <br />Nov,14, 2013 1:21PM NE Secretary of State — UCC <br />Q <br />sign <br />here ► <br />201309042 <br />Nebraska Department of <br />REVENUE <br />effective Tien, it serves . continue the pdorfy of the states interest m the affected property of the tatcpayer. <br />Revenue Agent <br />Revenue Supervisor <br />71be <br />-` anoL{o4190 <br />il f1W13 <br />Date <br />No, 1895 P. 2 <br />Maass eft I {a {e fees fl Sale - ucc ICON <br />I 1 111111 11 <br />991372seee -8 Pos: 1 <br />Filed! 1 1/14 Ya :99 AM <br />T TE TAX LIEN <br />(402)471-5928 <br />igeq auni er <br />//,/„r, /5 <br />Data <br />1-4W- 101Aff. 2200214e lades 4M1 -1274 Pat *fen <br />
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