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201309295
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Last modified
8/19/2014 2:24:44 PM
Creation date
11/26/2013 8:37:18 AM
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201309295
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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 />Department of <br />of the state of <br />and <br />specified <br />a lien <br />to the taxpayer <br />• " - ri .TIM N,TI ,. .1 <br />Nebraska !dedication Number: <br />40603229 <br />Federal Idenlbion Number <br />Lien Serial Number <br />11325085 <br />- Lien Fled With <br />3 Replsta:d • Candy Clerk <br />Sad Security Number ' <br />XXX XX - 2189 <br />Spouse's Social Security Number <br />Date lien . ' <br />11/19/2013 ' ' <br />Gen ype • <br />RIOdllinal ■ Omficultial II Counted <br />County <br />HALL • • ' • . ' ' <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAIVE AND MAILING ADDRESS <br />JOSE E GAYTAN <br />915W5TH <br />GRAND ISLAND NE 68801 <br />Tax <br />Category <br />Number <br />Tax Period <br />- <br />Date of <br />Aesesamenl <br />Haunt of Tax <br />Penalty <br />Interest <br />Add1'Nons <br />- -- <br />Balance of <br />Aaeeumeat Due <br />22 <br />2009 <br />06119/2011 <br />138.00 <br />3245 <br />68.91• <br />239.26 <br />22 <br />2012 <br />06105/2013 <br />317.00 <br />15.65 <br />5.68 <br />338.53 <br />• . <br />TOTAL <br />$ 577.79 <br />amount strown <br />i _ :.. <br />to be du& and the <br />/: . <br />taxpayer has tailed <br />1{,.,.,.,.. �y <br />- ° 1 as <br />In oav the amount due <br />.y ,, p <br />Ma revenue lava � the State of Nebraska In the ' -. : • <br />albr demand If this Notice of Stale Tex lien is an Mention don <br />Nov. 25. 2013 2:27PM NE Secretary of State — UCC <br />y <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />affective Von, It serves <br />s • <br />here ► <br />Www. revert us. rir.gov <br />Tide <br />201309295 <br />Nebraska Department of <br />REVENUE NOTICE OF STATE TAX LIEN <br />Vie priority of the slates Interest In the affected property of the taxpayer. <br />Revenue Senior Agent <br />'Tlte <br />Revenue Supervisor <br />4641574 Rev. Rona 9uenwdw 44641574 Rs 10.1555 <br />No.2059 P. 2/2 <br />NE S. of Stwwe J&.n A Gal. - UCC SML <br />11111 1 <br />III <br />9913726463 —g Pee: 1 <br />CRYTfN JOSE E <br />Filed: 11/26/2013 11:56 PM <br />Q-b <br />
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