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Pr <br />Tax Period <br />Assessment <br />Tax <br />Penang <br />Interest <br />Costs <br />Total nue <br />individual <br />2010 <br />1071912012 <br />690.00 <br />34.50 <br />82.31 <br />806.81 <br />Individual <br />2011 <br />0311012013 <br />798.00 <br />39.90 <br />55.18 <br />893.08 <br />Total <br />$1,699.89 <br />Feb. 14 2014 1:32PM NE Secretary of State — UCC No, 3342 P, 2 <br />Nebraska ID Matte <br />97003220 <br />Lien Serial Number Lien Sled yrrh: <br />sign <br />here <br />Business Name and Location Address <br />Ifplhat Nebraska s =rimed <br />al Ins payIhe <br />Masi <br />201400902 <br />Notice of State Tax Lien <br />, . - - � - t <br />Nebraska 4epu of <br />REVENUE <br />This Notice of State Tax Lien is issued by the Nebraska <br />Department of Reventie for unpaid taxes administered by thane( <br />Commissioner. Taxes, including penalties, interest, and coats, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after demand.These taxes area lien for all property located <br />In the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this iien.Thls lien will expire and <br />became unenforceable 10 years after the date of recording if no <br />continuation statement is recorded on or prior to the expiration of <br />the previous lien or continuation statement. <br />Federal ID Number <br />11429500 © Register of ® County ' XXX X1(-8693 <br />Said Security Number Spxu e e Social Security Number <br />Date of Llen Lien Type: COtxriY <br />02112/2014 ® Original ❑Carainu on ❑COneded HALL <br />REINALDO J FAJARDO CARBONELL <br />1309 N EDDY STREET <br />GRAND ISLAND NE 68801 <br />Rawnue has complied with the lawn of the Slate of Nebxa lutin deterr ins the amount shown to be due, <br />nt due aitat demand TH9 Nonce of Slate Tax Lfan is en of reeve Yet+ and sense to Donahue the Madly d <br />taxpayer. <br />Revenue Agent <br />Tke <br />PLEASE DO NOT WRITE IN THIS SPACE <br />NI tae of 14air John G ear• .. UCC STL <br />991 Pps : 1 <br />Fl1sd d 11 1201Q �� VIVA i <br />Taxpayer Plante and Melling Address <br />/ 1 1! 74021471 -5r31 <br />pj� I ' Photo Nxnher <br />Revenue Supervisor . tit • /7 <br />Tan Data <br />4.4941974 Rau 94919 ea nine l e 44494474 Heo.24002 <br />