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To <br />PRP9ran <br />Tin Period <br />Assessment <br />Tex <br />Penally <br />Interest <br />Costs <br />Toms Dom <br />Individual <br />2010 <br />0111912014 <br />965.00 <br />241.25 <br />122.81 . <br />1,329.06 <br />Individual <br />2011 <br />0111912014 <br />227.00 <br />55.75 <br />17.51 <br />301.25 <br />Total <br />$1,630.32 <br />May, 27. 2014 2:10PM NE Secretary of State — UCC <br />N4brmYe �epertmert at <br />REVENUE <br />This Notice of State Tax Lien Is Iesued by the Nebraska <br />Department of Revenue lor unpaid taxes administered by theTax <br />Commissioner. Taxes, including penalties, Interest, and oosta <br />which era shown below, are due from the taxpayer and remain <br />unpaid after demend.Theee taxes are a 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.This lien will expire and <br />become unenforceable 10 years after the date of recorcNng it no <br />continuation statement b recorded on or prior to the expiration of <br />the previous Yen or continuation statement. <br />Nebraska ID Number <br />99272014 <br />Lien Solid Number <br />11434319 <br />Dale of Lin <br />05/20/2014 <br />sign <br />here <br />Lien RIed wile <br />® Regista d Ikeda ❑ Couty Clark <br />IJen Typo! <br />CC oltana <br />( Business Name and Location Address <br />201403118 <br />Notice of State Tax Lien <br />Tile <br />PLEASE DO NOT WRITE IN THIS SPACE <br />FedghmlID Nutting.' <br />Serial ` car ly Nhaber <br />XXX XX -1!656 <br />Centpwtat Doesrealed <br />MICHAEL A ALVAREZ <br />3111 COLLEGE STR APT 52 <br />GRAND ISLAND NE 68803 <br />Revenue Agent <br />Tile <br />Revenue Supervisor <br />9914730365 -7 Pqs: 1 <br />ALVAREZ 14 191;28 All <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />Spotee's Sedai See" ember <br />amply <br />HALL <br />Taxpayer Name and Mailing Address <br />1 minty tat me Nenaslw Prominent or Seamus has waffled Yeah tie Maid the Sete d Melees In tttenttlnkletta ales.' slam te be due, <br />and that Use Sumer has raced 10 pry tie amount due Air dastard This Noised Brad Tax Lien is an atactte Fat and sense tD center* the ptloety d <br />the 8tate'®Ioated in tlta ow , tithe <br />erw rl•J��a►l�s�i <br />17� 13001632 +1203 <br />Dale Phone <br />4- 494.1974 Ras e- O138upsre6dgs 4d19-1991 Ras 20xi2 <br />