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Tax <br />Progoon <br />TeX Period <br />et <br />Assessment <br />Test <br />Penalty <br />Interact <br />Gaels <br />Teed Oise <br />Individual <br />2010 <br />OW0412013 <br />9,924.81 <br />2,481.20 <br />1,271.19 <br />13,677.20 <br />* Total <br />313.87720 <br />Jury, 2. 2014 3:20PM NE Secretary of State — UCC No, 5022 P. 5/5 <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68 509 -4609 <br />14ebra.b l»partteanl of <br />REVENUE <br />This Notice of State Tax Lien Is Issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commissioner. Taxes, including parables, Interest, and Costa, <br />which er4 shown below, are due from the taxpayer and remain <br />unpaid after demand.These taxes are a Ilen for all property located <br />in the county and tights to property owned by the taxpayer or <br />acquired before the expiration of this IIen.This Tan will expire and <br />become unenforceable 10 years after The date of recording If no <br />conth uatlon statement Is recorded on or prior to the expiration of <br />the previous lien or continuation statement. <br />Nob aeia 10 Number <br />4aR9g4tRr3 <br />Lon Seriot Number <br />11434875 <br />D. d lion <br />05130/2014 <br />sign <br />here <br />Tin Red Wde <br />® Register of Deeds ❑ Grimly Clerk <br />Lien Type: <br />® Original <br />Business Name and Location Address <br />❑ Oo tnuaiun <br />201403259 <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE II THIS SPACE <br />Federal to Mapper <br />SOU Security Number <br />X) X- XX.6665 <br />❑Cuneoled <br />Ili L• K S4.ia Jahn A Isle 14G STL <br />991 -5 <br />BERPIJDFt whiesete <br />t°Jlad: ee/ax!2g14 11:30 PM <br />Spouse's Soc1 y Nunter <br />county <br />NALL <br />Taxpayer Name and Mailing Address <br />VALDEAMAR BERMUDEZ <br />431 ROUSH LN <br />GRAND ISLAND NE 68601-6232 <br />tot Revenue has =O en Wan tra tees or tat State or Nsbeegm in delnmINng tpe mmarnl glean to be due, <br />Me amount due alter demand. This Rake of State Tax Oen ism effective Ten and serve to minuet* prksty or <br />d the <br />4-484- 1t74 4ieedse +9.1174Rw 2 <br />