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Pro8 Fm( <br />m <br />Tax Period <br />Doto of <br />Asseseerrent <br />Tax <br />Penally <br />!merest <br />Cram <br />Toed Due <br />tndividuaf <br />2009 <br />08/31/2012 <br />174.00 <br />8.70 <br />30.99 <br />213.69 <br />A Total <br />$213.69 <br />Jun. 2. 2014 3:20PM NE Secretary of State — UCC <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />N.breaba P.pawtn .ntof <br />REVENUE <br />Notice of State Tax Lien <br />This Notice of State Tax Lien is issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commisslcrtxr. Taxes, including penalties, interest, and costs, <br />which are shown below, are duo from the taxpayer and remain <br />unpaid after demend.Theaetaxles 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 at this lien.This lien will expire and <br />become 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 />blebreeka ID Number <br />� 7 nit <br />Llal Serdat Number <br />11434877 <br />Dale oTtIan <br />sign <br />here <br />Lien Filed vlrih: <br />® HsgiabedDeeds f Gouty clerk <br />Lion Two: <br />05/3012014 I ®oddnel ❑ Cant:Nualiun <br />Business Name and Location Address <br />Tice <br />PLEASE DO NOT WHITE rN TM SPACE <br />l=edsrel ID Number <br />Seca Senskyr Nulnbar <br />XXX.XX -7506 <br />❑Cancer! HALL <br />Taxpayer Name and !Malin Address <br />CAROLS ANGULO <br />515 N PINE ST <br />GRAND ISLAND NE 68801 <br />NE Syr .i 5i,4. 1911n A Gal• • UCC S 1. <br />II <br />/IIIII1IIII' <br />e914738648 -3 Psis: 1 <br />Flied: CAROLS 11,am art <br />• <br />Cam <br />No. 5022 P. 4/5 <br />201403260 <br />Speuees Solid Security Number <br />at Rowe has calnpted sib the laws at the Staled Nebraska in deternr'rrrle dire amount shown to be duo. <br />amar4l due Ow de ted Pat Notice of 9taie Tax lien an eAedtve ten and serves in cooker the ;cloddy of <br />of ttw; <br />Revenue A e <br />Tara <br />Revenue Supervisor <br />(308)832 -1210 <br />P Number, <br />. A. Elmo oY'M.M +.04*-1104 hen wine <br />