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201403294
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6/3/2014 4:11:29 PM
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6/3/2014 4:11:29 PM
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201403294
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Jun. 3. 2014 3:29PM NE Secretary of State — UCC <br />Nebraslo 'rrnlN of <br />REVENUE <br />This Notice of Slate fix Uen is Issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commissioner. Taxes, including penalties, interest, and costs, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after demand.These lames 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 ilen.Thla Ilan 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 axptradon of <br />the previous lien or continuation statement. <br />Maras a c numbs <br />97922331 <br />Lien Send Number <br />11434780 <br />Clete at Lien <br />05/2912014 <br />sign <br />here <br />Len Fled With: <br />® Aegean' of Deeds El County Clerk <br />tttxs <br />® ouwi <br />Business Name and Location Address <br />ti <br />201403294 <br />Notice of State Tax Lien <br />❑canirweam <br />PLEASE DO NOT WHITE IN THIS SPACE <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 63509 -4609 <br />Federal ID Number <br />Sneed gamily Number <br />XXX -XX -5052 <br />Cowl+ <br />❑ Garerled HALL <br />T xpayer Name and Nailing Address <br />RAUL HERNANDEZ <br />1005 W STH ST <br />GRAND ISLAND NE 68801 <br />No. 5061 P. 6 <br />OF So= of C4.ie Joh„ R Oslo - BCC e7L <br />1 1111111 <br />I� <br />I : <br />I II <br />HER 4 P96: 1 <br />Filed, ooros 2e14 11:10 RN <br />Spouse's Social sewriily Number <br />I teallit Brat Me IllMy a Department at Revenue has carmine wit tite hilts at the State at Nebresrs In detail p he snow Wooers to be duo, <br />and Nat the ways has Mad to me emeurd due atter tlammtThls Notice of Slate Mot LMn San ellecta tin end eerwe to contuse the parr, of <br />the Stare's flare.! in <br />Ravanue Agent <br />na. <br />Revenue Su1wnrisor <br />41O-1P o Ra a-201 a 5eaeeohe +S F1a14 Row 102 <br />Taal Period <br />As of <br />Tat <br />Penalty <br />Infernal <br />Coats <br />Total Qua <br />individual <br />2010 <br />01118/2012 <br />518.00 <br />25.90 <br />66.30 <br />610.20 <br />Total <br />301020 <br />Jun. 3. 2014 3:29PM NE Secretary of State — UCC <br />Nebraslo 'rrnlN of <br />REVENUE <br />This Notice of Slate fix Uen is Issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commissioner. Taxes, including penalties, interest, and costs, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after demand.These lames 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 ilen.Thla Ilan 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 axptradon of <br />the previous lien or continuation statement. <br />Maras a c numbs <br />97922331 <br />Lien Send Number <br />11434780 <br />Clete at Lien <br />05/2912014 <br />sign <br />here <br />Len Fled With: <br />® Aegean' of Deeds El County Clerk <br />tttxs <br />® ouwi <br />Business Name and Location Address <br />ti <br />201403294 <br />Notice of State Tax Lien <br />❑canirweam <br />PLEASE DO NOT WHITE IN THIS SPACE <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 63509 -4609 <br />Federal ID Number <br />Sneed gamily Number <br />XXX -XX -5052 <br />Cowl+ <br />❑ Garerled HALL <br />T xpayer Name and Nailing Address <br />RAUL HERNANDEZ <br />1005 W STH ST <br />GRAND ISLAND NE 68801 <br />No. 5061 P. 6 <br />OF So= of C4.ie Joh„ R Oslo - BCC e7L <br />1 1111111 <br />I� <br />I : <br />I II <br />HER 4 P96: 1 <br />Filed, ooros 2e14 11:10 RN <br />Spouse's Social sewriily Number <br />I teallit Brat Me IllMy a Department at Revenue has carmine wit tite hilts at the State at Nebresrs In detail p he snow Wooers to be duo, <br />and Nat the ways has Mad to me emeurd due atter tlammtThls Notice of Slate Mot LMn San ellecta tin end eerwe to contuse the parr, of <br />the Stare's flare.! in <br />Ravanue Agent <br />na. <br />Revenue Su1wnrisor <br />41O-1P o Ra a-201 a 5eaeeohe +S F1a14 Row 102 <br />
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