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June <br />2 ) 1 4 2,32PM :NE Secretary of State — UCC <br />201403862 <br />Nrbr.ews O p.ranerw era <br />This Notice of State Tax Lien is Issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice Is hereby given that taxes Including penalties and <br />Interest, which am shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes conetltuts a ion <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acquired. <br />REVENUE NOTICE OF STATE TAX LIEN <br />Vv ww.:rw11 n.J • .r• 1//. Ydv <br />'breaks Ide <br />9688862 <br />m =r <br />Lien Serial Number 1 iIh S ndel Security Number <br />hr 4/ 19legister of Deeds f County Cleric <br />Dale of Lien Lien Type <br />06/22/2014 ®Original f oontlnuadion <br />BUSINESS NAME AND LOCATION ADDRESS <br />Business Name <br />Tax <br />Category <br />Number <br />01 <br />21 <br />sign <br />her <br />To Period <br />04/0112012 <br />04/30/2012 <br />04/01/2012 <br />06/30/2012 <br />Date of <br />Assessment <br />02/01/2014 <br />02/01/2014 <br />!:/t/ • r� <br />rixed Sign v <br />Zip Coda <br />Amount of Tax <br />5.00 <br />800.00 <br />Revenue Aaent <br />Tee <br />Federalldentilka Number <br />OCanected <br />erne <br />JESUS CASTANEDA <br />or Address <br />1116 W. OKLAHOMA <br />dI► <br />GRAND ISLAND <br />Penalty Interest <br />25.50 <br />280.00 <br />20- 3856452 <br />PLEASEDO NOT WRITE IN NIS SPACE <br />XXX -XX 2333 <br />Amy <br />HALL <br />TAXPAYER NAME AND MALING ADDRESS <br />0.38 <br />5214 <br />TOTAL <br />9 a/ i <br />Revenue Senior Agent <br />Tilt <br />1111111111111111111111 <br />191477e144 -0 Pea: 1 <br />MT N= JESUS <br />Filed: ee/27/21114 e1: P1 <br />'Spouse's 9odal Security Number <br />stale <br />NE <br />Additions <br />Zip Code <br />88801 <br />Balance of <br />Aassaament Due <br />30.88 <br />1,132.14 <br />$ 1,163.02 <br />J I hereby vert$y Thal the *Araks bke Department Revenue has con+ p IW1 with the revenue laws of the State of Nebraska In the determination at tha <br />amount shown to be due, and the taxpayer has failed to pay the amount due afar demand. ',this Notioe of lute Tax Lien is an extension of en <br />effete Ilan, it seiSlag to continue t prjp r or the state's Interest in the effected properly of the taxpayer. <br />402 471 -6087 <br />Telephone Number <br />Pate <br />4 -494 -1979 Aev. 2-2002 61194Rad.s 4494.4974 R. 10-1991 <br />