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Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Sales <br />08/01/2013 - 08131/2013 <br />05/17/2014 <br />85.67 <br />33,59 <br />2.36 <br />.D0 <br />121.62 <br />Total <br />12L62 <br />This Notice of $tats Tax Lien Is issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commissioner. Taxes, including penallies,.inlerest, and costs, <br />which are shoran below, are due from the taxpayer and remain <br />unpaidafter demand.Thesa taxes area fien'fotr all property located <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this Iien.Thls 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 explradon of <br />the previous Ilan or continuation statement. <br />PLEASE DO NOT WRITE IN THOS SPACE <br />, <br />Nebraska ID Number <br />10162291 <br />Norm ID Number <br />i <br />Lien Seller Number <br />/ 1 4 /g 911 <br />lien peed WMtt: <br />Sadal Security Number <br />x'ocxx_0410 <br />Spouse's Scoter Security Number <br />n Register of Deeds ❑ County Clerk <br />Dabs of Lien <br />August 20, 2014 <br />Lien Type: <br />❑ corralled <br />County <br />HALL <br />Iii °row ■ Continuation <br />S ep, <br />Iney <br />Webr..ka Dapartmyin of <br />REVENUE <br />Sign <br />here <br />2014 2:39PM NE Secretary at State - UCC No. 6535 <br />140 C <br />Notice of State Tax Lien <br />ocation Address Taxpayer Name and Mailing Address <br />JUAN A. MUNDZ <br />1701 W 1ST ST <br />GRAND ISLAND NE 68803 <br />Na 5...r 54.4e Jahn N e.1. - Lice 5Tt_ <br />11111 110 <br />i <br />9914741463 -1 Pya: 1 <br />MUNOZ JUAN R. <br />Filed; e8/9512014 18:34 QM <br />I coney that Ihe Nebraska Departmentot Revenue has compted with the taws of the Stele or Nebraska in dearminng the amount shown to be due, <br />and that the tasoeyer has fared to amount due atter demand. This Notice of Stete1bx Lien is en effective lien and serves to continue me pnonty of <br />the S . Merest In the efrecled +.' y of the laskfell <br />40.471 -6067 <br />Stows Number <br />Da <br />1 - 4114 - 1074 Raw e40to Sup.m.duc 40440/74 FN. a <br />