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Pr <br />Tay Period <br />Asaetr of <br />Tax <br />Penally <br />Interest <br />Coate <br />Total Due <br />22 <br />2003 <br />08/02/1005 <br />194.00 <br />48.50 <br />14.77 <br />.00 <br />25727 <br />Total <br />9257.27 <br />i _o Sep, 26. 2014 3:14PM NE Secretary of State — UCC <br />Neireeke oeperb *Ai or <br />REVENUE <br />This Notice of State Tax Lien la 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 taxes are a lien for all property located <br />in the county and rights 10 property owned by the taxpayer or <br />acquired before the expiration of this Ilen.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 />Nebraska ID Number <br />39059553 <br />Lien Sedel Number <br />52030161 <br />Date d u■, <br />0772212005 <br />sign <br />her <br />Authorized Signature <br />lien fled With: <br />® Register of Deeds <br />Use Type: <br />Business Name and Location Address <br />OSr4 I t <br />Notice of State Tax Lien count lna tr. .2005t03_ <br />� Carly CIerk <br />®n <br />Revenue Agent_ <br />201406158 <br />PLEASE DO NOT WHITE N THIS SPACE <br />Fedora t0 Number <br />6odul Security Member <br />XXX.XX 2562 <br />❑corroded <br />FLORENCIO A CAYAX <br />928 S LOCUST ST <br />GRAND ISLAND NE 68801 <br />Spouse's Soder Scourigr Number <br />Courgy <br />HALL <br />Taxpayer Name and deli , Address y <br />I ceriiy the the Nebraska Department d Revenue has milled Mb the Ilea of are Stale of Interlake el cletermlning the amount shown to be due, <br />and the! the taxpayer bee (eked to pay the amount due after denwrd. This Nolte of 3kge Tier lien is an effective ten and serves to continue rid prtom or <br />the Slalec interest i is the alleead property of ere laupayer. <br />roe <br />Revenue 3u rvisor <br />roe <br />No. 6929 P. 2 <br />MR S.. N meAkm Jrahn A 6s)s - uCC ScQM <br />!I <br />I i I I <br />I <br />99 24742522 , a p 1 <br />MAX FLORENCIO <br />Filed: 09/26/2114 F 1% 11:51i tai <br />(402147'1.5928 <br />D <br />1-404 -1W4 not a ama rs:peeWee 4041-1e74 kkv.2,2002 <br />