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Pl <br />Tax Pedod <br />altri4wmsnt <br />Tex <br />Penaty <br />Intuosl <br />Costa <br />Total Due <br />Individual <br />2010 <br />04115/2019 <br />961.00 <br />48.05 <br />136.67 <br />1,145.72 <br />Total <br />$1,145.72 <br />Nov. 20 2014 3:29PM NE Secretary of State — UCC No. 7803 P, 5 <br />REVENUE <br />TMs Notice of Stets Tax Lien Is issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the T. <br />Commissioner. Taxes, including penalties, Interest, and casts, <br />which are shorn below, are due teem the taxpayer and remain <br />unpaid after demaad.Thesetaxes are a len for all property located <br />In the coolly and rights to property owned by the taxpayer or <br />acquired before the expiation of this Yen.Tids lien will expire and <br />become unenforceable 10 years after the date of recording Il no <br />continuation statement is recorded on or prior to the expiration of <br />the previous Ben or continuation sbtemerlt, <br />Nehm n ID Number <br />97079472 <br />Lion Sow II,Abrr <br />11443075 <br />Date of Lien <br />11/182014 <br />Business Name and Location Address <br />201407352 <br />Notice of State Tax Lien <br />Lien Flbd TAM: <br />Regime( Deeds Dewey CIew <br />Lion Type: <br />amt ❑ Connualon <br />PLEASE DO NOT WHITE IN TNI9 SPACE <br />Paderil ID Number <br />Dodd Ssourly Number <br />XXX XX <br />❑ tam <br />POUCARPIO MATIASPABLO <br />1214W 4TH ST <br />GRAND ISLAND NE 65901 <br />8 e"3 Said Security Number <br />c esy <br />HALL <br />Taxpayer Nen a and Malting Address <br />or Herwwe hes wenelled Nph the Ws d tie Meet Wade in dsNm*Iig Ire mount shorn to to due <br />the amount r ` Wmend.This Nola dsbk Tex tin la en eaedtre len rd serves to Calik ue Its primly of <br />Air <br />NO Ss OF N OIN JMr. N e't0 - UCC Sn. <br />4914744907 -7 Ps=: 1 <br />IIRTIASPABLO PaLIcRRPIO <br />Flaedr 11x2012114 09:68 WI <br />1118/21114 (402)471 -5731 <br />Date Runs N:mrber <br />11/18/2014 <br />Dete <br />4-4e4 -1974F e- 20i36►4oatlw494y1474 few2-00002 <br />