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Ten <br />Program <br />Tux Period <br />Date of <br />hatuanunent <br />Tax <br />Penalty <br />Interact <br />Costs <br />Total Due <br />Individual <br />2009 <br />12111/2011 <br />1,337.00 <br />68.05 <br />324.18 <br />1,728.03 <br />Individual <br />2009 <br />0110912013 <br />85798 <br />32.90 <br />126.64 <br />817.32 <br />Totes <br />$2,545.55 <br />Nov, 25 2014 3:31PM NE Secretary of State — UCC <br />racks 04p: -4. d <br />REVENUE <br />This Notice of State Tax Lien is issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by tier= <br />Commissioner. Tatra, Including peneltka, Interest, and coats, <br />which are shown below, are due from the taxpayer and retrain <br />unpaid after demand.These taxes area Ilan for all property located <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this llen.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 aphelion of <br />the previous Hen or continuation statement. <br />Nebraska ID Number <br />98055461 <br />Dan Setlal Nutbat <br />11443420 <br />Dale of Lien <br />11121/2014 <br />sign <br />here <br />9lgrou <br />uan RIKIIMtt: <br />neAtuer of feeds D calmly chit <br />Den 'type; <br />Ortega <br />Business N ems and Loudon Address <br />201407489 <br />Notice of State Tax Lien <br />PLEASE 00 NOT WRITE whir SPNCE <br />Faderd ID Number <br />Said &Wily Amber <br />XXX-XX -7464 <br />0 cadin ant, D Cxrnaded <br />Revenue Agent <br />Me d s;sh. Jahn P a.ie <br />991.4745082-9 RI 'd°O� <br />t ad: i112s12eae <br />Spouaet yodel Se kelty Number <br />X:40(40(45136 <br />County <br />HALL <br />Taxpayer Name and Mai16t�Address <br />RICARDO RODRIGUEZ <br />SANDI MELENDEZ <br />4000 REED RD <br />GRAND ISLAND NE 68803 <br />No. 7870 P. 2/2 <br />I arisy That eta tlabradal Dgpartmanl of Re+enue has complied wih tie lava of tto byres at %brogue In deternriiing the armee charm lobe due, <br />and gal Me taxpayer hat bled to pry Ihe amend due esa demand. TNe Nodes of Slab Tex lien Is ae etIa U e lent a,d saws b Ninth* the !Arty et <br />RN 5talers _ t In the allicled properly at the labaya. <br />_ �a! 1, <br />Writ Fir diVI PER- <br />Dale <br />act <br />s1L <br />Pus i <br />1112112014 (4021471 -5928 <br />Tile Gplo Phone Nutter <br />Revenue Supervisor _ 1112112014 <br />Tiro <br />441 +1a71 Aar HMO Sueenedee 4949 -1e7e !WHOM <br />