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Pr ogre <br />Tax Period <br />Assessment <br />Tau <br />a- <br />Penally <br />Interest <br />Costs <br />TOW Der <br />Individual <br />2009 <br />0991412012 <br />176.45 <br />8.92 <br />35.15 <br />220.42 <br />Total <br />$220.42 <br />Feb. 13, 2015 2:21PM NE Secretary of State — UCC <br />PNMfslu GPar[mmt or <br />REVENUE <br />This Notice of State Tax Lien Is Issued by the Nebraska <br />Department of Revenue for unpaid tastes 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.T ese taxes area lien for all property located <br />In the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this Iien.Thie yen will expire and <br />become uwnforcoablo 10 years after the dodo of recording if no <br />continuation statement Is recorded on or prior to the expiration of <br />the previous lien or continuation statement. <br />Wises iP Aim <br />97058483 <br />uen Senn swear <br />11546976 <br />Date of Ilan <br />02/11/2015 <br />Bueineee <br />sign <br />here <br />iJen Fled %ki <br />31 Ruch d Deed, ❑ oae clee <br />Tile; <br />OW- <br />Name and Location Address <br />ttorined Sgnatwa <br />201500932 <br />Notice of State Tax Lien <br />El Continuation <br />Federal 10 Number <br />mber <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Socee Security Number <br />MU-MC-4356 <br />OCarrected <br />cy <br />BALL <br />LUCK) RAMIREZ HUMILDAD <br />227 E STOLLEY PARK RD 3 <br />GRAND ISLAND NE 68801 <br />No. 9157 P. 2i2 <br />■4 £ac pf Ma+. John p <br />'..' MN Jp _ tYC iT� <br />.s i <br />/ 11 1: I ' ' ; 1 99t574lfa 4 <br />pAu Poo: 1 <br />P i l 02/13/4615 i05 W4 <br />4099ee poles Blebrily Number <br />Talrpayer Name and MAN Address <br />I oerdly the the NBSCISAa Depetmenr at Revenue Ma oompbd PA the lane or ha Stale d *Woe r desminkg the ammo ammo he due, <br />and Ihal the taxpayer hats Wad to pay the mount due abler dentand.Ttrie Noliee at Stare IM MO is an @Nami a Ian and arms to Minus On pricey of <br />ate interest in the property of lie texps*er. <br />Revenue Agent 02/11/Z1)15 4 )471.6043 <br />Ida Dale Rena saber <br />Revenue Supervisor 02/11/2015 <br />Tiva Dare <br />4494 -1974 Rex e-xtle &uaneeee 449491974 Rat a4002 <br />