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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 />07/01/2013 - 08/31/2013 <br />08/11/2014 <br />369.43 <br />108.00 <br />16.21 <br />.00 <br />493.66 <br />Sales <br />09/0112013.09/30 /2013 <br />08/11/2014 <br />175.99 <br />54.00 <br />7.05 <br />.00 <br />237.04 <br />Sales <br />10/0112013.10131 /2013 <br />08/11/2014 <br />175.99 <br />54.00 <br />6.61 <br />.00 <br />236.60 <br />Sales <br />11/01/2013 - 11/30/2013 <br />08/11/2014 <br />175.99 <br />54.00 <br />6.18 <br />.00 <br />236.17 <br />Sales <br />12/01/2013 - 12/31/2013 <br />08/11/2014 <br />175.99 <br />54.00 <br />. 5.72 <br />.00 <br />235.71 <br />Sales <br />01/01/2014 - 01/31/2014 <br />08/11/2014 <br />173.99 <br />54,00 <br />5.21 <br />.00 <br />235.26 <br />Sales <br />04/01/2014.04/30/2014 <br />08/11/2014 <br />175.99 <br />54.00 <br />3.98 <br />.00 <br />233.97 <br />Sales <br />02/01/2014.02128/2014 <br />08/11/2014 <br />175.99 <br />54.00 <br />4.86 <br />.00 <br />234.85 <br />Sales <br />03/01/2014 - 03/31/2014 <br />08/11/2014 <br />175.99 <br />54.00 <br />4.43 <br />.00 <br />234.42 <br />Sales <br />05/01/2014 - 05/31/2014 <br />11/03/2014 <br />175.99 <br />.00 <br />3.41 <br />.00 <br />179.40 <br />Sale3 <br />06/0112014 - 08131/2014 <br />11/03/2014 <br />527.97 <br />75.00 <br />7,59 <br />.00 <br />610.56 <br />Total <br />3,167,64 <br />c5b <br />Mar, 30. 2015 3:15PM NE Secretary of State - UGC <br />201501938 <br />Nebrasira Depen+rant of <br />REVENUE <br />This Notice of State Tax Lien is issued by the Nebraska <br />De pra. b. , ,,h f 110.11 - mss FDf unpaid-tasee•a.AUR.t'aterAJ 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 alter demand.These taxes are a been for all property located <br />in the county and rights to 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 10 Number <br />9662170 <br />Lien Serial Number <br />11591448 <br />mienmen lien Type: <br />Business Name end Location Address <br />h <br />Ihortzed SIgnasra <br />Notice of State Tax Lien <br />Lien Filed WO: <br />Reglaier of Deeds D County Clerk <br />PLEASE DO NOT WHITE IN THIS SPACE <br />Federal ID Number <br />WO Dearly Number <br />300C-X1-1629 <br />Febreary 11, 2015 Moths' ❑ Cant ion ❑ Correcrad HALL <br />Revenue Avant <br />Tills <br />Revenue Senior Agent <br />Tills <br />11.e of St.la Jahn a era. • uCG alt <br />99075120 -e Pas: i <br />MYNA Filed; eaII AORTA 2a si,es opt <br />No. 9955 P. 3/4 <br />Spouse's Social Secraky Number <br />County <br />Taxpayer Name and Nailing Address <br />ALBERTO LUNA RE'YNA <br />PO B0X 581 <br />GRAND ISLAND NE 68802 <br />I rangy mat Ills Nebruka Department of Retinue has complied with the laws or the State or Nabjeaa In determining the among ahoei a be due. <br />arcs that lawayer has `u edY untwist <br />nt demand. This Muse of State Tan Lien is an eilecllve lien and arras to continue the priority of <br />ka <br />the eet In the ire <br />le!0 1.5' 402 -471 -6067 <br />Date Phone Number <br />Date <br />1411.4a7. /-0..11-00 Aiwa.. nu ■...era= <br />