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201600512
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1/26/2016 3:47:08 PM
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1/26/2016 3:47:08 PM
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DEEDS
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201600512
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P 9 <br />Tax Period <br />A88e6sment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2013 <br />04/10/2015 <br />273.00 <br />13.65 <br />14.52 <br />301.17 <br />Total <br />$301.17 <br />Jan. 26. 2016 2:26PM NE Secretary of State — UCC No. 4787 P. 2/2 <br />Nebraska Departrnant of <br />REVENUE <br />This Notice of State Tax Lien Is 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 Gen for aM property located <br />In the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this Ilan, 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 D Number <br />94501262 <br />Lien Serial Number Den Filed With: <br />11664417 ® Re of Deeds <br />Date of Lien <br />01/22/2016 <br />sign <br />here <br />Business Name and Location Address <br />Ruth zed Signature <br />Notice of State Tax Lien <br />p coarr1y Clark <br />Title <br />20 60051 <br />PLEASE DO NOT WRITE lelTHIS SPACE <br />Federal D Number <br />Social Security Number <br />XXX XX -0771 <br />Lien Type: <br />® Origami 0 Continuation 0 Corrected <br />Revenue Agent <br />The <br />Revenue Supervisor <br />Spouse's Social Security Number <br />County <br />HALL <br />Taxpayer Name and Mailing Address <br />YSRAEL CASTRO SOSA <br />403 W 7TH STREET <br />GRAND ISLAND NE 68801 <br />NE Sec of 5410• John ■ 6a1- - UCC 5TL <br />9918767538 -5 Pee: 1 <br />CASTRO 6058 YSRR6L <br />Filed: 01/26/201 09:14 RI9 <br />I certify that the Nebraska Deparormnt of Revenue has Complied rib! The Jaws of the Slate or Nebraska In determining the amount shown to be due, <br />and mat the taxpayer has failed to pay the amount duo atter dOmand. This Notice of Slate Tea Lien Is an effective Ilen and serves to ooninue the priority of <br />the SI . , Interest affected property of ere taxpayer. <br />01122/2016 (402)471 -6043 <br />Date Phone Number <br />01/22/2016 <br />Data <br />6494-1070 fiat 6-201 Supespdos 4999 -1974 flat! 2 -2002 <br />b <br />
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