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201601822
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3/28/2016 3:53:25 PM
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3/28/2016 3:53:25 PM
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DEEDS
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201601822
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Pr ��am <br />Tax Period <br />Assaessoment <br />Tax <br />Penalty <br />Interest <br />Costa <br />Total Due <br />Individual <br />2012 <br />07/05/2013 <br />216.00 <br />21.00 <br />31.31 <br />268.31 <br />Total <br />$268.31 <br />Mar. 26. 2016 3:45FM NE Secretary of State — UCC No.5790 P. 2 2 <br />Nehmake Department of <br />REVENUE <br />This Notice of State Tex 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 lien for all properly locate <br />In the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this hen. 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 ID Numbs/ <br />29857325 <br />Lien Serial Number <br />11667796 <br />Dale af Lien <br />03/24/2016 <br />201601822 <br />Notice of State Tax Lien <br />Uen row With: <br />® Register of Deeds D Co niy Clerk <br />Federal ID Number <br />Social Security Number <br />XXX -XX -1695 <br />flee Type: <br />on nal 0 Cawnuai on ❑ Carecied <br />Business Name and Location Address <br />Title <br />PLEASE DO NOT WRITE IN THIS SPACE <br />THOMAS J BARRIBO <br />EDAIA M BARRIBO <br />303 E SYRIA <br />CAIRO NE 68824 <br />Revenue Agent <br />NI Sec of Sint. John A Sele - UCC STL <br />9916778968 - 1 Pgs <br />BARRIO° THOMAS J <br />Filed. 09/28/2016 12:25 PM <br />Spouse's Social Security Number <br />XXX -XX -1001 <br />Cooly <br />HALL <br />u l 1 <br />Taxpayer Name and Malting Address <br />!certify that the Nebraska Deperrnertt of Revenue has complied Aft the laws of the State of Nebraska In determining Um amount shavn to be due. <br />and that the taxpayer has : r 10 pay the amots% due after demand. This Notice of State Tax Len Is an effective fan and servos to continue the pnodly of <br />the Slat:_ interest in the _ ed properly of the taxpayer. <br />03/24/2016 (402)471 -6043 <br />Tple Dale Phone Number <br />Revenue Supervisor 03124/2016 <br />Dale <br />4.400-1974 Rev. &2013 Supersedes 4949.1974 RNA 2-2002 <br />
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