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201606588
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Last modified
10/3/2016 2:47:11 PM
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10/3/2016 2:47:11 PM
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DEEDS
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201606588
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TaX <br />Program <br />Tax Period <br />te <br />AseBarnent <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2014 <br />02/0812016 <br />695.00 <br />34.76 <br />30.33 <br />760.06 <br />Total <br />$760.08 <br />Oct, ;. 2016 2:29FM <br />PLEASE RETURN TO <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />Nebraska Department 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 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.This Ilen 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 Ilen or continuation statement, <br />Nebraska ID Number <br />95480269 <br />Lien Serial Number <br />11677892 <br />Dale of Lien <br />09/27/2016 <br />Lien Fred Wilk <br />® Register of Deeds DCounty Clerk <br />Lien Type: <br />Ori []corgi uaatlon <br />Business Name and Location Address <br />VE Secretary of State — UCC Nc.8235 F. 2 <br />201606588 <br />Notice of State Tax Lien <br />Revenue Agent <br />This <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Federal ID Number <br />Social Security Number <br />XXX- XX.4182 <br />Corrected <br />Tile <br />Revenue Supervisor <br />Ne Sat of 54aia Jahn n Oa/ a - UGC STL <br />91316780677 -6 Poe: 1 <br />BUSSOTT DIDIETT <br />Filed, 10/03/2016 09 :14 AM <br />Spouses Soria! Security Number <br />County <br />HALL <br />Taxpayer Name and Mailing Address <br />DIDIETT BUSSOTT <br />141 NE STH PL APT 103 <br />FLORIDA CITY FL 33034 <br />of Revenue has complied with the laws of the Slate of Nebraska In determining the amount shown to be due, <br />pay the amounl nue after aemand.Tbls Notice of Stale Tax Lien is an effective ken and serves to continue the priority of <br />of the taxpayer, <br />09127/2016 (308)632-1210 <br />Dale Phone Number <br />09/27/2016 <br />Date <br />4494 -1971 Rek.5 -2012 Supersedes 81.94e.1994 Rev. 2.2002 <br />
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