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04!20/2001 14:15 FAX 14024714429 NEBRASKA UCC [a002/002 <br />U-� <br />tr <br />nehraeW <br />deperanent <br />drevei <br />STL <br />I lillllll� {I i�(ll IIIII Illil Illll Illl Ilil ` <br />9901135170 Pgs <br />SANTIAGO VIVIAN J <br />Filea 04120/2001 10 25 AM <br />Notice of State Tax Lien <br />This Notice of State Tax Lien Is Issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given that taxes including penalties and <br />Interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a Ken in <br />the county for real and personal property belonging to the taxpayer or <br />PLEASE DO NOT WRITE IN TKIS SPACE <br />200103534 <br />Nebraako IdenttAcedan Number <br />39756920 <br />Lien Filed With <br />® Register of needs ❑ County Gear <br />Social Security or Federal 1. D. Number <br />581-35-7640 <br />Spouse's Social Sscurny Number <br />Lien <br />000980041 <br />In Crlghal [] Continuation ❑ corroded <br />Date of Lien <br />04-07-00 <br />H A L <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILINp ADDRESS <br />t3usinesenume <br />Narna J SANTIAGO <br />Street Address <br />Street or Othar Mailing Address <br />89 WARD ST FL 2 <br />City Stale Zip Code <br />City State Zip Code <br />NEW HAVEN CT 06519 -1013 <br />ax <br />Cetegoy <br />Tax Pgtbd <br />Date of <br />Artwunt of Tax <br />Penalty <br />Interest <br />Balance of <br />Addftlons Aseeaement Due <br />22 <br />1997 <br />02 -22 -00 <br />713.94 <br />43.70 <br />129.96 <br />887.60 <br />Please rehunto: <br />STATE OF NEBRASKA <br />DEPARTMENT OF REVENUE <br />1811 WEST fD ST STE 460 <br />GRAND ISLAND NE 68803 <br />TOTAL <br />$ 887.60 <br />I hereby Certify thetthe Nebraska Department of Revenue has oomptled with tha revenue laws of the State of Nebra*a in the determination <br />of the amount shown tcj a duo, and the taxpayer nas failed to pay the amourd due after demand. It this Notice of State Tax Lien Is an extension ct <br />an offedrve I' s to -nue the priority of the s'ate's Interest in the affected properly of the taxpayer4/� Lvv sign, exu� -G- � � <br />here s Signature Title Date Tale 'phone No. <br />giiii <br />_Azad o Tile % to <br />NEBRASKA OEPARTMEN OF REVS While and Goldenrod Copies TAXPAYER - Pink Copy COUNTY OFFICE - Canary Copy n <br />Ar►� a• .s1dd O�nr 4- 494.74 Rev- 1046 Suporeedea A -49474 Rev. 5.95 - {�1 <br />