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Tax Program Tax Period Assessment Tax Penalty Interest Coats Total Due Individual 2013 05/20/2014 264.00 13.20 21.57 298.77 Total $298.77 Jan, 5. 2017 2:50FM Nebraska Department of REVENUE This Notice of State Tax Lien Is Issued by the Nebraska Department of Revenue for unpaid taxes administered by the Tax Commissioner. Taxes, Including penalties, interest, and costs, which are shown below, are due from the taxpayer and remain unpaid after demand.These taxes are a lien for all property located in the county and rights to property owned by the taxpayer or acquired before the expiration of this lien.This lien will expire and become unenforceable 10 years after the date of recording it no continuation statement is recorded on or prior to the expiration of the previous lien or continuation statement. Nebraska ID Number 32013388 Lien Serial Number 11782197 Date of Lien 01/03/2017 SI here Lien Flied With: Lien Type: Original ❑ Continuation fl Corrected Register of Deeds 0 County Clerk Business Name and Location Address oozed Signature Notice of State Tax Lien PLEASE D0 NOT WRITE IN THIS SPACE Federal ID Number Social Security Number XXX -XX -3932 Taxpayer Name and Mailing Address JOE R GARCIA ANGELA J GARCIA 655 EAST GROFF GRAND ISLAND NE 68803 Revenue Agent Title Revenue Supervisor N6 sec Nc 5 Jahn R gale - UCC STL g9 7a04p1 2 Spouse's Social Security Number XXX -XX -6132 County HALL 9917784859 -8 Pgs t SARCIR JOE R Filed: 01/06/2017 09:16 AIt I certify that the Nebraska Department of Revenue has complied with the laws otter State of Nebraska In determining the amount shown to be due, that the taxpayer • failed 10 pay the amount due after demand. This Notice of Stale Tic Lien is an effective lien and serves to continue the priority of late's interest i Lt' affiliated property of the taxpayer, 01/03/2017 (402)471 -5731 Dale Phone Number 01 /03/2017 Title Date 4.4951974 Rev 13.2019 Supersedes 4.940 1e7e Rev. 24002