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Tax Program <br />Tax Period <br />Assess ant <br />Tax <br />Penalty <br />Interest Costs <br />Total Due <br />Individual <br />2014 <br />11/19/2015 <br />547.00 <br />114.85 <br />38.66 <br />700.51 <br />Total <br />$700.51 <br />Mar, 29. 2017 3:37PM •NE Secretary of State — UCC <br />" 0ia bepPrtment of REVENUE Notice of State Tax Lien <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 lIen.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 Number <br />93993072 <br />Lien Serial Number <br />11785896 <br />Date of Lien <br />03/27/2017 <br />sign <br />here <br />Uen Filed With: <br />© Register of Deeds ['County Clerk <br />Lien Type: <br />Original fl Continuation ❑ Corrected <br />Business Name and Location Address <br />Title <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Federal ID Number <br />Social Security Number <br />XXX -XX -7700 <br />Taxpayer Name and Mailing Address <br />DUNIA BENITEZ GARCIA <br />12330 SW 190TH STREET <br />MIAMI FL 33177 <br />Revenue Agent <br />2f) 1741P9 4 <br />WE Sae of S • e John n 6nle - 11 sr. <br />11 111 <br />9917789473 --5 Pas 1 <br />BENITEZ URRCIR DUNIA <br />Filed: 03/20/2017 02:25 PM <br />• <br />County <br />HALL <br />Spouse's Social Security Number <br />I Gentry that toe Nebraska e : ailment of Revenue has coupled with the laws of the State at Nebraska in determining the amount shown to be due, <br />and that the taxpayer has 4 ' to pay the amount ! alter demand. This Nolte o1 Slate Tax Lien is an effective hen and serves to continue the priority of <br />the Star- eras! in a acted property of - = axpayer. <br />03/2712017 (402)471 -6043 <br />Title bate Phone Number <br />Revenue Supervisor 03/2712017 <br />Date <br />.1494-1974 Rev. t -2013 Superseeee x549 -1 a74 nev, 2-2002 <br />