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continuation statement as 1w-Vu ueu urr Vl pi rut LV u m GAt.n atm.. vn <br />the previous lien or continuation statement. <br />Nebraska ID Number <br />32809328 <br />Federal lb Number <br />Lien Serial Number <br />11786575 <br />Lien Fled With' <br />® Re of Deeds ❑ county Cleric <br />Social Security Number <br />XXX -XX -9713 <br />Spouse's Social Security <br />XXX -XX -3090 <br />Number <br />Date of Lien <br />04110/2017 <br />µ <br />Lien Type: <br />© Original I Corttinuaton I Corrected <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mallon • Addres, <br />FILEMON SANCHEZ <br />ANA B GONZALES- BRIZUELA <br />1920 WEST 10TH STREET <br />GRAND ISLAND NE 68803 <br />Tax <br />Program <br />Tax Period <br />Dale of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2011 <br />03/30/2016 <br />4,811.00 <br />1,202.75 <br />788.61 <br />6,802.36 <br />Individual <br />2013 <br />07/12/2016 <br />285.00 <br />71.25 <br />25.56 <br />381.81 <br />r <br />Total <br />I certity that the Nebraska Department of Revenue has compiled with the laws of the State of Nebraska in determining the amount <br />and that the taxpayer has taled to pay the amount due after demand. This Notice of Slate Tax Lien Is an effective lien and serves to continue <br />xpaye <br />the State's Interest In thee s property of the ta r. <br />sign i\ t�,11 evenue Agent 04/10/2017 <br />$7,184.17 <br />shown to be due. <br />e priority of <br />(402)471 -5712 <br />1 �'�`"t'�' <br />h ere Preparers Signature -� Title Date Phone Number <br />/. - evenue Supervisor 04/10/2017 <br />Au t <br />7 <br />i sifted Signature <br />�. <br />Title Data <br />4-494 -1974 Rev. 9-2013 Suparsnces 4.940.1971 Rev. 2,2002 <br />Apr, 12. 2017 3:06FM NE Secretary of Mate — UCC <br />Nebraska Department of <br />REVENUE <br />This Notice of Stale 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 Ilen.This lien will expire and <br />become unenforceable 10 years atter the date of recording if no <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />20170222 <br />Ni Sic et lV � • 114. I J r. `Y <br />+onn N Gel - UCC STL <br />99 17780276_ <br />iIilui <br />SANCHEZ FILE17oN Pele: 1 <br />Filed: 0 4/12/2017 01:47 PM <br />