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May. 2. 2017 3:53PM ' NE Secretary a <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />State — UCC <br />20i70 <br />N� � ka / Dep� l <br />RE 1� ENUE the Nebraska <br />This Notice of State Tax Lien d taxes ad Interest, by the Tax <br />Department of Revenue for unpaid d interest, and costs, <br />Commissioner. Taxes, including penalties, a remain <br />which are shown below, are due from the taxpayer r located <br />remat <br />unpaid after demend.These taxes e t a lien all ph pee y Or <br />n the county <br />the efy and expiration of this lien. This lien will expire and <br />acquired b ears after the date of recording if no <br />become unenfflrceable 10 y prior to the expiration of <br />v <br />the previous lien or continuation co ntinuation e statem ent. <br />sign <br />here <br />Authorized Sign <br />Notice of State Tax Lien <br />PLEASE DO NOt WRITE IN THIS SPACE <br />SEBASTIAN CORTEZ RAMOS <br />222 E 9111 ST <br />GRAND ISLAND NE 68801 <br />No. 0597 F. 2/3 <br />N e Sae of 51.4e .1e1.n R a.1¢ - UJC' si- <br />9917791332 -1 P ° s: I <br />RRIgoS sEepsunM CORTEZ <br />Filed: 061021212117 09:59 RM <br />dery T <br />original <br />Business Name and Location Address <br />Nebraska ID Number <br />4779234 <br />lien Seetal Number <br />117877 <br />pale 01 Lien <br />0412512 <br />Federal ID Number <br />County <br />HALL <br />Corrected <br />� canllnuetion <br />7enpaY er Name and Mailing Address <br />Spy's Social Secud*Y Number <br />complied with the laws o1 the Slate at Nebraska in determining lhB am show to be due, <br />r � lien and serves 10 Continue the pdotiN Of of ou ue has comp of State Tax Lien is an elective <br />I Cell s la>lad � pay � = amour'1 due the, de,nand. This Notice and w= :,, : cd : taxpayer <br />t a ryect:. property 0412'512017 (30816 1 0- <br />the ' <br />Revenue A ant Date phone Number <br />Tide 0412512017 <br />Revenue Su ervisor Data <br />Title 4 -494 -1974 P ei. e .2013 Supersedes 4-94 &1974 Rev. 2-2002 <br />