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May. 16. 2017 3:29FM NE Secretary of State — UCC 10/30/2000 THU 15120 FAX 402 971 4929 UCC SECEETAHT Or STATE 4..1 Full Please far_vward to: - Nebraska Dept of Revenue 4500 Ave Y PO Box 1500 Scottsbluff, NE 69363 -1500 MUM oloomuttb Oro .AmonI or �.ieve�u .fle.paG""" SOC. SEC. NO. NEBR. IDENT. NO. SPOUSE SOC. SEC. TAXABLE YEAR LIEN NO. COUNTY DATE OF NOTICE DATE OF ASSESSMENT THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE STATE OF NEBRASKA. NOTICE LS HEREBY GIVEN THAT INDIVIDUAL INCOME TAXES INCLUDING PENALTIES AND INTEREST, WHICH ARE SHOWN BELOW ARE DUE FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING TO THE TAXPAYER OR HEREAFTER ACQUIRED. AMOUNT OF TAX 322.00 PENALTY 16.10 INTEREST (COMPUTED TO /D/2Sl2= ) 1 6.00 UNDERPAYMENT OF ESTIMATED TAX PENALTY TOTAL AMOUNT DUE 351.93 I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED WITH THE REVENUE LAWS. OF THE STATE OF NEBRASKA IN THE DETERMINATION OF THE AmoUNT SHOWN TO BE DUE, AND THE TAXPAYER HAS FAILED To PAY THE AMOUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN EXTE SION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF THE TATE'S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. ARER A URE AUTHORIZED I S NATURE S XXX X5842 21560048 NO. 2007 082350094 HALL 14 /aS /Aoo8 05/07/2008 200809117 Notice of State Tax Lien INDIVIDUAL INCOME TAX TIT TITLE ALICE AGUILAR 916E5TE GRAND ISLAND NE 68801 2�O1 U a foe of f4e4* John A .l• - UCC £11. 9908574741 «6 Pa.: a 1 auzl aN p<_U F11edi 10/ IDI209H 42:18 PN PLEASE 00 HOT WRITE IN THIS SPACE ® 0073960 002 22-00 00108 1 t 112/ 08 505885842 73 00/2007 $0.00 DATE /TEL PHONE �C - G11 f9�rC /�/ AUTHORIZED •