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Tax Program <br />Tax Period <br />Tax <br />of <br />Penalty <br />Interest <br />Coate <br />Total Due <br />Individual <br />2008 <br />04/28/2016 <br />35.00 <br />8.75 <br />11.17 <br />54.92 <br />Individual <br />2009 <br />04/2812016 <br />280.00 <br />70.00 <br />75.38 <br />425.38 <br />Individual <br />2010 <br />04/28/2016 <br />50.00 <br />12.50 <br />10.96 <br />73.46 <br />Total <br />$553.76 <br />Jun, 14. 2017 3:01FM NE Secretary of State — UCC No. 1053 P. 9i 10 <br />rile 0 not e Dopertmem of <br />REVENUE <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 />Neeraske ID Number <br />47899999 <br />Lien serial Number <br />11789398 <br />sign <br />Aulhorix gnalure <br />Notice of State Tax Lien <br />Lien Filed With: <br />Register of Deeds County Clerk <br />Date el Lien Lien Type: <br />06112/2017 1 Original ❑ Continuation <br />Business Name end Location Address <br />201703973 <br />Title <br />PLEASE 00 NOT WRITE IN THIS SPACE <br />Federal ID blunter <br />Social Security Number <br />XXX -XX -71329 <br />Corrected <br />Taxpayer Name and Mailing Address <br />JULIO ROSADO <br />1731 N HUSTON AVENUE <br />GRAND ISLAND NE 68803 <br />9917793556 -7 <br />ROSRDO JULIO <br />Filed, 06/14/2011 11:30 AID <br />Spouse's Social Security Number <br />County <br />HALL <br />I certify that the Nebraska Department of Revenue has complied with the laws of the Slate of Nebraska in determining the amount shown 10 De due, <br />and that the taxpayer has fall pay I - amount due after demand. This Notice of State Tex Lien is an effective lien and serves to continue the priority of <br />ate' - interest in the idle <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />E i.e of ii.i. John R 0410 - UGC WTL <br />P9s: 1 <br />0611212017 (402)471 -5928 <br />Date Phone Number <br />06/12/2017 <br />Dale <br />41.444 Rev. t -2012 Supersedes 4-989.1974 Rev. 2 -2002 <br />ric) <br />