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Tax <br />Program <br />Tax Period <br />Data of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2014 <br />01111/2016 <br />380.00 <br />26.10 <br />28.66 <br />434.76 <br />./ <br />Total <br />$434.76 <br />04 <br />Jul. 2. 2017 3:10FM NE Secretary of State — UCC <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />Nebraska Deportment or <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 />Nebras (e ID Number <br />46710256 <br />Lien Serial Number <br />11790297 <br />Data of Lien <br />06127/2017 <br />sign <br />here <br />ben Type. <br />Original <br />Business Name and Location Address <br />LiGO FYed Wllh: <br />Notice of State Tax Lien <br />Register of Deeds [J counry Clerk <br />fl Continuation <br />201704461 <br />PLEASE DO NOT WRITE IN THIS SPACE <br />1 ederel ID Number <br />Social Security Number <br />XXX -XX -1429 <br />D Corrected <br />IVAN GUTIERREZ <br />3111 COLLEGE ST APT 36 <br />GRAND ISLAND NE 68803 <br />Revenue Agent <br />Tee <br />Revenue Supervisor <br />No.1264 F. 2 <br />N[ Mae of Sim*. Jelin N Gera . UCC CTL <br />9917794488 -9 POE 1 <br />GUTIERREZ IVAN <br />Flied: 07/09/2017 09447 QM <br />Spouse's Social Security Number <br />County <br />HALL <br />Tex • ayer Name and Mailing Address <br />the Nebras : Department of Revenue has complied with the laws of the Stale of Nebraska In determining the amount shown to be due, <br />and +y +aver has d to pay the amount due after demand. This Notice Ol State Tex Lien la en effective lien and serves to continue the Moray of <br />:. ' eh • In the a'" ad property of the taxpayer, <br />r <br />Aut odzao Si <br />06127/2017 (308)632 -1210 <br />Dale Phone Number <br />06/27/2017 <br />Date <br />4-0841974 Rev. 8-2013 Supereefee 4949 -1974 Res. 24002 <br />