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05/15/2001 11:44 FAX 14024714429 NEBRASKA UCC Q002/002 <br />V <br />Or <br />e.p.rha..t <br />of revearm <br />1{11 1L1llf {l 111111{ cnV {1 1{11 <br />NE S.. s skew _ uCitill��llll11111�1i11 <br />1�llltll�t�llllll`11 Q95 , <br />9901141540 <br />HERNPrdD Ez r bU 200, 02�47 PM <br />Filed. <br />240104541 <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />This Notice of State Tax Lien is issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice Is hereby given that taxes including penalties and <br />Interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute alien in <br />the county for real and personal property belonging to the taxpayer or <br />hereafter. acquired. <br />Nebraska IdertMation Number <br />11033256 <br />lien Filled V t <br />0 Reglaer or Deeds F_] county Cleric <br />Social Security or Federal I.D. Number <br />1453-37-1419 <br />Spouse's Social Security Number <br />Lien Serlal Number <br />) 0 3 4 3 0 0 4 8 <br />Lien Type Date of lien <br />0 odginai ❑ continuation ❑ corrected 1 05-09-01 <br />County <br />MATT. <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />EDUARDO HERNANDEZ <br />Street Address <br />Street or Other Mailing Address <br />743 CONCHO ST <br />Cry State Zip Code <br />City state ZIP Code <br />EAGLE PASS TX 78852 <br />ry <br />a r <br />Tax Period <br />Date of <br />Aasew�t <br />Amount of Tax <br />Penalty <br />Interest <br />AddRbna <br />Balance of <br />Asseeerrism Due <br />?2 <br />1997 <br />0 -23 -00 <br />112x.00 <br />56.00 <br />309.31 <br />1485.31 <br />TOTAL <br />$ 1485.31 <br />I hereby certify that the Nebraska Departmarrt of Revenue has complied with the revenue laws of the State of Nebraska in the determination <br />of the arrant shown to be dua, and the taxpayer has tailed to pay the amount d us attar demand. If M Notice of State Tax Lien is an extension of <br />en efle a lien., It serves to continue the prlorlty of Me state's interest In the affected pro party of the taxpayer. <br />sign �C� ;� -�-Dl f� ,33. 641 * <br />here Preparers 50aue Title Date Telephone No. <br />�I O r� e -��i ,✓rte 4 <br />AttMdzed a Dar <br />NEBRASKA DEPARTMENT OF RE1lEN11 - White and Goldenrod Copies TAXPAYER - Pink Copy COUNTY OFFICE • Canary Copyl <br />D1t.rd m rVerw ppr 4 40-74 Rey. 1445 Supersedes 4-494.74 Rev. 5- <br />