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OS/28,12000 16:04 FAX 14024714429 - _NEBRASKA UCC <br />A" <br />0 <br />tZe <br />5 <br />i <br />Or <br />rJewas" <br />dPO"em <br />of rev.w. <br />1a002,1004 <br />� 11111111111 Illli 11111 !111111111 �11r 1111 <br />9906076828 P9s t <br />RAMOS APOLLO L <br />Filed 06128i2000 09.35 AM <br />Notice of State Tax Lien <br />This Notice of State Tax Llea b 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 />iatemt, 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 />PLEASE DO NOT WRITE IN THIS SPACE <br />Netxacka IderttlMcatian Nttrrrber <br />Lien Flied With <br />Social Security or Federal 1, 0. Number <br />Spouse's Social Secfrlty Numbs <br />41003225 <br />X3 Register of Deeds ❑ Cerny clerk 591-49-0644 <br />� ❑ Continuation ❑ t 0m9d9d 08— 23-2000 <br />Cou HALL <br />Lan <br />001960257 1 <br />j dUSMSS NAME AND <br />LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />Business Name <br />Name <br />APOLLO L RAMOS <br />Street Address <br />ft" or Other MWWg Address <br />1216 S LINCOLN <br />Cry Slue <br />by cafe <br />C*y sun <br />7�p e <br />GRAND ISLAND NE <br />68801 <br />arc <br />Category <br />Tau Period <br />Aae� +nt <br />Amount of Tax <br />Panslty <br />Interest <br />Additions <br />Balance of <br />Asamsmant Due <br />u <br />22 <br />1995 <br />05 -25 -00 <br />242.00 <br />60.50 <br />94.54 <br />397.44 <br />22 <br />1996 <br />05 -25 -00 <br />861.00 <br />215.25 1 <br />260.28 <br />1336.53 <br />�` NV� <br />� . t1E8 R, 4C� <br />Of oil <br />' <br />NANO <br />00 N�;b503 <br />'+$Q <br />r <br />TOTAL <br />IS 1733.97 <br />I hereby Certify that the Nebraska Department of Revenue has —Plied with to revenue laws of the state at NeDreaka n the a surmmaeon <br />of the amoum clown lobe sue, and the laxpayer has tailed to pay the amount due alter dertrand. N this Notica of State Tar Lien is an o tenaion at <br />Zim354naturs lien. It serves to o.nWue the priority of the stele's irrermt in tho affected property of the taxpayer. <br />sign - 00 _4,L <br />�l�OIZ <br />here Title TelephoneN . <br />ed tr� �e to <br />i <br />NEB <br />=ARV REVENUE Wite and Goldenrod Copies TAX AVER - Pink Copy COUNTY OFFICE - Canary Copy l <br />+rt.)dd OW 44aL 74 Rev. 10-95 Super9ed tr 4-9474 ` <br />