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Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2014 <br />12/10/2015_ <br />$205.00 <br />$10.25 <br />$15.06 <br />230.31 <br />Total <br />$230.31 <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 Iien.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 />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska 10 Number <br />94024243 <br />Federal ID Number <br />Lien Serial Number <br />11794577 <br />Lien Filed With: <br />Social Security Number <br />)(X)(.)p(_5957 <br />Spouse's Social Security Number <br />ri Register oI Deeds • County Clerk <br />Date oI Lien <br />September 25, 2017 <br />Lien Type: <br />❑Corrected <br />County <br />HALL <br />IA Original • Conllnuatlon <br />Nebraska Derpar[ment of <br />REVENUE <br />Sign <br />here <br />27. 207 3:46PM <br />Business Name and Location Address <br />rs Signature <br />horized Signature <br />E Secretary cf State - UCC Nc.2089 P. 3 <br />201706537 HIS <br />Notice of State Tax Lien <br />LINDY CABEZAS <br />1265 SW 131ST CT <br />MIAMI FL 33184 <br />NE Sec of Stake Sohn H <br />Gale UCC l.TL <br />s: 1 <br />991779 -e <br />Filed Filed: 09/27121 <br />Taxpayer Name and Mailing Address <br />I certify that the Nebraska Department of Revenue has complied With the laws of the State of Nebraska in determining the amount shaven to be due. <br />that the taxpayer has fail pay the amount due after demand. This Notice of State Tex Lien is an effective lien and serves to continue the priority of <br />e's tereel in the aff t prop ty of the taxpayer. <br />Revenue Agent 09/25/2017 (402)471 -5928 <br />Title Date Phone Number <br />Revenue Supervisor 09/25/2017 <br />Title Dale <br />4-404-‘974 Rev. 5-2013 Superseees4-9494974 Rev. 2-2002 <br />