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09!08/2000 11_55 FAX_14024714429 NEBRASKA UCC Ij002 /002 <br />+NE %n or St.tft - IUI *CC IISITLI <br />C5� 9900081628 p9s. t <br />VERTURA MPRCARiTL1 <br />Tiled 09100/2000 11,03 AM <br />Or <br />dep.r~e.mit <br />of rvw4wm <br />20000'7417 <br />Notice of State Tax Lien <br />This Notice of State Tax Len 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 />interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute i Yen in <br />the county for real and personal property belonging to the taxpayer or <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Nobraeka Idandlfwtbn Nunber <br />Lien Fled V M Social Securtty or Federal 1. D. Number <br />Spouse's Social seeurty Number <br />7008295 <br />ftlewof Dews ❑CatrtyClerk 506 -29 -5635 <br />Lien Serial Number <br />Lien Type <br />Date of Uen <br />County <br />00%09/365 <br />oeww ❑Continue+ ❑ Corrected <br />109-01-2000 <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAUN0 ADDRESS <br />Business Nouns <br />Nam <br />MARGARITA VENTURA <br />steel Address <br />Street or Outer MaWn9 Address <br />212 S WHEELER 2 <br />city State zip Code Cny Slate Zap Code <br />GRAND ISLAND NE 68802 <br />� <br />°X Date of kttetvai Addltione Balance Of l <br />category Tax Period Amount of Tax Penalty A""ement Due I Asseasalent mlk <br />01- 01 -00- <br />01 <br />1- <br />09-01-no <br />o <br />02- 01 -00- <br />2-2 <br />- <br />03-01-00- <br />1 <br />03 -15 -00 <br />09-101-DJU <br />43,50 <br />29.35 <br />1.38 <br />74.23 <br />Return SE t OF t4spo� gNt]E <br />6 <br />TOTAL <br />$ <br />t)FpAWE Y 2ND ST 898 3 <br />% N6 <br />151A tSIP+ND r <br />. nersby owtRy 71st the Nobraaka Departrnert of Revenue has =mplied with the revenue laws of the State or Nebreeira In the determMon <br />of the amount shown to be due, and the ta,q>tyer has failed to pay the arrroUrt due after demand. It this Notice of State Tax Lien ie an exleneion or <br />an eReclkve lien, it serves to oortmrtue the ptotffy of the stales interest in the affected property otthe tenpayer. <br />sign - I� c3 ?3�?D., <br />here Prepareraslpr,ah,re _TW Date Telephone No. <br />orized r Dew <br />NEB KA DEPARTftA OF REVEN • While and Goldenrod Copies TAXPAYER - Pink Copy COMITY OFFICE - Canary Copy <br />Qr►re m � r+r� "94-74 Rev. 11106 6,psrsedes 47+ As+. see <br />