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Feb.25. 2513 2:35PM NE Secretary of State — UCC <br />Nebraska Oepartrnent 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 />Nebraska ID Number <br />95469931 <br />Lien Serial Number <br />11801986' <br />Date of Lien <br />February 14, 2018 <br />sign <br />here <br />Lien Filed WIIh: <br />® Register of Deeds ❑ County Clerk <br />lien Type: <br />Original <br />Business Name and Location Address <br />'kr re <br />AuthorRed S ute <br />Notice of State Tax Lien <br />Title <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Federal ID Number <br />Social Security Number <br />XXX -XX -3426 <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />2OSOiO <br />MICHAEL J. SERRATO <br />409 W 9TH ST APT 2 <br />GRAND ISLAND NE 68801 <br />Gee MC ST <br />9918506307 -S Psis t <br />SERRATE) l9ICHREL J <br />Filed: 02/20/2011 11:11 AM <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />Spouse's Social Security Number <br />County <br />[]Continuation El Corrected HALL <br />Taxpayer Name and Mallin • Address <br />Tax Program <br />Tax Period <br />Individual 2015 <br />Date of <br />Assessment <br />05/24/2016 <br />$469.00 <br />Penalty <br />$23.45 <br />Interest <br />$25.133 <br />Costs <br />Total <br />Total Due <br />518 -28 <br />$518.28 <br />I certify that the Nebraska Department of Revenue has complied with the laws 01 the Sete of Nebraska In determining the amount shown to be due, <br />and that the taxpayer has Called to pay the amount due after demand. This Notice 01 Slate Tak Lien Is an effective Ilan and serves to continue the priority of <br />the State' = interest In the . l acted property of the taxpayer. <br />02/14/2018 (308)632 -1203 <br />Data Phone Number <br />02/14/2018 <br />Date <br />4 -4941974 Rev. 8 -2513 Supersedes 4.249 -1974 Rev. 2 -2902 <br />t•- <br />