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Tax Program Tax Period Date of Assessment Tax Penalty Interest Costs Total Due Individual 2015 04/23/2017 $336.00 $16.80 $20.08 372.88 Total $372.88 This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for•unpaid taxes administered by the Tax Commissioner. Taxes, including penalties, interest, and costs, which are shown below, are due from the taxpayer end remain unpaid after demand.These taxes are a lien for all property located in the county and rights to property owned by the taxpayer or acquired before the expiration of this Iien.This lien will expire and become unenforceable 10 years after the date of recording If no continuation statement is recorded on or prior to the expiration of the previous lien or continuation statement. PLEASE DO NOT WRITE IN THIS SPACE Nebraska ID Number 47937866 Federal 0 Number Lien Serial Number 11805042 Lien Filed With Social Security Number XXX -XX -6382 Spouse's Social Security Number RI Register of Deeds IN County Clerk Date of Lien April 12, 2018 Lien Type: El Corrected County HALL FA Original U Continuation Apr, 16. 2013 2:46FM VE Secretary of State — UCC Nebraska Department of REVENUE sign here Business Name end Location Address 1Wt s ized Signature Notice of State Tax Lien Revenue Agent Tide Revenue Supervisor Title 2 1 0 24 7 • .6 NE 6ec o 6 54.io Jol.n A 6.1n - UGC ST A � I , Taxpayer Name and Mailing Address ANGEL L SILVA 111 N GREENWICH ST GRAND ISLAND NE 68801 9918809515 -2 s1LVA ANSEL L Filed: 04/18/2016 09:20 AM 1 •: Airy that the Nebraska Department of Revenue has complied with the laws of the Slate of Nebraska In determining the amount shown to be due, and the Iakpayer: $ failed to pay the amount due alter demand. This Notice of slate Tax Lien is an effective lien and serves to continue the priority of te's interest i the affected property of the taxpayer. Pes 04/12/2018 (402)471 -5789 Date Phone Number 04/12/2018 Dale 4494-1974 flev.8 -2013 Supersedes 4-949 -1974 Rev - 2002 4 ..