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Oct. 9.2013 3:00FM VE `:e:r taro -f Stag No.1i72 P. <br />NE Sec el -Stale - John A. Di & <br />Filint:Tk,cwmr,r,I: I[D06005519 Page I <br />Debior Nene: SHARON VIALPANDO <br />Filing Dile and t Ime: I 0N9/:018 02:20 PM <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509-4609 <br />Notice of State Tax Lien <br />�twr.sn m anru, <br />201806699 <br />This Notice of Stale Tex Lien h 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 eomalnd.Thheee taxes are a lien for all properly located <br />In the county and rights to property owned by the 'taxpayer or <br />aoqulred before the expiration of this lien, This lien will expire and <br />become unenloressble 10 years after the date of recording if no <br />continuelion statement is recorded on or prior to the expiration of <br />the previous lien or continuation statement_ <br />i P LEASE DO NOT WRITE IN THIS SPACE <br />Nabraslto ID Noma*, <br />45084131. <br />Feve.al A N„mpir <br />Lien Sikial Number <br />11815809 <br />Dale N t m. Lan Yyr,e: <br />Uen F�Ied Yoih; <br />r9e9ieler OI A6+f1a Counly Clerk <br />aaciil >ourtty Numbs'+ <br />XXX -XX -3650 <br />gp0000 c social Secalty Number <br />October 05, 2018 M Original GOftlxlwlixi <br />Business Name end Location Address <br />Cor'ecknl <br />cooing <br />HALL <br />Taxer Name and Mailing Address <br />SHARON VIALPANDO <br />PO BOX 768 <br />WOOD RIVER NE 68883 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2011 <br />06/03/2017 <br />5132.77 <br />5279.50 <br />$224.82 <br />637,09 <br />Individual <br />2012 <br />06/03/2017 <br />$805,00 <br />$201.25 <br />$132.26 <br />1,138,51 <br />Total <br />$1,775.60 <br />I certli I I, ' '. gepski Da rmanr of ietenua Inic corripri:J with the lows of Ina Slate of NviJas it In cid I rmtriiv rib ari;Unl eIiOd•n <br />ant, 'hal I Re has Wad l pat At *mown duo aker demand. Thla to Ia a Of Stile Tan Llan is an eflect6e lion en0 iaramc T.vntlnne Ihe priorlfy Or <br />Ta Eta `s ,n -...a - s �:_ OPwly of Me taxpayer. <br />sign'/ L Revenue Agent 10105/2018 (306)632-121Q <br />h ere <br />sign, <br />�S G �► ' j YEIe ANN P o O NuA�ot <br />Revenue Supervisor 10/05/2018 <br />gado s6- Tina Data <br />147,..1211 ria0 unnn 9•,;,.s,dn .1419-107.1arc aeOU <br />