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Dec,10.2013 3:11FM NE Secretary of State <br />(�iEB&,LF5�44 <br />Conti Lee. areal 5e•nM <br />..raewnra. wnl:w <br />201807946 <br />No. 1467 F. <br />NE Set of Stew - Joho A. Oak. <br />Filing Document ih 1812000620-2 Pages: 1 <br />Deb= Nene: A.NGEL MATa31?TO'UO;RO.a <br />Fir.hg Doe end ruee: 12/10?AI81157 AM <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 />This Notice of State Tek Lien Is issued by the Nabreeka <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commissioner. Taxes,- Including penalties, interest, and opals, <br />whish ere shown below, are due tram the taxpayer end remain <br />unpaid after demand -Thele lazes arta a Oen for all property located <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration at this lien. This lion will expire and <br />become unenforceable 10 years alter the date of recording if no <br />continuation statement is recorded on or prior to the expiration of <br />the previous Non or continuation statement <br />PLEASE 00 MOT WRITE IN THIS SPACE <br />esEraste ID Dumber <br />44457774 <br />i`trierti nD tr,rmer <br />Lien Serif gvnwer <br />11820645 <br />Linn Olad a h: <br />® Flegishw a Demi (] GpurAy peat <br />800.1 SCohany Number <br />XXX-XX•2851 <br />Spouses Susie! Seowity %mrowr <br />Doled Len <br />December 04, 2018 <br />Lan 7iye: <br />©a in& ❑GaM.+r..+en at°.nose <br />courtly <br />HAU. <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />ANGEL MAIDS FIGUEROA <br />112 W 10TH STREET <br />GRAND ISLAND N8 88801-3928 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Tarsi Due <br />Individual <br />2014 <br />01/08/2018 <br />$6.184.00 <br />$309-20 <br />$675.50 <br />7,168,70 <br />Total <br />$7,168.70 <br />sign <br />here <br />I per;ry roar fro Nebreake Daa one it si Rarera,e has romprxn with dee id,e 011A0 Snag 01 Ilet1a61a in delarnarmhg xw amount shown On bosh*. <br />sad tee( tie bajetier has laced On pay Ins amount cue oiler 4OMend The rdo1K0 to eoan y,c Um Is an eteGhe Yen and sec ie 10 han+in:+a the 5Rellfy 01 <br />IN xlabrY !rhroq ir.. the enacted proberlV 01 Se laLpay01. <br />,ytnotrc0 agruwc <br />Revenue Aprynt 12/04/2018 (308)632-1203 <br />1100 (Tam Prone Number <br />Revenue Supervisor 12/04/2018 <br />0111e <br />Dale <br />14pi,01.111...1t2a:e Onepsedes 4.5x6.1 rra;k ,, -ala <br />