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201902208
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Last modified
4/18/2019 4:07:11 PM
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4/18/2019 4:07:10 PM
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201902208
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Apr. 1S. 2019 3: 9FM NE :e,rta.ry f tit: 201RO/224 <br />N-Si414 <br />(1:",) lea O,aur <br />NF see of Sure - anbcn <br />Filing Document P. 1904001150-5 Pages! 1 <br />D ,lnz Name. BAULK) ORTIZ-LAKES <br />Filing IAM and Time: 0 411 6/2019 11:36 AM <br />Notice of State Tax Lien <br />This Notice of State Tag Lien Is Issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commissioner. Taxes, including penalties. Interest, and costa, <br />which are shown below, are due from the taxpayer end remain <br />unpaid after demand,Theae 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 hen -This lien 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 lien or continuation statement. <br />PLEASE DO NOT WHITE IN THIS SPACE <br />Nebracko 113 Number <br />47044306 <br />Werra it) Humber <br />Una Serial Nub <br />11927171 <br />Lion Rod WIDE <br />Aepisaer ul needs n County Clerk <br />96661 Seaway Nember <br />XXX -XX -0105 <br />S e ne'e Social Saconty Number <br />oaaofLon <br />April 12, 2019 <br />Llan Typo: <br />® Orrjlne[ rJ coror u.11op ❑ ConaOMo <br />ounly <br />HALL <br />Buelnesa Name and Location Address <br />Taxpayer Name and Mailing Address <br />BASILIO ORTIZ-LARE <br />1110W8THST <br />GRAND ISLAND NE 68301 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tall <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2016 <br />11/08/2018 <br />$953.00 <br />$47.65 <br />$62.28 <br />1,062.93 <br />Total <br />$1,062.93 <br />sign <br />here <br />i canny Ihel the Nebrasae Deviol .dot 01 Revenue Tog U1rI I.et WIN The Idwa of MO Sl4re of Nubra.ra in tl.latntlMn® Rep annum shown b b. Cn, <br />and tier) she anpeyer lye t$et to pry Ito amount duo alloy clamant!. ills Nolfce of Stela lax Lien %s an effective lien yri eerven in comanua the wooly o1 <br />Me Se tlleresl hr steered property of lne 6vyaycw. <br />Revenue Agapl -...0.1.:1202.19 (4021471-6043 <br />nae Dae Phorm Number <br />RevenUe Supervisor 04/12/2019 <br />Tilm Osla <br />4Jyr•nla hn.0.20rd 9 7a,es c.a y-1971 Rae &2213 <br />
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