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State of Nebraska 4/23/2019 3:23:22 PM PAGE 5/006 Fax Server
<br />20190230
<br />NE Sec or State • Robert ES Evnen
<br />Filing Document 0: 1904001517-6
<br />Debtor Name DAV:It MISELEZ
<br />Still -1g Date and inn 04/23/2019 01 52 PM
<br />Pages 1
<br />Notice of State Tax Lien
<br />This Notice cf 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 eosin.
<br />which are shown below, am duo from the taxpayer and remain
<br />unpaid after demand.These taxes are a lien for alt property located
<br />in the county and rights to property owned by the taxpayer or
<br />acquired before the expiration of this tien.This ten will expire and
<br />beoorne unentorooadie 10 years after the date of recording if no
<br />continuation statement a recorded an or prior to the expiration of
<br />the previous lien or continuation statement.
<br />pLEt.‘sEXi t.roT wetTE P.ITI-tES SPACE
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<br />April 17. 2019 yI.,,,,,,,,,,, HAL.E.
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<br />Business Nan a and Location Addres Taxpayer Name and Mailing Address
<br />DAVID NI IRE LE -7.
<br />001 ROLLINS AVE
<br />PAINIF-:-.R NE. 518G4
<br />Tax Pro!,ram
<br />Tax Period
<br />2017
<br />Dat e of
<br />,4.ssessmen.t
<br />Tax
<br />CI5i23i2i)18 $2.648 00
<br />Penalty
<br />$132.4,3
<br />Interest Costs
<br />$!;5
<br />lbs r.t,p,..ritt.tt•ra tit tc• C,1,-Stos,t
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<br />RoverSupc:r-vsor 0017/2019
<br />Tots:
<br />Total Due
<br />2.875.80
<br />$2 875 80
<br />04;17c201.0 (402)471-5712
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