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State of Nebraska 5/8/2019 3:36:26 PM PAGE 6/008 Fax Server
<br />IcC
<br />rNE Sec of State Robert P. Evnen
<br />Filing Document : 1t)u5oou576- I
<br />Debtor Rotor DES] L ILERMLIADE
<br />Filing Date rod Face, Otti =,F/2 01 9 01 54 PM
<br />Pages 1
<br />Notice of State Tax Lien
<br />This Notice of State Fax Lien is issued by the Nebraska
<br />Department of Revenue for unpaid taxes administered by the Tax
<br />Comm;ssiener, Taxes, including penaities, interest, and costs,
<br />which are shown below, aro due -from the taxpayer and remain
<br />unpaid atter demand.These taxes are a lien for ail property located
<br />in the county and rights to property owned by the taxpayer or
<br />acquired before the expistion of thin.Tnisscn will expire and
<br />become unenforceable 10 years after the date of recording If no
<br />continuation statement is recorded on or prior to the expiration oi
<br />the previous lien or continuation statement.
<br />Jr:
<br />49710998
<br />T ,,t, Fartr:
<br />1192.8035
<br />20190 26 45
<br />PLCASti ?ETU -1N TO:
<br />NO;RASKA F11/ENUE
<br />I=10 bOX f_14i7,09
<br />LINCOLN NIE 6?..S09-46C9
<br />PLEASE DU NOT WFIFTE IN 1t -as EPISCE.
<br />L.A., ed ,t41
<br />April SO, 2019
<br />tbr
<br />[W4
<br />Business Name end lecation Address
<br />MY program
<br />tridividttal
<br />t-- -- -- • -----
<br />Tait Perc...d Date
<br />20 3 2 1 Assessment
<br />C.32212(3 I 7
<br />Tax
<br />HALL
<br />Taxpayer Nemo and Ulatliiuj a5ddraea
<br />DEREK, L.
<br />11;4 S PINE ST
<br />GRAND ISLAND NE €;.8501
<br />Pan shy
<br />Inic rest Costs
<br />OC $01 99,
<br />To3:3I Due
<br />74
<br />lolol, $2$.E).74
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<br />here• -/Y,.•'-'00''' -- • 't. . '' ZI:::.5 Coto Prerrvi.Le,-4,,,
<br />„._. Revenue Supervisor 04 r$0'20 1 ':•:/
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