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State of Nebraska 5/23/2019 3:28:15 PM PAGE 2/003 Fax Server <br />NE Sec c (Scats - Robert Et Ev nen <br />Filing Document l 1905001,105-1 Pages: 1 <br />Dcbtor Name .TEDEDIAH 3 GASSIOT <br />FtlIng Date and Tun e 05/22/2019 10 25 ANI <br />Notice of State Tax Lien <br />This Notice of State Tax Lien Is issued by the Nebraska <br />Oepailtnent of Flevenue or unpaid taxes admirsiste;ed by the Tax <br />Commissioner. Taxes, 'including penalties. interest, and costs, <br />which Are AhoWn b-elow, are due from the taxpayer and remain <br />unpaid after dernand.These taxes are a lien kr all property located <br />in the county and rights 10 property Owned by the tax.payur or <br />;scquired before Ihe expiration of this lien.This lien %Oft expire and <br />become unenforceable 10 years .after the elate of recortline if no <br />continuation statement is recorded on or prior to the expiration et <br />the previous lien or continuation state roe,nt.. <br />92689795 <br />20190293a <br />PLEASE DO NOT i.11'E. ov TIOS S.Pt..Ce; <br />11'929459 <br />Moy 21, 2019 <br />t5 <br />Setr.a, <br />XXX -XX -6765 <br />530: t :5.;.5.:tte,y <br />XX X-XX7Z590 <br />HALL <br />Business Name and Location Address Taxpayer Nome and fAz.,ilinyresa <br />Tnyrog F:3 [ <br />Period <br />Date z.t.• <br />A ,=.3.i.ssrr,e <br />JELED1i-,3-1J <br />EttiiVIA t_ GASSIOT <br />621 W KOE NIL::: ST <br />GRAJ[iiF-31..AND eiB801: <br />Interest <br />IndividuM <br />21)1) <br />$12 <br />t <br />Tctai D <br />281 361 <br />S2s1 1€5 <br />95 tants ! • t, <br />•.! '• <br />sign <br />SeriKr <br />t Revenue Supene:sor <br />here c„, <br />440L)471_43:39 <br />C.:5I2 1$2019 <br />