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State of Nebraska 6/12/2019 9:27:33 AM PAGE
<br />NEE KA -
<br />2/003 Fax Server
<br />201903381
<br />NE Seo of State - Robert Ft Evnen
<br />Filing Document #: 1 906000431-8 Pages 1
<br />Debtor Namr WAYLON I FERREIRA
<br />F.Ing Darr and Time 06/11/2019 10 S9 AM
<br />Notice of State Tax Lien
<br />This Notice of State Tax Lien is issued by the Nebraska
<br />Department of Revenue for unpaid taxes adrr, nistersd by the Tax
<br />Commissioner. Taxes. including penalties, interest, and costs,
<br />wftich are shown below, are due from the taxpayer and rema;n
<br />unpaid after demand. These taxes area lien for ail property located
<br />in the county and rights to property owned by the taxpayer or
<br />acquired before the expirertion o? this lien. This lien will expire and
<br />become unenforceable 10 years ON., the date of recording it no
<br />continuation statement is recorded on or prior to the expiration of
<br />the previous lien or continuation statement.
<br />94746702
<br />11930605
<br />Juae 06, 2019
<br />cR.,,yyrt! l'•c .
<br />I PLUASE D0 NOT WRITE IN T11N SPACE
<br />.=w^e xl tZ Nia
<br />PLEASE RETURN TO:
<br />NEERASkA DEPT DE REVENUE
<br />PO 610( 941309
<br />uNCotN i:E 68309-1609
<br />f1 ,,::,ty::1,:r I XXX XX -&337
<br />D
<br />Business Name enol Location Address
<br />Tax Procr'arn
<br />Fax Period
<br />lndiVlr�Ui�1 v 201
<br />1x: m. s Scc,.,; S cc xi;y h;:•,1Le.
<br />+XXX -XX -1790
<br />HALL.
<br />Taxpayer Name and Mailing Address
<br />L^dgY;.i �J T FERREIRA
<br />MARLENA K FERREIRA
<br />1203 W LOUISE ST
<br />GRAND ISLAND NE 68001
<br />Coate of i Tax ( Penalty 1 interest Costs
<br />.QtSSG55r?:G:li
<br />CS.23t201 d 1 1,-1,505.00 i — S i 5.4::1 $64.56
<br />Total Due
<br />1,6s a OS
<br />Tota 51.E4B.Qo
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<br />rrit•:Nil II IA- ).t r \t K :n9.�nn n,....(.....es!, b! E •, (I ':cx1. .11::s ,..•.. S..;.4,:Y.,,:X . :1-.14, GRx1 6<v, :a(..rac N,.X .N?,F r YiO.h'.1:
<br />:tI':^I:\ .tt,:Xi: tn,...l(F..:�� lr.vi y< ..i.1,i .JX'!�,,,o::
<br />sign
<br />O. .,k � -t..,�,_ -- Re:o tt:, Aco it 06:0612C 1n (30& C32.12tb
<br />here 1 Yr.,r \ ioc,'tJS T:.•e h:. nt.•:r
<br />i' •' ReJenl.ie Supervisor 06106'2019
<br />
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