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State of Nebraska <br />7/26/2019 3:42:36 PM PAGE 2/003 20190440 <br />4 <br />NE Sec of State - Robert E. Evnen <br />Filing Document #: 1907001412-9 Pages: 1 <br />Debtor Name. ROSA M PORTII.LO <br />Frhng Date and Tulle 07/26.2019 10 26 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 administered by the Tax <br />Cotttt»issioner. Taxes, including penalties, interest, and costs, <br />which are shcvert below, are due from the taxpayer and remain <br />unpaid after demand.These 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 lien. This lien will expire and <br />become unenforceable 10 years after the date of recording if no <br />continuation SrtA4enten: is recorded on or prior to the expiration of <br />the previous lien or continuation statement, <br />PLEASE 00 NOT WRITE 1N :"HES SPACE <br />12513466 <br />t ! fita74S <br />y1 80662S <br />XX:\- \--7529 <br />.:010:4 :041,,,10,0-y....,;,t <br />.iuhd 2G. 2018 <br />P1 At,1:. <br />Business Name and Location Address Taxpayer Name and Mailing Address <br />f:E. 31(lii::'d 1ABOR <br />GRAND ESLAND N1:.63801 <br />7 x Prcx:;un <br />Saks <br />ROSA M <br />! 11t I?TI I STREET <br />(at AND 1Si.a'` D ND 6880 I <br />Titxi a r. -.4 <br />Out, <br />ASsCf:Sfne a[ <br />04.:0l 2016 - 05:3; ;20 , <br />01`1)::2016: <br />..x1ce <br />Iax <br />0.04: 231(1 <br />1'ettaiiy E1t:4res1 <br />l'ct:;J <br />ted <br />.00 00 <br />..S Ei1C01'?-t)"%'i1r'%e)t <br />LI::,'Qi:.?ft17 <br />) (L02.2017 <br />.lf.); .00 <br />.III' . Qt) <br />0f0 i '?918 <br />.Solt` <br />004••;;_':)16 - I E ;0:2016 <br />t}s : i)2.') <br />n<S <br />-'Jit <br />.00 i, <br />O„[ 2.4(; <br />sign <br />here <br />i6t:)1 i08.,.0 <br />.•I t,.:tt-1 It a. her v i•-. �,0 �•1 :::`:: v... ;Y.•. .v .. yit-: 5 : :x: ..iii- : ti-'%:: \'r. i. be e <br />:�`\: .1: .. ?'�i`- 9-a ?:r-::V,:l •_•t.. ..� :WoR•:.. \- 5::..... +0. Z.).. ...., ...:)::........::T:I:.,.. n•...,t,. n... :,?co-'st `),. Y. Ott <br />Y, <: �•• . <br />itevenue /\Deni 06ri')'.'p; .10 t<)c6 <br />itct^_nDo Senior;.ie.fa �"o�3:•' 4r <br />