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State of Nebraska 8/2/2019 3:29:44 PM PAGE <br />3/004 Fax Server <br />20190459 <br />NE Scc of State- Rebut B Evncn <br />Filing Document 4: 1908000035-6 Pages 1 <br />Debtor Nam,ROSA M EORTmLA <br />Fihrg Date and Time- OS/02/201.9 10 57 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 />Commissioner. Taxes. "including penalties, interest, and costs, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after demand.Titese taxes are a lien for all property located <br />m the county and rights to property owned 5y the taxpayer or <br />acquired before the expiration of this Iien.This lien will expire and <br />become unenforceable 10 years after the date at recording it no <br />continuation statement is recorded on or prior to the expiration of <br />the previous lien or continuation statement. <br />3 3 S 13c}6t. <br />�:C•, :tit^.4� \.A:,'.�• <br />139i2t&' <br />PLEASE 00 NOT WRITE 1r1 ;HIS SPACE <br />F.zeerel <br />ue.m.^ar <br />3Et80662S <br />See.el C:t:.0 i . Ne:nie • <br />XXX-t?:_7529, <br />• <br />t ::o:sc : Soual S• cz,ey `i.rdxr <br />C:cenn <br />Jul). 23, 22119 � �; O: m a: n;;oti:ir:::al:J-. i if:S Ea. <br />Business Name and Location 4doreoa Taxpayer sterile end iLialiing A!40!ess <br />trop>.n1Itt <br />TEN.:'c.:'i <br />Dine r:f <br />Asses'cmcn <br />ROSA '13":E:'3'13,3 <br />SAPOR <br />. i 1 W .:111-I STPE:E:'E <br />GE:1NE3 1S.E.:V'-iti \`E ti$801 <br />tcx l ensh 'Merest <br />05;0E iti.'; .. E?:f; 31 '20 <br />t) E? i :'2; 3 9 <br />ir}d!ir. <br />.421:h <br />100.4`) <br />.597.6 i <br />sign <br />here <br />330.60 <br />89.10 <br />T, � t,:1 Due 1 <br />.0:' .3,613. 7 <br />'I" nisi 5,670.88 <br />1cemy:nc M6Re, fie,*:el-c+x^p0'e:; x. Rh Ole Wm:, t -e .eta:. c,:.1,0 :;? 6ea.:+•:ni.+y B:e .v:, xcn sem.... In i_x c• -a, <br />-hG 9m3 1:rr ae <br />51•x. h'B.met,,tf$1 <br />.'ti-!Vr',. �. 3•U :.• .... .S m. Of, i: <br />CC'p•J .`.: t:: .• t.: . : 1 <br />:J.,:'0Jn t, i i-xn.> .i�G rtr;;,. `:1 ' IS :.kie n C. Kit by n <br />1-4,031Ut- Rat^:xl. Se ;lint' ?u:cnt <br />Revenue Ao.esit. <br />C^r_x�'_i110 0247 <br />..;ca•;:. ..•a <_„ .'e. n•:ce>n ILE.:I'6 In Sop <br />