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State of Nebraska 8/6/2019 3:10:15 PM PAGE 2/007
<br />F-261904663
<br />NE Src of State - Robert B Ev nen
<br />Filing Document #: 1908000183-2 Pages. I
<br />Deltec Name CRISPIN C CIPRIAN
<br />F ihng Date and I wile 05/06/2 01 9 01 97 PM
<br />Notice of State Tax Lien
<br />This Notice of State Tax Lies ieissued by the Nebraska
<br />Department of Revenue or unpaid taxes administered by the Tax
<br />Commissioner, Ta_xes, including periailies, interest, and costs.
<br />which are shown bo'. are due from the taxpayer and remain
<br />unpaid after dernand,These taxes are a lien for all property located
<br />in the county end rights to property owned by the taxpayer or
<br />acquired before the expiration of this fien.This fen 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 of
<br />the previous hen or continuation sternen.
<br />36601)892
<br />I 1 3,11828
<br />Auguat 02, 2015
<br />PLEASE DO NOT WRITE 11,1111IS SPACE
<br />,17.• Nwnr,e,
<br />XXX -XX-5058
<br />Business fame and Location Address
<br />Tax Program
<br />HALL
<br />Taxpayec Name and Meiling Addrcas
<br />Tax Period
<br />14
<br />CRISPIN C C.;IPRIAN
<br />$11 IN JOHN ST
<br />GRAND ISLAND NE 6O6749
<br />Date of Tax
<br />Assessment +
<br />C,3f1Sti201:3 S507.35
<br />.S2r3 7C'
<br />1 2;73 1
<br />Costs
<br />Total Due
<br />Total
<br />€I07 sl
<br />SE:07-7703
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<br />l'AOzVenceAgent P4h L0.n2,:, y:.41:m7d1se-.5.-
<br />712
<br />here v .... •
<br />..
<br />Revenue Supervisor 08/0212019
<br />
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