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State of Nebraska 8/6/2019 3:10:15 PM PAGE
<br />ERS A-
<br />6/007 Fax Server
<br />201904667
<br />NE Sec of State - Robert Et Evnen
<br />Filing Document 4. 1908000228-4 Pages: I
<br />Debtor Name IBE TH INIGUEZ
<br />F ding Dee apd Tune 09/06/2019 02 50 964
<br />Notice of State Tax Lien
<br />This Notice of 6tate Tax Lien is issued by the Nebraska
<br />Department of Revenue for unpazd taxes administered by the Tax
<br />Commissioner. Taxes, including penalties, interest, and costs,
<br />wnich are shown i)E4F3W, are due from the taxpayer and remain
<br />unpaid after dernancLThese taxes are a lien for ell property located
<br />in tree county and rights to property owned by the taxpayer or
<br />acquired before the expiration of this lien.This lien will expire rind
<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 lien or continuation staterne..nt.
<br />99460955
<br />11934622
<br />Jay 30, 2013
<br />Ocr,V.
<br />. typt:
<br />C:t
<br />1 0N''' XX X -XX -4446
<br />Pt.EASE DO NOT ANKIE IN THIS ,S.PE
<br />PLEASE RETURN TO:
<br />Ei6PASKA0iPT0 R.F.VENtjE
<br />PO BOX 91609
<br />LINCOLN NE 68509-4600
<br />Besmess Name end Location Address
<br />HALL
<br />Taxpayer Nome and SABI] int' Address
<br />!BETH !NIGUEL
<br />410 cRARLEs ST
<br />GRAND ISLAND NE 63801
<br />Tax Prcotam Tax Pr,,,zod
<br />Date of
<br />Assessment
<br />Tax Penalty
<br />I n ter es;
<br />hicilyidua! 2016
<br />Inthvidua 201?
<br />ndvdua 2016
<br />05;2412017
<br />04f20f2016
<br />05i07/2019
<br />1,0:06.00 363.30
<br />S96.00 $4.90
<br />S60 76
<br />S4 93!
<br />Costs
<br />Total Due
<br />1.1,60.06
<br />107.63
<br />S2.192.00 $15.133
<br />sz:.(5.52
<br />Total
<br />2.285.35
<br />S•8.543.'??;
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