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State of Nebraska <br />Ef3174-1\-6-KA <br />8/23/2019 9:47:30 AM PAGE 3/006 Fax Server <br />NE Sec of State - Robert Ei Evnen <br />Filing Document 4- 1908001125-5 Pages: 1 <br />Debtor Name. LEONEL RAMIREZ <br />Filing Date and Tun e 08/21/2019 12:53 PM <br />201905074 <br />PLEASE RETURN TO: <br />NEBRASKA DEPI OF ilEvENuE <br />PO BOK 94609 <br />UNC01.N NE 68509-4(i09 <br />Notice of State Tax Lien <br />This riot“. 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, ana due from the Taxpayer and remain <br />unpaid after dernand.These taxes are a lien ler 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 statement is recorded on or prior to the expiration of <br />The previous lien or continuation Statement. <br />96992271 <br />11935648 <br />PLEASE DO NOT Writ t i MS SPACE <br />•:4 <br />XX X -XX -1832 <br />August 13, 2019 <br />i'741 <br />• <br />tisc: <br />Business Name and Location Address <br />Tax Program Tax 1=',.-riod <br />individual 2015 <br />HALL <br />Taxpayer Name and Meiling Address <br />LEONEL. RAMIREZ <br />2 WEST CHARLES STREET APT 2 <br />GRANO ISLAND NE 68801 <br />Date of -1 Tax <br />Assessmen,. <br />021 0/701E-': $2,18.00 <br />Pe F ajty Interest <br />$12 ei0i 627.83 <br />TTat& Due <br />284 23], <br />:vat <br />.S206.2$1 <br />P.53 ,,,.:u P <br />ItaN ,Z•R30 3?y35 35 53Nrt..1.!•::•,..,.2•N: 7 is s •?! 7AlY Ler ar <br />sign k <br />Revenu,.., A2ent OBF1:32C19 (30Mi332,12.03 <br />here r . f)alt• Ph;:nt: Nw.rt,n, <br />Supervisor 08113;201R <br />• — <br />7.!;•-.• <br />3 <br />