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State of Nebraska 8/23/2019 3:15:10 PM PAGE 2/003 Fax Server <br />201 905102 <br />NEB.RAS KA. <br />nrec,n, <br />NE Sec of State - Robert B Evnen <br />Filing Document 4: 1908001230-6 Pages. 1 <br />Debtor Name. OSBEL CABRERA SO CARRAS <br />Elting Date and Time 08/23/201901 29 PM <br />Notice of State Tax Lien <br />This Notice of State Tax Lien is Issued by the Nebraska <br />-Department 01 Revenue for unpaid taxes administered by the Tax - <br />Commissioner. Taxes. including perialtisis, interest, and costs. <br />which Pre zhown below, are due from the taxpayer and remain <br />unpaid after demand. These taxes are a lien for at/ property Located <br />-in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this iien.This Hen 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 expiation <br />the previous lien or continuation statement. <br />93814679: <br />!Sqr:5 <br />11936076 <br />Auciust 20, 2019 <br />Business Name and Lotion Address <br />PLEASE DQ NOT FYN I EIM THIS SPACE <br />PLEASE RETURN TO: <br />ERRASKA DEPT QF t-iEVENUE <br />PO BOX 94609 <br />LINCOLN NE. 68509-4609 <br />XXX -XX -3452 <br />cr,or.Iy <br />HALL <br />Taxpayer Name and Mailing Address <br />OSBEI.. CABRERA SOCARRAS <br />922 S EDDY ST <br />GRAND ISLAND NE 68801 <br />Tax Program <br />Ta X Period <br />Date ot <br />Assessment <br />7.016 06J1872017 <br />fax <br />Penaity <br />$502.00 <br />S25 10 <br />interest <br />641.74 <br />sign <br />Costs Tota i Due <br />566.64 <br />Totalf $666.84 <br />GI :ht. of <br />t)t -3e a e.*1w dC:N,VV1 Ni.)1, of G`n.; ; :41 la, p,,tfty <br />tn? kl8c.i!--.1 <br />here / <br />Revenue Agent <br />R-evenue Supervisor <br />ito <br />0e120r2019 (30E0632-1206 <br />00.20/2019 <br />