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State of Nebraska 8/28/2019 3:40:31 PM PAGE <br />NEOW,c;KA-- <br />5/008 Fnie§tg 224 <br />NE See of State - Robert ES Evnen <br />Filing Document 14: 1 9 0 80 0 1 4 58 - 0 Pages: 1 <br />Debtor Name LAURA GUARDIOLA <br />Filing Date and Time OS/28/2019 11 46 AM <br />PLEASE FE TLIRN TO: <br />NEBRAS.KA oro REVENUE <br />PO F:OX 94609 <br />LiNCOLN 6g509 -4I309 <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 ad -ministered 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 demanci.These taxes are a lien for all property located <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this iien.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 />.1048q837 <br />t.kg, Nt:roWle <br />11936260 <br />August 22, 2019 <br />PLEASE 00 NOT WAITE IN -MS SPACE <br />Xi <br />Business Name coo Locanon address <br />Tax Program <br />fax Pc-tioti <br />HALL <br />Taxpayer Name end Usitino Address <br />LAURA GUARr.i6A.A <br />220 CARDiNAL DR <br />GRAND ISLAND NE 68803 <br />Dale of <br />Assessment <br />0 110:8120 I 7 <br />Tax <br />Pflf5;3i;'y <br />$.179.78 <br />Interiasl <br />523 59 <br />$83.24 <br />Costs i Total Due <br />567.01 <br />lcal $r87.01 <br />I .x.,1; -'y !!...).: ‘!w• NOICA3Sk, ::,<-:,..,Irls,,,,.,: %.11,,,,.....2 Z,VE...,,,,,,&:: «5It., :as, ai :'s: ZSZ,11,, 0, NCto,....s, ii, .k,,,,,1:,1-1"-; :he 4,,,,,,, 3,...0.,,,, ,... re? (1,*. <br />..11o)1•,. ti -4: ,..Xp,,14,:m. :•,,,,6 t.) c,-`ty Z,K. ,0,0,, Cita Or.,.: .1,w.,:qs.;.1.r.,,; r4:4,:.-*; ,:,:' -:E...Zas -;•:', :_::::.: ,a a, 01.,,r....,.t.::,,,t, as!!..,),,,N11:;.,.,,,,,,,,, It,, 6's)-'6 -.Ft <br />:'...i 505-a ,•:::<..2:.: .••• (no te,-..,,t iq.,,,i:y. q.,:q 4•*:.z:,p.s.,,N. <br />• .....r <br />sign, Revenue: Agent 08122;2019 (8061632-12E33 <br />here r ,,,,,,.....),,,,,,,' <br />-.-.,„.. :1,3 :6 Pl-,ti eamt,,s, <br />Revenue Supervisor 081'2212019 <br />:qr., 4- NV:1-W, <br />