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NE1344A&Ia. <br />NE Sec of State - Robert R. Evnen <br />Filing Document #2: 1910000983-9 Pages: 1 <br />Debtor Name: DIEGO LASTOR <br />Filing Date and Time: 10/17/2019 09:39 AM <br />Notice of State Tax Lien <br />201906471 <br />This Notice 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, are due from the taxpayer and remain <br />unpaid after demand.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 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 />PLEASE 00 NOT WRITE IN THIS SPACE <br />Nebraska ID Number <br />95856730 <br />F 11 Nii <br />t.*n Serial Nt,mix;r <br />11940953 <br />1..ien t -/e:: WOE <br />® lieg*or of Deeds Cm qty is eea <br />Sabot Security Number ' <br />XXX -XX -6135 <br />Spouses Social Sernity Numbe! <br />Dale of Luso <br />October 15, 2019 <br />I. ten Type: <br />NI 0, ,,,,..1 j (CYItat:,4ttee CJco/rotted 1 <br />Courcy <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />DIEGO LASTOR <br />208 E 14TH ST <br />GRAND ISLAND NE 68801 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />01/19/2019 <br />I <br />Tax <br />$802.00 <br />Penalty <br />$40.10 <br />Interest <br />$72.84 <br />Costs <br />Total Due <br />914.94 <br />Individual <br />2016 <br />Total <br />$914.94 <br />1 certify that the Ne ataskn Depart, me of Revenue tvu comyl'rxl with toe tows of Nur St. tiff or Nebraxka in 3ubtraining the amount sitcom to be duo. <br />and stat the taxpayer tray tailed to pay he amount due ager demend.'�Iris Notice of State rax t iers o an a atie ken and serves to con t nue the priority of <br />this State's interest in Pie affected property of the taupaytt <br />sign ,; /Sft,tnl <br />here P Pmparo, g taro <br />:1 Revenue Senior Agent <br />Aut <br />a <br />Title <br />Revenue Supervisor <br />10/15/2019 (402)471-4339 <br />Date Phone Number <br />10/15/2019 <br />Tole <br />Date <br />4.4e4-1 4 feu € 20t0 &rcerseaes 4909-t97a ney, 53:43 <br />