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202000118 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2001b00169-5 Pages: 1 <br />Debtor Name YISEL GARCIA <br />Filing Date and Time: 01/07/2020 11:07 AM <br />Upon filing of this lien, and without <br />further notice, your property may <br />be seized to satisfy this lien. <br />NFQn?- <br />_.,: <br />wru..ur a nvr.vx <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 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 />Nebrasea ID Number <br />13627805 <br />Federal ID Number <br />Len Sedat Number <br />12046183 <br />Lien Filed With: <br />,rb'j Register of Deeds County Clerk <br />Social Security Number <br />XXX -XX -9033 <br />Spouse's Social Security Number <br />Dale of Lien <br />December 9,2019 <br />Len Type: <br />XOriginal jconYnualien Corrected <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />YISEL GARCIA <br />1524 COVENTRY LN 50 <br />GRAND ISLAND NE 68801 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Sales <br />01101/2018 - 12/31/2018 <br />05/10/2019 <br />173.24 <br />300.00 <br />24.42 <br />.00 <br />497.66 <br />Total <br />497.66 <br />sign <br />here <br />I certify that the Ne0raake Department 01 Revenue has complied with the laws 01 the State o1 Nebraska in oetermining the amount shown to be due. <br />and that the Taxpayer has tailed to pay the amount due atter demand. This Notice of State Tax Tien is an effective lien and serves to continue the priority of <br />the Slates interest in the affected property 0 the Iaspa}or; <br />Pre <br />Aulhodzed Signature <br />Revenue Agent <br />Title <br />Revenue Senior Agent <br />12/02/2019 402-471-5723 <br />Date Phone Number <br />Tib Dale <br />4,94.1974 he9.. 62C15 S.parsWas 4949.1974 W'/. 8-2017 <br />