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N� (iced Lite. Creet.,e-v ce eu.arr., Of 6.00416 202001421 NE Sec of State - Robert B. Evnen Filing Document #: 2003000185-1 Pages: 1 Debtor Name: DANILO OLIVARES LIMA Filing Date and Time: 03/03/2020 11:14 AM Notice of State Tax Lien This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes administered by the Tax Commissioner. Taxes, including penalties, interest, and costs, which are shown below, are due from the taxpayer and remain unpaid after demand.These taxes area lien for all property located in the county and rights to property owned by the taxpayer or acquired before the expiration of this Iien.This lien will expire and become unenforceable 10 years after the date of recording if no continuation statement is recorded on or prior to the expiration of the previous lien or continuation statement. PLEASE DO NOT WRITE IN THIS SPACE Nebraska ID Number 40449610 Federal ID Number Lien Serial Number 12049755 Lien Filed Wah: Social Security Number XXX -XX -6041 Spouses Social Security Number i•7 Register of Deeds • County Clerk Dale of Lien February 26, 2020 Lien Type: ® Original ❑Continuation ElConected County HALL Business Name and Location Address Taxpayer Name and Mailing Address DANILO OLIVARES LIMA 910 E 13TH ST GRAND ISLAND NE 68801 Tax Program Tax Period Date of Assessment Tax Penalty Interest Costs Total Due Individual 2018 05/07/2019 $654.00 $37.62 $28.40 720.02 Total $720.02 sign here 1 codify Gnat the Nebraska Department of Revenue las complied with the laws of the State of Nebraska in determining the amount shown 10 be due. and that the taxpayer has tailed to pay the amount due after demand. this Notice of Slate Tex Lien is en effective ken and serves to continue the priority of the 's interest in the ane property,of the taxpayer. Revenue Agent 02/26/2020 (402)471-5713 Title Dale Phone Number Revenue Supervisor 02/26/2020 Title Date a.t94-1974 Fier. 6.2010 Supenedea 4-949.1974 Ras. 62913