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NE_BP.-46-KA- <br />Lie. i:r-a_ „•e• x <br />Nil sec re state - Rotten hs. evnen <br />Filing Document #: 2005000642-9 Pages: 1 <br />Debtor Name: ANGEL MATOS FIGUEROA <br />Filing Date and Time: 05:19/2020 09:25 AM <br />Notice of State Tax Lien <br />202003229 <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 DO NOT WRITE IN THIS SPACE <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509-4609 <br />Nebraska ID Number <br />44457774 <br />Lien Serial Number <br />12054622 <br />Date of Lien <br />May 14, 2020 <br />Federal ID Number <br />Lien Filed With: <br />® Register of Deeds ❑ County Clerk <br />Social Security Number <br />XXX -XX -2851 <br />Spouses Social Security Number <br />Lien type <br />i ® Original <br />Conti cation <br />0 Co -reefed <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />ANGEL MATOS FIGUEROA <br />112 W 10TH STREET <br />GRAND ISLAND NE 68801-3928 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2015 <br />02/01/2019 <br />$1,316.00! $65.80 <br />$197.22 <br />1,579.02 <br />Total <br />$1,579.02 <br />sign <br />here <br />1 certify that the Nebraska <br />and that the taxpayer has laded to <br />the Stales interest ,e aft <br />Preparer's Sigr <br />ment oh • : nue has complied with the laws of the Stale of Nebraska in determining the amount shown to oe due, <br />y the a nt due atter demand. This Notice of Slate Tax Len Is an effective lien and serves to continue the priority 01 <br />009 w taxpayer, <br />Autnori2-. <tar <br />Revenue. <br />Title <br />Revenue Supervisor <br />05/14/2020 (308)632-1203 <br />Date Phone Numbeer <br />05/14/2020 <br />Tele Date <br />4494-13''4 tee 5-20.0 Supersedes 4.949.'910 Re, 0-2212 <br />