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NFB4,4 KA - <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2006000358-2 Pages: 1 <br />Debtor Name: CELIA F GARCIA <br />Filing Date and Time: 06/08/2020 09:20 AM <br />Notice of State Tax Lien <br />202003793 <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 />halm skit ID Net -Mer <br />38023466 <br />at ID Num <br />Lien Serial Number <br />12055776 <br />I. en r;tad <br />Negtsler of needs U _aunty Clerk <br />S ciai See:stH • Number <br />XXX -XX -8594 <br />Slxusen Socia: Security Nombet <br />Date of Lien <br />June 03,2020 <br />I..eniybe'. <br />! i Chig:nai <br />L_€ Cenected <br />County <br />(HALL <br />Business Name end Location Address <br />Taxpayer Name and Mailing Address <br />CELIA F GARCIA <br />608 W 7TH STREET <br />GRAND ISLAND NE 68801-4220 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />? Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2016 <br />11123/2019 <br />i <br />$932.00 <br />$46-601 <br />5114.26 <br />1,092.86 <br />Individual <br />2017 <br />E <br />11/23/2019 <br />i <br />$570.00 <br />$28.501 <br />$52,78 <br />651.28 <br />Individual <br />2018 <br />11/24/2019 <br />$574 00 <br />528.70; <br />$32.63 <br />635.33 <br />Total <br />$2,379.47 <br />I chanty tont the Nebraska Debarment Cl Revenue has nOmpl,anl with ore laws of the State of Nebraska in SOlermin4ng If a amount $3pwf, to be due, <br />and that the le spayet has tailed to pay the amount due atter deo:areL This Notice of Stale tax Lien -s an effective ion and serves to continue the priority Of <br />p:e States o tet st in the SOnelm i probe,ty of Ire taxpayer. <br />Revenue Agent <br />T:tle <br />Revenue Supervisor <br />06/03/2020 <br />Date <br />(308)632-1208 <br />Phone Numasr <br />06/03/2020 <br />Tide Date <br />t-9.4.1%'4 nov h-Ot`o, Sopook,tet 4-009.' <br />