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OCTAVIO RIOJAS-URQUIDI <br />ARISEMA HERNANDEZ <br />215 VILLA MAR D <br />GRAND ISLAND NE 68801 <br />Date of <br />Assessment <br />10/02/2018 1 51,471.54 <br />NE.BSFFA <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2006000679-2 Pages: I <br />Debtor Name: OCTAVIO RIOJAS-URQUIDI <br />Filing Dale and Time: 06/16/2020 08:49 AM <br />Notice of State Tax Lien <br />202004038 <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 properly 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 hen or continuation statement. <br />PLEASE DO NOT WRITE INTHIS SPACE <br />- at>,iS a IU Number <br />97184713 <br />i'edvra; C Numb' <br />_*n Seca! Number <br />12056416 <br />Les riled Wrh: <br />NI F4,0tsr of € cads [-] COunry Clerk <br />Soclat Sea,My Number <br />XXX -XX -2747 <br />Spe ,SE/s Ss+daal $eerily Numtwt <br />XXX -XX -2763 <br />Date of Lien <br />June 11, 2020 <br />tcon'80,,=, <br />XUCirn rid []c¢ntinust n D, e:s:o <br />C4unN <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />Tax Program <br />Tax Period <br />Individual <br />2017 <br />Tax <br />Penalty <br />Interest <br />Costs i Total Due <br />5874.75 <br />519894 <br />2,545.23I <br />Total $2,545.23 <br />I cwhty mai the Leet raska Department a` Revenue has co tplied swan the taws of Ote State ul Nitql,1.15i 3 n1 tiote'mining the amount stw.v^. to 0e due, <br />end that tre taxpayer has fatted to pay the etep nt 0t:e attar coranPI. Th;3 N ,tiff'- 01 Senn Tax Lice, is an efoouw Iron and servos to continue the priority 05 <br />the SlatoS interest in the erected rwnpwiy of the taxpayer, <br />Revenue Agent 06/11/2020 (402)471-5712 <br />15le Dahl Phone Number <br />Revenue Supervisor 06/11/2020 <br />k. Date <br />4-49-, 1174 r. . e4xn[$ <br />