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NEBRASKA <br />Goin <br />Sze ..h�e <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2007000744-4 Pages: 1 <br />Debtor Name: JORGE RECANCOJ SOC <br />Filing Date and Time: 07/17/2020 10:30 AM <br />Notice of State Tax Lien <br />202005059 <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 Hen 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 />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509-4609 <br />Nebraska ID Nomber <br />45889996 <br />Federat IO Nom <br />Lien Satiot Number <br />12057979 <br />Dat: of lien <br />July 10, 2020 <br />n F36, With; <br />t ® Register of Deeds <br />Lien Type. <br />L^_�J� <br />1 Original <br />El County :ter <br />al Securely Numbe <br />XXX -XX -3689 <br />SPeriSes Social Security Number <br />Carerniration <br />COrr0039 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />JORGE RECANCOJSOC <br />3619 BRONCO RD <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 />Individual <br />2014 <br />06/29/2018 <br />5323.00 <br />516.15 <br />560.65 <br />Total <br />399.801 <br />5399.80': <br />sign <br />here <br />I certify that the Nebraska De'uarrnent M Revenue has co lied wt0) the laws & the State or Nebraska in determining the amount shown to be due, <br />and that the taxpayer 000 la::ed 10 500 the amount due atter demand. This Notice of State Tex Lien id en effective Seri and serves to commie the priority o1 <br />the Stales interest in the affected property of the laxpaper. <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />Authorize.: 000tu10 T@le <br />_1308)632-1208 <br />Phone Number <br />07/10/2020 <br />Oa1,, <br />6.14:-1974 n.T+. 0-2):0 3r,,•vrza0*e a•eet-'ierx Ake.6-2013 <br />