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i yEE314,4644A- <br />:, L,,,, <br />2020076:2 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2010000209-0 Pages: 1 <br />Debtor Name: NESTOR M VERON <br />Filing Date and Time: 10/07/2020 09:27 AM <br />Notice of State Tax Lien <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 Iien.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 />p0 BOX 94609 <br />LINCOLN NE 68509-4609 <br />Nebraska ID Number <br />47398809 <br />Federal D Number <br />Lien Serial Number <br />12062662 <br />Lien Filed SFfids: <br />® Register of Deeds ❑ cour ty cle c <br />Social Security Number <br />XXX -XX -7307 <br />Spouses Social Security Number <br />Dale of Lien <br />September 30, 2020 <br />Lien Type: <br />®original ❑cwwnuation ❑corrected <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />NESTOR M VERON <br />1520 N TAYLOR AVE <br />GRAND ISLAND NE 68803 <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 />2018 <br />11/01/2019 <br />$1,006.00 <br />$60.04 <br />$73.59 <br />1,139.63 <br />Total <br />81,139.63 <br />sign <br />here <br />I certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in determining the amama shown to be due. <br />and that the taxpayer fres tailed to pay the amount due after demand. This Notice of State Tax Lien is an effective lien and serves to continue the priority of <br />the Stare's interest in the affected jfrupaty of the taxpayer. <br />t�t <br />Revenue Agent 09/30/2020 (308)632-1203 <br />Title Date Phone Number <br />Revenue Supervisor 09/30/2020 <br />Title <br />Dais <br />4.491.1974 Rev. 5 -Ma Supe.asdes 4.949.1974 Ren 5-2013 <br />