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N,ESZA&KA <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2010000530-7 Pages: 1 <br />Debtor Name: OVANIS DIAZ CABRERA <br />Filing Date and Time: 10/14/2020 10:09 AM <br />Notice of State Tax Lien <br />202007843 <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 hen will expire and <br />become unenforceable 10 years after the date of recortling 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 130X 94609 <br />LINCOLN NE 68509-4609 <br />Nebraska ID Numbe+ <br />93002866 <br />Federal D Narramr <br />Lien Seal Nunnoer <br />12063192 <br />Dale oilier, <br />October 08, 2020 <br />Liar: O W!•h: <br />Wi's'er of Deeds <br />County Cterl <br />Social Sac a:ty Number <br />XXX -XX -7811 <br />Spouses Social Se70ur4 <br />Lien T <br />XI Cr1991^al <br />0 Contuwa. on <br />�rtp�tf <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />OVANIS DIAZ CABRERA <br />522 WEST CHARLES ST APT 3 <br />GRAND ISLAND NE 68801 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax Penalty <br />Interest <br />I Costs I Total Due <br />Individual <br />2017 <br />11/23/2019 <br />$570.031 $39.95 <br />$82.84 <br />692.82 <br />Individual <br />2018 <br />11/23/2019 <br />$284.001 $14.20 <br />$21.09 <br />E 319.29 <br />Total] $1,012.11 <br />sign <br />here <br />!certify that the Neoraska Department of Revenue has complied with the laws of the State of Neoraska in determining the amount shown to ire due, <br />and knot the taxpayer 055 !ailed to pay the amount due after demand. This None of State Tax Lien is an effective Oen and serves to continue the prosy of <br />105 State's interest kr the affected property ur the taxpayer. <br />Revenue Agent <br />10/08/2020 <br />Title <br />Revenue Supervisor <br />Cate <br />(402)471-5713 <br />Rhone Number <br />10/08/2020 <br />Title <br />549.4 !.974 f09n. 9 2018 Swrermelas 4 rNh-taro 004)4.8-2013 <br />