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•. E `& `A <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2010000816-4 Pages: 1 <br />Debtor Name: MANUEL LEDESMA ROMERO <br />Filing Dale and Time: 10/20/2020 09:51 AM <br />Notice of State Tax Lien <br />202008043 <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 />Nonraska ID N:NPdret <br />95181539 <br />PLEASE DO NOT WRITE IN THIS SPACE <br />F <br />rat 10 Number <br />I. en Serial Nomber <br />12063552 <br />I Lien r;lert vrith: <br />i <br />Eeryster et Dot-rIo <br />0 County Clerk <br />Social Security Number <br />XXX -XX -2133 <br />Spouses Social Security Number <br />Date or, t..Nn <br />.fen Type <br />4Ctrety <br />October 14, 2020 X: ar5anat ([ Conmattrn [Corrected 1 ? HALL <br />Taxpayer Name and Mailing Address <br />Business Name and Location Address <br />MANUEL LEDESMA ROMERO <br />319 SOUTH WALNUT STREET APT 310 <br />GRAND ISLAND NE 68801 <br />1 <br />Tax Program <br />Tax Period I <br />Date of <br />Assessment <br />Tax <br />$1,312.531 <br />Penalty <br />$67.75 <br />Interest <br />$100.81 <br />Costs <br />Total <br />Total Due <br />1,481.09 <br />$1,481.09 <br />Individual 2018 <br />10/25/2019 <br />sign <br />here <br />I Certify that the Nebraska f)epartrnent of Revenue has complied with the laws of the Sale of Nebraska in determinirio the amount shown to be nue, <br />ted that the taxpayer has laded to pay the amount due atter demand. This N iteto or State las Lien is an effective hon and serves to continue toe priority 01 <br />Ire Slates =merest v the aftecteo property ra tic taxpayer_ <br />Revenue Senior Agent 10/14/2020 (402)471-4339 <br />Tile Date Phone Nurrtrer <br />Revenue Supervisor 10/14/2020 <br />Tota Date <br />4.410-'974 rµv.&2Cre Siam -meek 4-941,1074 nes.. 5203 <br />