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N. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2010001116-8 <br />Debtor Name: NELSON A IRIAS SALINAS <br />Filing Dale and Time: 10/27/2020 08:44 AM <br />Pages: 1 <br />Notice of State Tax Lien <br />20200833i <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 forall 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 DO NOT WRITE INTHIS SPACE <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509-4609 <br />Nebraska fD Number <br />90981847 <br />Federal ID Number <br />Oen Serial Number <br />12064201 <br />.;en Fileo With: <br />® RegoIw of Deeds Q County Clerk <br />Social Security Number <br />XXX -XX -7555 <br />Spouses Social Security Nueter <br />Dare of Lien <br />October 21, 2020 <br />Lin Type: <br />XJ Originxt ❑Cortta„ation ❑Corrected <br />County <br />HALL. <br />usiness Name and Locetion Address <br />Taxpayer Name and Mailing Address <br />NELSON A IRIAS SALINAS <br />3111 COLLEGE ST APT 22 <br />GRAND ISLAND NE 68803 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />i Penalty <br />Interest <br />Costs <br />Total Due —11 <br />Individual <br />2017 05/28/2019 <br />$.00 <br />$299.25 <br />$32.79 <br />332.04. <br />Total <br />$332.04 <br />sign <br />here <br />I certify that the Nebraska Department of Revenue has complied with the laws of the Stale or Nebraska in determining the amount shown to be due. <br />and that the taxpayer has failed to pay the etnou- I due atter demand. Th±s Notice of Stare Tax lien is an effective lien and serves to commie the priority of <br />the State's interest 01 Me affected properly of Me taxpayer. <br />/7 <br />Revenue Agent <br />Talc <br />Revenue Supervisor <br />10/21/2020 1308)632-1208 <br />Oa* Phone Number <br />10/21/2020 <br />Title <br />Date <br />tdiN 1974 flea. 6-2018 fi wcrsedes4•!u?19/4 .60v. 8.2013 <br />