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PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509-4609 <br />Goad Lee. Creat Sefve e. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2104000070-8 <br />Debtor Name CESAR A ARTOLA <br />Filing Date and Time 04/02/2021 09:21 AM <br />Pages: 1 <br />Notice of State Tax Lien <br />4. <br />202102707 <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 />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska ID Number <br />97056818 <br />Federal 0 Ntnnbar <br />Lien Serial Number <br />12171105 <br />Lien Filed With. <br />Social Security Number <br />XXX -XX -5893 <br />Spouse's Social Security Numbs, <br />® Register of Decide ■ County Clerk <br />Date of lien <br />March 24, 2021 <br />Lien Type: <br />®Original ❑Continueton 0Corrected <br />County <br />HALL. <br />usiness Name and Location Address <br />Taxpayer Name and Mailing Address <br />CESAR A ARTOLA <br />2323 BELLWOOD DRIVE APT 132 <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 />2019 <br />08t21/2020 <br />$856.00 <br />$42.80 <br />$25.66 <br />924.46 <br />Total <br />$924.46 <br />sign <br />here <br />nment of Revenue has complied wfth the laws of the State of Nebraska in determining the amount shown to be due. <br />the amount due after demand. This Nollce of State Tax Lien is an effective lien and serves 10 continue the priority of <br />property of the taxpayer. <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />03/24/2021 (308)632-1210 <br />Date Plane Number <br />03/24/2021 <br />Tklo Date <br />4.4W 1974 Rx 134010 Supersete/14.949.1974 Rev, S-2013 <br />