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202107053
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8/17/2021 3:23:47 PM
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8/17/2021 3:23:47 PM
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202107053
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20210705n <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2108000952-9 Pages: 1 <br />Debtor Name: ORLANDO SOTOLONGO ARANZOLA <br />Filing Date and Time: 08/17/2021 12:08 PM <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 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 />92061184 <br />Federal ID Number <br />Lien Serial Number <br />12178478 <br />Lien Filed With' <br />E] Registar of Deeds ❑ County Clete <br />Social Security Number <br />XXX -XX -8693 <br />Spouses Social Security Number <br />Date of Lien <br />August 11, 2021 <br />Lien Typo: <br />0Corrected <br />County <br />HALL <br />® Original • Continuation <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />ORLANDO SOTOLONGO ARANZOLA <br />117 MELODY LANE <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 />08/28/2019 <br />$287.00 <br />$14.35 <br />$29.87 <br />331.22 <br />Total <br />$331.22 <br />sign <br />here <br />I certify t <br />and that <br />the Stat <br />abr he Department of Revenue has conphed with the laws of the Slate at Nebraska n oet.rnvrunq the amount shown to be due. <br />failed td pay the amount due after demand. This Notice of State Tax Lien Is an effective lien and serves to continue the priority of <br />a roperty of the taxpayer. <br />Authonzed Si.- :tore <br />Revenue Agent 08/11/2021 (308)632-1210 <br />Title Date Phone Number <br />Revenue Supervisor 08/11/2021 <br />Title Date <br />4494-1974 Rev 8.2018 Supsrsedas 4.909.1974 Rev. 11-2e'7 <br />
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