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202200812
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Last modified
1/31/2022 3:47:42 PM
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1/31/2022 3:47:42 PM
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DEEDS
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202200812
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yEBRASK-A- <br />Good Life. Deet Service. <br />.xw+.caner avr.aw <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2201001440-2 Pages: I <br />Debtor Name EDGAR 3 VELARDE <br />Filing Date and Time: 01/31/2022 10:46 AM <br />Notice of State Tax Lien <br />20220081 <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 trom 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 00 NOT WAITE IN THIS SPACE <br />Nebraska ID Number <br />97209511 <br />Federal ID Number <br />Lien Serial Number <br />12289579 <br />Lien Filed With: <br />® Register of Deeds 0 County Clerk <br />Soo al Security Number <br />XXX -XX -0723 <br />Spouse's 600110 Security Number <br />Dale of Lien <br />January 24, 2022 <br />Lien Type: <br />®original OContinuatr. ❑coi.aeted <br />County <br />HALL <br />uslness Name and Location Address <br />Taxpayer Name and Mailing Address <br />EDGAR J VELARDE <br />3110 MEMPHIS PLACE <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 />2015 <br />11/27/2018 <br />$233.00 <br />$11.65 <br />$49.74 <br />294.39 <br />Individual <br />2016 <br />03/06/2020 <br />$429.00 <br />$21.45 <br />$78.71 <br />529.16 <br />Total <br />$823.55 <br />sign <br />1 certify that the Nebraska Department of Revenue has complied with 11e laws of the State o1 Nebraska in determining the amount shown 10 be due, <br />end that the taxpayer hes failed to pay the amount due after demand. This Notice of StateTex Den is an °teethe lien and serves 10 continue the priority o1 <br />the State's interest in the affected property of the taxpayer. <br />kap Sa.ry <br />he re ° Preparer's 69- r tura <br />Auttwrized <br />Revenue Agent 01/24/2022 (402)471-5833 <br />/ <br />Title Date Phone Number <br />/se Revenue Supervisor 01/24/2022 <br />Tide Data <br />4.4044974 Rev. 84018 9upeaW/a 4949-1071 9-W. 64013 <br />
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