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IVBer c_C'!!_w <br />Good Life. Great Service. <br />.a..141Par.r.. <br />202300458 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2301001179-6 Pages: 1 <br />Debtor Name: RAUL MELESIO JR <br />Filing Date and Time: 01/30/2023 09:18 AM <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 />Nebraska ID Number <br />94786860 <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Lien Serial Number <br />12318076 <br />Dale of Lien <br />January 20, 2023 <br />Federal 0 Number <br />NO FEIN <br />Business <br />Deer riled with: <br />1/ <br />Register of Deeds Q County Clerk <br />Lien Type: <br />®original 0 Continuation <br />Name and Location Addres <br />Social Security Number <br />XXX -XX -8319 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />❑ Corrected <br />County <br />HALL <br />Taxpayer Name and Mailing Address <br />RAUL MELESIO JR <br />1500 S 57TH CT APT 1R <br />CICERO IL 80804 <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 />03/16/2022 <br />$995.00 <br />$275.75 <br />$85.46 <br />$1,356.21 <br />Total <br />$1,356.21 <br />sign <br />I certify that the Nebraska Department or Revenue has complied with the laws of the State of Nebraska in determining the amount shown to be due, <br />and that the taxpayer has failed to pay the amount due after demand. This Notice of Slate Tax Lien is an effective lien and serves to continue the priority of <br />the States interest in the affected properly of the takpayer. <br />here r �r <br />aresSP2CL <br />s Signature <br />./A41. <br />/iJe�f It <br />Authonzed Signature <br />Revenue Anent 01/20/2023 (308)632-1208 <br />Title Date Phone Number <br />Revenue Supervisor 01/20/2023 <br />Title DOM <br />4-4941874 Rose -2018 Supenocles 4949.1974 nee 8-2013 <br />