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02/05/2004 17:04 FAX 14024714429 NEBRASKA UCC Q 004 <br />LS <br />Please forward to: <br />Nebraska Department of Revenue <br />4500 Ave I Po Box 1500 200401150 <br />Scottsbluff, NE 69363 -1500 <br />Qaafmii <br />NOTICE OF STATE TAX LIEN <br />This Notice of State Tax Lien is issued by the Nebraska Department of PLEASE DO NOT WRITE IN THIS SPACE <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given that taxes including penalties and <br />interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter ac utred. ®Vy /� 93 <br />Nebraska Identification Number Lien Filed With <br />Social Security Number Spouse's Social Security Number <br />37161032 X❑ Register of Deeds []CountyClerk 462 -30 -0362 <br />Lien Serial Number Lien Type <br />Date of Lien County <br />942310045 Prig nal X Continuati Corrected 12/08/1994 <br />Hai! <br />BUSINESS NAME AND LOCATJO SS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br />Rogelio Candanoza <br />Street Address Street or Other Mailing Address <br />city State Zip Code City Route 1, Box 301 -2 <br />State Zip Code <br />Tax Weslaco TX 78596 <br />Category Tax Period Date of Amount of Tax <br />Number Assessment Penalty Interest Additions Balance of <br />Assessment Due <br />22 1982 04/06/1994 440.28 110.07 658.86 <br />1,200.21 <br />22 1983 04/06/1994 465.80 116.45 631.66 <br />1,213.91 <br />22 1984 04/06/1994 766.84 191.71 932.54 <br />1,891.09 <br />22 1985 04/06/1994 884,60 221.15 951.90 <br />2,057.65 _ <br />22 1986 04/06/1994 554.42 138.61 518.99 <br />1,212.02 <br />22. -1988 04/06/1 994 6,730.33 1,682.58 4;407.90 <br />12,820.81 <br />TOTAL $ 20,404.69 <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the <br />determination of the amount shown to be due xpayer has failed to pay the amount due after demand. If this Notice of State <br />Tax Lien is an xtension of an effective li o continue the priority of the state's interest in the affected property of the taxpayer. <br />enue Senior Agent 308 632 -1200 <br />sign . p ' r lure C e Date ' <br />here Telepho mb <br />Revenue Agent Supervisor <br />uthorized Si u Title �t ATTACHN' ' <br />' � C4�4� ;4 Rev. 22002 Supersedes 4-494 -1974 v. 10 -1995 <br />�; E <br />