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10'251200212:09 FAX 14024714429 <br />NEBRASKA UCC 1M004/004 <br />Yl t • INN1IItIIIuI1nIIrr1r1 11NN11111I1I1LI9YII III1^1IIuIIII SIILtIHarrr1'1iL <br />z <br />U42 Ippllupll H���1I1yypnII1�I IIn,11II�III�I�II I,� <br />�I VIII <br />ppppTlOEQZ Gm-a P.Y. <br />F�1Wt�13611a0B2�11 40 An <br />200211689 <br />Ir NOTICE OF STATE TAX LIEN <br />Nb.A. <br />.YLYRam <br />PLEASE W NOT WRITE IN THIS SPACE <br />This Notice of State Tax Lien Is Issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the stab 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 />Wow and remain unpaid after demand. Theme taxes constitute a limn <br />In the county for real and personal property belonging to the taxpayer <br />or hereafter Acquired. <br />Nebraska loentecatlon Number Llen Flied With Social Security Number Spouse's scNvi security Number <br />37016237 © .9101arof Deeds [3COUnty Cledr 455 -13 -2010 <br />U<n Serial Number Men Type Dateofuan County <br />(JZ�OL� ®oipinal []CCntlnuabon Co. ❑xtad 10/22/2002 HALL <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME. AND MAILING AD Ss <br />Business Name Name <br />CRISTOBAL RODRIGUEZ <br />street Act.. &.at or rxh.r Meiling Address <br />518 E CAPITAL X6 <br />city State Zip Coda City Stet. Zip Code <br />r.RANO ISLAND NF AAR01 <br />Ta% <br />Ce15iry <br />To. Pari.d <br />Oeteof <br />Amount of Tax <br />Penalty <br />Interest <br />Addrd... <br />aelanu et <br />Number <br />Abashment <br />Asaeaement DUe <br />22 1994 1 OW1112000 275.00 68.75 186.27 530.02 <br />22 1995 07/11/2000 295.34 73.84 173.39 542.57 <br />TOTAL 5 1,D72.59 <br />hereby cedify that they Nebraska Department W R.. has complied adlh N. I... taea al Rai State of Nebraska In the <br />caenninesm & tha amount sin"n M ba dua, ant tale takpayer has tailad to pay the amount due star demand. Nlfils Notes d State <br />Tax Llan is sn awaneian 0f an ante MI n, k earvas to mntlnua dls prbMy oitha otata's interact h Te aHaGetl properly of Ma taxpayer. <br />[Q /� <br />10- (/if.1,1/_1 Sherie McGinnis i6 -Z Z-oZ_ 402471 -5835 <br />sin <br />g ant retura nde Dab TBI a Nu bar <br />here Gerald Flela o e <br />A onzed Signa - Ids j <br />419N W_t Rw. a2Wa WRw,Hw ♦K41TYRw. 161NYa <br />I <br />