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<br />03/19/2008 WED 15:22 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />'Jfb <br /> <br />Please forward to: <br />Nebraska Dept of Revenue <br />4500 Ave I PO Box 1500 <br />Scottsbluff, NE 69363-1500 <br /> <br />200802313 <br /> <br />~ <br />1N'6b;r_.,,,,,,, D"""....I'IS:'I'Wrn1: w, <br />:REVENUE <br /> <br />www.r.v..n.....!\.II..O_ <br /> <br />NOTICE OF STATE TAX LIEN <br /> <br />121002/010 <br /> <br />1111111'" <br /> <br />9908552341-2 0 <br />CANTOdRAL0..B, '~~~0~ I~~~~R AM <br />FU.: ... <br /> <br /> PLEASE DO 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 state' of <br />Nebraska;, Notice, Is he~ebygjven that taxes Including penalties and <br />Interest; whiCh are shown below, are duefr'om 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 acauired. <br />Nebraska Identification Number Federal Identification Number <br /> 43744923 <br />Lien Serial Number Lien Filed With ' Social Security Number Ispouse's Social Security Number, <br /> 72360453 00 Register of Deeds o County Clerk XXX~XX-2334 <br />Date of Lien Lien Type County <br />,- , 03/1312008 [KIOriginal DContinualion . Dcorrected Hall <br /> BI,JSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />Business Name Name <br /> Bianey Villatoro Cantoral' <br />Street Address Street or Other Mailing Ar;ldress <br /> , 524 Lumber Street <br />City -staTe Zip Code City State . Zip Code <br /> Grand Island NE 68801 <br />Tax <br />Category Tax Period Date of Amount of Tax Penalty Interest Additions Balance of <br />Number Assessment Assessment Due <br />22 2004 06/03/2007 1,572.00 7~.60 312.42 1,963.02 <br />22 2006 05/16/2007 37.00 1.85 2.70 41.55 . <br /> TOTAL $ 2,004.57 <br /> <br />I hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determination of the <br />amount shown to be d and the taxpayer has failed to pay the amount due after demand. If this Notice of State Tax Lien is an extension of an . <br />effective lien, it serve continue the riority of the slate's interest in the affected properly of the taxpayer~ <br /> <br />. 03/13/2008 <br />Date <br />4-494-1974 Rev. 2-2002 Supersedes 4-494-1974 Rev. 10-1995 <br /> <br />sign <br />here <br /> <br /> <br />Revenue Agent <br />Title <br /> <br />Revenue Supervisor <br />Title <br /> <br />03/13/2008 <br />Date <br /> <br />308 632-1200 <br />Telephone Number <br /> <br />cP <br />