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07/24/2009 FRI 14:59 FAX 402 471 4429 UCC SSCRSTARX OF STATI3 ~-~y Ha11 <br />~~ <br />Please forwazd to: <br />Nebraska Department of Revenue <br />4500 Ave I PO Box I500 <br />Scottsbluff, NE 69363-1500 <br /> <br />2oososi~~ <br />X002/003 <br />Nfi Saa of Skala Jahn R fiale - UCC STL <br />99@9602964-~5 Pss : 1 <br />ZEPtEDR CrtNTU CHRISTOPHER E <br />Ft lad: m7izaizme9 10:as an <br />Nebraska Department of <br />REVENUE NOTICE OF STATE TAX LIEN <br />vvww.ravenue.ne.goV <br /> P E T WRIT 13 SPA <br />This Notice of State Tax Lien is issued by the Nebraska Department of <br />Revenue for unpaid taxes pur:3uant 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 />~ <br />below and -remain <br />Dnpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belon8ing to the taxpayer <br />or hereafter ac wired. <br />rasa cation umber Federal I entl cation Number <br />44561237 <br />Lien Serial Number lien Fil r a ecunty umber pouse's Social Security unt:er <br />73340119 ®Repisler of Deeds County Clerk XXX-XX-0341 <br />Date o wen Lien Type cow, <br />07!21!2009 ®Qriginal Continuation ~Carrected HALL <br />BUSINESS NAME AND LOCA TION ADDRESS TAXPAYER NAME AND MAILING AQDRESS <br /> CHRISTOPHER E ZEPEDA CANTO <br /> 518 E CAPITAL AVE TRLR 43 ' <br /> GRAND 15LAND NE 68801 <br />ax <br />Category Tax Period Data of Amount of Tax Penally Interval Additions Balance of <br />Number Assessment Assessment Due <br />22 2005 11/30/2007 2,397.00 119.86 552.52 3,069.67 <br /> <br /> <br /> <br /> <br /> TOTAL $ 3,oses7 <br />I hereby Cettif V that the Nebras ka Department o avenue has mm IEtt w ith tf114 rpvnrllP raw c n . - fp Af A In 1hp ff PfP(InIfICIfIM rr,o <br />8 <br />Date <br />~-tel-fa~~ R.v. &7002 sup.raeeee 4as1-18'71 Re,r. 7at895 <br />amount strum to be and the taxpay as failed m pay the amount due after demand. If this Notice of State Tax Lien is an exteraion of an <br />effective lien, it conGn the' pf the state's lnteresk in the affected property of the taxpayer. <br />` Revenue Agent 07/21/2009 (30832-120 <br />sign s i natu rtle Date Telephone Num <br />here ^ Revenue 5u ervisor 07!21/2009 <br />odZed lure Title <br /> <br />