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07/29/2009 G~iED 14:31 FAX 402 471 4429 [ICC SECRETARY OF STATE ~+yy Hall <br />X002/002 <br />NE Spa of f~ai• .7efrn A C~l~ - YCC SOON <br />2 0 0 9 0 6 2 7 2 199e9603~231101111111111111111P1g1 X1111 jlll <br />MEJIR LRZARO I7.ARA <br />Filed: 07!29!2009 12:47 PM <br />prlW~l3xe*kb ~e~nnrenrx p1' <br />E''~I~'`EE NOTICE TE TAX LIEN <br />,~~.,~.P...,~.~.,.,..~..~~ ~ ~ a o0 o a3 i o'7 <br />Cam/ ~ ~ooo <br />This Notice of State Tax mien is issued by the Nebraska Department of <br />Revenue far 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 />ar hereafter acauired. <br />38955172 <br />lumner Lien Filed With <br />992600391 QRegister of Deeds ~Gounty Clerk <br />Lien Type <br />XXX-XX-5919 <br />09/17/1999Original ~Continuatinn Corrected HALL <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />LAZARO IZARA-MEJIA <br />or Other Mailing Address <br />620 1l2 SOUTH ELM STREET <br />f;RANI~ ISI ANI7 NF aAan~ <br />Tax <br />Category Tax Period Date of Amount of Tax Penalty Interest Additions Balance of <br />Number Assessment Assessment Que <br />Title <br />Date <br />A-4841974 Rev. 2-2002 Supersedes 484-1974 Rev. 107995 <br />c~9 <br />amount shown to be due, and the taxpayer has failed to pay the amount due after demand. If this Native of State Tax Lien is an extension of an <br />effective lien, it serves to continue th priority of the state's interest in the affected property of the taxpayer. <br />EVENUE AG>;NT 07/27/2009 402 471-5928 <br />Sigt1 Prepa s ignature itle Date a ephane Number <br />here ~ REVENUE AGENT SUPERVISOR 07/27/2009 <br />