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01/06/2010 WED 15:29 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall ~~ Please return to: STATE OF NEBRASKA DEPARTMENT O)"' REVENUE 1811 WEST 2'''p ST STE 460 GRAND ISLAND NE 68803 2oioooil3 N~t~brurwle* eywwpyert~vwrnt oe` E'"~"E~IE www.lr ~lrrin~uw.tM~-.1418.+~` NL 5~c ~ooz/ooz ..~_ ., r..~.. l1CG STL ci~YaN~na aESUs Filed: 01/06/2010 09:58 Art NOTICE OF STATE TAX LIEN This Notice of State Tax lien is issued by the Nebraska Department of Revenue for unpaid taxes pursuant to the revenue laws of the state of Nebraska. Notice is hereby given that taxes.inbluding penalties and interest, which are shown below, are due from the taxpayer specified below and remain unpaid after demand. These taxes constitute a lien in the county for real and personal property belonging to the taxpayer or hereafter acquired. 9688862 ~~~~ , l~• I QRegister of Deeds ~Gounty 12/17/2009 I ^X Original Continuation BUSINESS NAME AND LOCATION ADDRESS 20-3856452 XXX-XX-2333 Corrected Hall TAXPAYER NAME AND MAILING ADDRESS Jesus Castaneda or Other ailing Addn 535 East Capital Grand Island NE 68803 Tax Category Tax Period Date of Amount of Tax Penalty Irttarest Additions Balance of Number Assessment Assessment Due 01 109/30/2009 111 /D4/2009 I 7,760-67 I 1,109.04 I 465.52 I I 9,335.23 TOTAL $ 9,335.23 i 1 hereby certify that the Nebraska Department of Revenue has complied with the revenue laws of the State of Nebraska in the determination of the amount shown to be due, acrd the taxpayer has failed to pay the amount due after demand. If this Notice of State Tax Lien is an extension of an effective lien, it serves to continue the~priority of the state's interest in the affected property of the taxpayer. ® Revenue Senior A ent ~a i ~ 308 385-G073 sign Preparer's 'riatu Title Date Telephone Number here ~ Revenue Senior A ent 12/21/2009 , Authorix Signature Title Date 494-1974 Rev. 2-2002 Superasdea 491-19TH Rev. 10.1995 ~~ '~ V i