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11/22/2010 MON 15:39 FAX 402 471 4429 UCC SECRBTARY OF STATE ~~~ Hall <br />� <br />• <br />2oioos7�o <br />�006/007 <br />NE S�c q� fl�;s dqhn A Galf • �CC STL <br />� <br />gUCER0 Z p � $ � 1 . <br />Filad; 11/22/2010 10:40 RM <br />�+iObraiskw �ppsrlrn4►Yt i!� <br />RE'1�E�'�It,�E NOTICE OF STATE TAX LIEN <br />www�.� �r►n.r�h. �+w.�rsv <br />PLEASE DO N07 WRI IN 7HI SPACE <br />This Notice af State Tax Lien is issued by the Nebraska Department of <br />Revenue far unpafd taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given that taxes including penalties and <br />interest, which ara shown belaw, are due from the taxpayer specified <br />belqw and remain unpaid atter demand. Th�se taxes constitute a li�n <br />in the county for real and persvnal properly belonging ta the taxpayer <br />or hereafter acauired. <br />1p180058 <br />CateBory <br />Numder <br />01 <br />21 <br />21 <br />Q�g ���, I� Register of aeeds �County <br />11/16/2010 [�X Original �Gontinuation <br />BU5IN�SS NAME ANA LOCATION A�DRES5 <br />Tax Period � Date o� <br />d3/31 /2010 11 /16/2010 <br />1/1/p9 thru 11/16/2p10 <br />12/31/2009 <br />1/1/10 thru 11/16/201D <br />03/31 /2010 <br />Amount of 1'ax <br />450.00 <br />Q.00 <br />Q.Oq <br />XXX-XX-261$ <br />�corrected Hall <br />TAXPAYER NAME AND MAILING ADDRES$ <br />Pablo Z Lucero <br />t or �f er Mailing ddress <br />�o�a E atn st <br />st�ce <br />Grand Island N� <br />Penalty Int�rest Addittona <br />120.p0 14.A8 <br />zs_oo o.00 <br />25.00 �.00 <br />88801 <br />Balance vf <br />Assessment Due <br />584.�8 <br />zs.00 <br />25.OQ <br />TOTAL � $ 634.48 <br />i nereny cernry cnac tne neerasKa Department of Revenue has complied wiff� the revenue laws of the State o ebraska in the determination of the <br />amaunt shown to be due, and the taxpayer haa failed to pay the amount due after demand. Ir this Notic� of State Tax Lien fs an extension of an <br />efFective lien, it seroes to continue the priori af tha state's interest in the affected property of the taxpa�e� <br />e � Revenue SeniorAgent 11/�812010 4U� 471-6727 <br />sign repare 'gnature Title � �` pate elephone Number <br />here e Revenue $enior A ent 11! 2010 <br />uthorized 5ignatura Title p <br />4�94•197A RAV. 2-2002 Superaeda� q-094-1874 Rev. 70�1995 <br />