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12/14/�p10 Tp$ 15:10 �A7C 402 471 4429 UCC S$CRBTARY 0� STATE ��� Hall <br />� <br />r <br />• <br />201009340 <br />�003/OQ4 <br />NE 5aa sf S{�;y � p Q�� . UCC SCpN <br />9910645382—, p � <br />CHAVEZ FIDEI M <br />Filed: 12/14/2010 12:13 PM <br />� <br />Nebrask� Department pf <br />REVENUE N TATE TAX LIEN <br />www.revgnuu.ne.s�ov V�� qq0 (� o.L�.. <br />C-�t�c #� � t o4-- <br />This Notice of Sta,te Tax Lien is issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is herehy given that taxes including penalties and <br />intarest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid a�ter demand. 7hese taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acau(red. <br />4Q306275 <br />03/23/2001 �Original �ConGnuation �Corrected HALL <br />8U51NES5 NAME AN� LOCA710N ADDRESS TAXPAYER NAME AND MNLING ADDR�S5 <br />uen aenai rvumoer uen rueq witn • Sacial Security Numl <br />110120241 �Register oF Deeds �County Clerk XXX-XX-1737 <br />Date of Lien Lien Type County <br />FID�L M CHAVEZ . <br />520 W LOUISE ST 1 <br />GRAND ISLAND NE 68$p1 <br />Category I Tax Periad � �atv af <br />Number Assessment <br />22 <br />22 <br />1997 I 11 /21/2p00 <br />1998 I 11l21/20�0 <br />Amount of Tax Penalty <br />193,00 9.65 <br />172.00 8.60 <br />Interest I AddfBonS <br />51.06 <br />29.99 <br />253.71 <br />21 D.59 <br />TOTAL I $ asa.3a <br />� nereoy cerury ma� �ne iveorasKa uepsnment pt rtevenue has camplied with the revenue laws of Ihe 5tate of Nebrdska in the determinatian o the <br />amounl shown lo be due, and the taxpayer has Failed ko pay the amount due after demand. lf this NpGce of State Tax Lien is an exlensian of an <br />effeclive lien, it sen, s lo conunue he priority of Ihe state's interest in the affected property oF the taxpayer. <br />� Revenue Agent (,).,, �j (402)471-5928 <br />Slgll re re i at TiUe Dal elephoneNumber <br />here � Revenu� Su ervisor p <br />Authorized 5i re Title �ate <br />/d9d-197q Rev. 2-2002 Supersedes 4�494�197� Rsv,1a1995 <br />Balance of <br />Assessment Due <br />