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12/23/2010 THU 14:09 FAX 402 471 4429 UCC S�CRETARX OF STATB ��� Hall <br />� � <br />2010Q967? <br />�002/002 <br />NE See af 5l��e Jphn p 6�1e • UCC STL <br />8910846368-8 Pas: 1 <br />ZU9IA RAI70N G <br />Filed: 12/Z8l2010 08:44 pM <br />� ' <br />Nebraska Department af <br />REVEN�JE NOTICE 4F STATE TAX LIEN <br />www.ravanuq.np.gav <br />This Notice of State Tax Lien is issued 6y the Nebraska Department af <br />Revenue for 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 caunty for real and personal property belonging to the taxpayer <br />or hareafter acauired. <br />99652641 <br />11049734 <br />uen ruea wun 5ocial 5ecurity Numher 5pouse's 5oaal Secu. <br />�Registerof Deeds �County Clerk XXX-XX-2964 XXX-XX-3371 <br />12/21/2Q10 I�Original �Continuation <br />BUSINESS NAME AND LpCATION An�R�SS ��� <br />Category I 7ax Period I Date of <br />Num�ar Asseasment <br />22 � 2009 � 04/23/2010 <br />�Corrected HALL <br />TAXp N AM� AND M AD�RESS <br />RAMON G ZIJBIA <br />SARA E ZUBIA <br />2741 LLANES CT APT D <br />KAILUA HI 96734-5046 <br />Amount of Ta�c Penalty <br />213.00 10.65 <br />Intarest I Additions <br />7.29 <br />230,94 <br />TOTAL � $ z3p.sa <br />�������� ..��ury ���p� u�� �����a��a uepc�unern or nevenue nas comp��eo wttn tpe revenue laws of the 5late of Nebraska in Ihe determinalian pFthe <br />amounl shawn Iq be due, and lhe laxpayer has Failed to pay the amount due after demand. If this Notice af State Tax Lien is an extension af an <br />effective lien, it serv ta corrtinue priority oF the slate's interest in the affected praperty af the taxpayer. <br />� Revenue Agent �� � (4D2)471-5928 <br />Sl�tl P are 5ignaturc itle pate Telsphnne Number <br />here ■ � Revenue Su ervisor �_, /� p <br />A horized Signature Title Date <br />4-�9�-i B71 Rev. 2•2DOx Suparsodee �-4s1-197� Rev.10.18Y5 <br />galance of <br />Assessment Due <br />l <br />