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12i30i2010 THU 14:30 FAX 4D2 471 4429 UCC SECR�TAxY OF STATE ��� Hall <br />�� <br />2010�9854 <br />@10o3�ooa <br />VELRZ�UEZ RAMONE VERJAN <br />FllRd: 12/3012019 09;49 FlM <br />7tlrls�rwkr: �7�r•tr'rcent od <br />`F�E"�E�1� � E <br />:�.,�.,,..�.�...�:��...:�. ��. <br />NOTICE �F STATE TAX LIEN <br />This Not�ce of State 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 hereby given that taxes including penaltles and <br />interest, which are shown below, ara due from the taxpayer specified <br />belaw and remaln unpa[d after demand. These taxes const9tute a Ifen <br />in the county for real and persanal property belonging to the taxpayer <br />cr hereafter acpuired, <br />1 Q5�40083 <br />Catagory <br />Number <br />D1 <br />�� �Register of �eeds �Gounty Clerk XXX-XX-9232 xxx-xX-0956 <br />l.ien Type Cuunry <br />12/2g/2p1p a0riginal �]Cont�nuation []Corrected Hall <br />�USINESS NAM� AND I,QCA710N ADpRES$ TAXPAYFR NAM AN R M AILING AD�RF_SS <br />Tax Perlod <br />09/30/2010 <br />Date af Amount of Tax <br />Assessment <br />12/28/2010 , 905.00 <br />Ramone Verjan Vela <br />f or Other Mailing Address <br />2211 Cochin St <br />Grand Island <br />Penalty Interest <br />186.00 I 18.98 <br />& Maria � F'ierro Aguirre <br />state Zip Code <br />NE fi$801 <br />Additions Balance of <br />Assessmsnt Due <br />1,109.98 <br />T07AL �$ 1,1Q9.98 <br />1 hereby certify that the Nebraska Department of Ravenue hes compiiecl w�tn tna revenue iaws ot [ne ��a�e o� nearasna m u�n ae�C����+nau��� v� �nc <br />amount shown ko be due, and the ta�ayer has failed to pay the amount due after demand. If tMis Notice of State Tax Lien is an sxtansion of an <br />effective lien, it se es to continue tha prioriry of the state's intere5t in the affected prvperty of the t�xpaye <br />� Revenue Seniar Agent 12/�Q10 4D2 471-5727 <br />sign P par s ignatu TiHe ata Telephone Number <br />here � Fievenue Senior Agent 12I�12010 . <br />Authorized Signature Titie Dafe <br />4-084-1974 Rsv.2-2UO2 3upsrsedes 4a{84-1974 �ev. 1995 <br />