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___ <br />03/29/2011 TUE 14:06 FAX 402 471 4429 UCC SECRETARY OF STATE �-+� Hall <br />�� <br />NE See of Sleke Jehn p 6a!¢ - U�t STL <br />9911656073-5 Pss: i <br />RODRIGUEZ FLORENTINO <br />FiiQd: 03J28l2011 0i:30 PM <br />201102464 <br />_ N� sira Departmeqt o.f <br />�����(��, NOTICE OF STATE TAX LIEN <br />Www.rev:enue.ne.gov <br />This Notice 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 penalties and <br />interest, which are shown below, are due from the taxpayer specified <br />belvw and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acquired. _ <br />40609588 <br />11153475 <br />f�1003/003 <br />�RegisterofDeeds �CountyClerk' XXX-XX-4879 <br />03/23/2011 �Original �Caitinuation �Carecc;ted HALL <br />BUSINE55 NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />FLORENTiNO RODRIGUEZ <br />1700 SWANSON DR LOT 102 <br />ROCK SRPINGS WY 82901 <br />Category I Tax Period I Date of I Amount of 7ax I Penalry � Interest <br />Number I Assessment <br />22 � 2007 � 06/30I2010 { 324.0� � 16.20 � 54.51 <br />394.71 <br />TOTAL I $ 394.71 <br />1 hereby c�rtify lhat the Nebraska Department of Revenue has complied with the revenue laws at me State or Neorasxa �n sne aeiermmaucm o� u,� <br />amount shown to be due, and the ta�ayer has failed to pay the amount due after demand. If this Notice of State Ta�c Lien is an extenswn of an <br />eHecGve lien, it serv� to con6nue the priority of the state's interest in the affected property of the ta�cpayer. <br />� Revenue Agent � (4U2)471-5928 <br />sign P a i ure Title Dat Telephone Number <br />here ► Revenue Supervisor z �� <br />Authorized Signature Title Date <br />4-49e-1971 Rev.2-20025uperseAes �-494•1974 Rev. tat995 <br />� <br />Additions I Balance of <br />Assessment C <br />� <br />