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04/11/2011 MON 15:16 FAX 402 471 4429 <br />�� <br />UCC SECRETARY OF S�i <br />I <br />20110279 <br />� <br />Nebr ska Departmern of <br />� �rEnruE <br />ww .revenuo.ne.gov <br />This Notice of State Tax Lie� is issued by e Nebraska Department <br />Revenue for unpaid taxes pursuant to the venue laws of the'.state <br />Nebraska. NcGce is hereby given that taxe including penaities and <br />interest, which are shown betow, are due m the taxpayer specifie <br />below and remain unpaid after derrtand. T se taxes constitute a!ie <br />in the county for reai and personal prope belonging to the taxpay <br />or hereafter ac uired. <br />Nebraska IdenUfication Number ederal denU c <br />46831401 ' <br />Lien Senal Numher Lien Filed With Soi <br />11154170 �Regist of Deeds �County Clerk ; <br />Date of lien • Lien Type <br />04/07/2011 �Origin �ConGnuation �]Correc <br />BUSINESS NAME AND LOCATION /I�D ESS <br />� ��� Hall <br />�002/002 <br />OF STATE TAX LIEN <br />(-7126 � <br />ounty <br />HALL � <br />YER NAME AND MAIUNG ADDRESS <br />AMADEO VE SQUEZ <br />424 EAST AL ST <br />GF2AND IS N NE 68801 <br />Category Tax Period Date of <br />Nuraber Assessme� <br />22 2009 05/12/2010 <br />amodnt shown to <br />effec�ive lien, it s� <br />sign � <br />here ► , <br />of Tax Penaity Interest Addittona Balartce of <br />Assessment Due <br />416.00 30.6 23.92 470.72 <br />r TOTAL $ 470.72 <br />Departmeni of Re has complied with the revenue. ws o!he State of Nebraska In the determinatwn of the <br />taxpayer hds teiled t pay the amount due aftee deman If thi Notice of State T� Lien is an extens+on of an <br />�e ' e's iM�est in the affected prop of th ayer. <br />� Revenue Agent � � t (308)632-1210 <br />�Ue te Te(ephone Number <br />Revenue Su ervisor �- i � <br />- 7itle Date <br />�-�s�� Rev. 2�oot su�ers.aes �+e��er� aev. �a�ses <br />\�' <br />