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05/06/2011 FRi 13:46 FAX 402 471 4429 UCC SECRETARY OF STATE ��� gall <br />�� <br />� <br />���-�U3492 <br />I"IELVIN 0 <br />1 01:23 PM <br />�J003/003 <br />� � <br />Neb�aska Repartment of <br />���'��:(�� NOTICE OF STATE TAX LtEN <br />wvuw. reve n�ue.na.� ov <br />This Not(ce of State Tax Lien is lssued 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 spBCified <br />below and remain unpafd after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the �xpayer <br />or hereafter acquired. <br />97181021 <br />11155081 <br />�Reg'isber of Deeds �County Cierkl XXX-XX-7579 <br />05/05/2Q11 �Original �C�tinuadon �Corrected HALL <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND MAILING ADDRESS <br />MELVIN 0 MELENDEZ ALICEA <br />5010 S WASH7ENAW AVE <br />CHICAG� IL 60632 <br />Category <br />Number <br />22 <br />Tax Periad I Date of <br />2009 I 05/07/2010 <br />Amount of Tax <br />231.00 <br />Penally � Interest � Additions � Balance of <br />11.�a5 I 12.18 <br />' I TOTAL I $ <br />254.73 <br />254.73 <br />I hereby certdy that the Nebraska Department of Revenue has c�mplied writh the revenue laws of the State or Nenrasua �n me ae�ermu�aaon or �ne <br />amount shoum to be due, and the taxpayer has faile.d to p�ay the amount due after demand. If this Notice oF State Tax Lien is an extension of an <br />effective lien, it serves to ntinue Uie priority of the state's interest in the affected property of the ta�cpayer. <br />� � Revenue Agent S � 1 (402)471-5928 <br />sign Prepare ' nat Title e Telepfione um <br />here ► Revenue Supervisor <br />- Autlwrized Signature TiUe . • Date <br />4494•1974 Rev_ 2-�2 Supersedas 4-494-1974 Rev.10-7885 <br />0 <br />��1, <br />