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08/03/2011 �TED 13:58 FAX 402 471 4429 �CC SECRETARY OF STATE -�-+� 8a11 <br />�� <br />�' <br />20�9.05775 <br />TOTAL <br />� <br />Nebreska Department af <br />R�/ENUE NOTICE OF STATE TAX LIEN <br />www.ravanue.ne.eov <br />Thls Notice of State Tax Uen is issued by the Nebraska Department of <br />Revenue fo� unpaid taxes pursuant to the �evenue laws of the state of <br />Nebraska. Notice Is hereby given �at taxes IncludPng penaltles and <br />irrterest, which are shown below, are due from the taxpayer specifled <br />below and remain unpatd after demand. These taxes constitute a lien <br />in the county for real end personal property belonging to the taxpayer <br />or hereafter acauUed. <br />98296671 <br />11159260 '..� �Reglster of Deeds �Couniy Clark XXX XX-6665 <br />Date of Lien Lten Type Counry <br />08/01/2011 ' ' •• - ' �Odgina! �Cnntlnuatlon QCorrected H,q�,� <br />BUSINESS I�U4�lE AND LOCATION ADDRESS � TAXPAYER NAME AND AAAIL{NO <br />VALDEMAR BERMUDEZ <br />439 ROUSH LN <br />GRAND 1SLAND NE 68801-8232 <br />Category Tax PerPod <br />Number <br />22 2008 <br />Date of Amouirt of Tax Penalty <br />Assessment <br />03/ 1312011 6, 542.92 1, 635. <br />Interest I Additlons <br />750.20 <br />Balance of <br />sessment Due <br />8,828.85 <br />emount shawn to <br />effeaive Gen, it � <br />� sign �� <br />here ►.�/ <br />�looz/ooz <br />8,92B.85 <br />or nevenue nas compuea anm Ne revenue �aws rn me �race or neo►asKa �n uie aetertnmauen or me � <br />�s faded to pay the amatmt due after danend. if this Nobce nf State Tax Lien is an e�dension of an <br />of the sta 's Inter�t in the atfected property of the taxpay�. <br />Revenue Agent � � (308�32-1210 <br />el e umber � <br />i <br />Revenue Supervisor ( <br />TiUe Da � <br />aas4.��r� r�v. z-zooz su�s�aea e�a9a-»r� Rev. �a�� } <br />,- <br />