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10l07/2011 FRi 15:01 FAx 402 471 4429 I]CC 5ECRETARY OL� STATS y-�-+ 8a11 <br />� <br />�` <br />�0110'7519 <br />�ooz/oo5 <br />� � ... � <br />Nebraska D�partment af <br />������ NOTICE OF STATE TAX LIEN <br />www. �ev;e� µe.ne, s.ov <br />This NoUce of State '�ax Lien is issued by the Nebraska Department of <br />Revenue for unpaPd taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is fiereby given that taxes [ncluding penalties and <br />[nterest, which are st�awn below, are due from the taxpayer s�ci�ied <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal pcoper[y belo�g�ng to the taxpayer <br />or hereafter acauired. <br />38778599 <br />111B2949 <br />�( Registerof Deeds �Caunty Clerkl XXX-XX-0363 <br />10/06/2011 ���9�1 ❑Con►inuabon []Correct� HALL <br />BUSINESS MP�YIE AND LOCATION ADDRESS TAXPAYER NAN1E AND MAILING ADDRESS <br />CRISOFORO ESTRADA PALAFOX <br />909 S EDDY <br />GRAND ISLAPiD NE 68801-6550 <br />r <br />Tax <br />Category Tax Period' Date of Amflu� of Ta� Penalty Interest Additlons Balance o! <br />Num6er . Assessment __ _ Assessment Due <br />22 I 2007 106�29/2009 <br />626.00 � 31.30 � 122.20 <br />779.50 <br />i <br />� <br />TOTAL I $ ns.5o <br />� N2feby C,CttiTy 1h8t lh@ IVBbfdSkB DE�tVl1P,71t Of R2YPdllJe he3 f7Q[fl� Willl ti18 fC�6itU@ i� OT if18 aI3[6 or iveordsrt� a i u ro ucta� � m�auw � �� uw <br />amount shown to be due, ar�d the ta�ayer has failed to pay the amotmt due after demand. If this I�lice of Siate Tax Lie,n is an extension of an <br />etfeaive lien it serv� to mntinue the priority of the stabe's inte�est In the affec,bed property of the laxpayer. <br />� • � �� Revenue Agent 7 � 0 �p p10 l (402)471-6043 <br />sign Preparer's �ahue Tifle Dat elep eNumber <br />here ► Revenue Supervisor /O � c��•. !� <br />t�ized Siona ' Title D�e <br />4-494-187d Rev. 2 ZOD2 Supetsetl� M41-1974 Rev.10-19@5 <br />I <br />; v : <br />