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10/28/2011 FRI 15:10 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ 8a11 <br />�� <br />20110813y <br />tae se� <br />���� <br />MUNOZ <br />Filed <br />�looz/oo3 <br />- UCC STL <br />Pgs: , <br />----- � <br />����'lr <br />N+ebraska Departme�t of <br />�E�E�I�l1E NOTICE OF STATE TAX LIEN <br />www,revenue.ne.gov <br />This Notice of Stat� 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, whlch are shown below, are due from the taupayer specifled <br />below 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 acaulred. <br />38989859 <br />11164157 <br />�Re.gisterof D�ds �County Clerkl XXX-XX-(?410 <br />10/27/2011 �Original �Con6nuation �Coa�t� HALL <br />BUSINESS NAME AND LOCATION ADDRESS TAXPAYER NAME AND NIAILING ADDRESS <br />JUAN A MUN�2 <br />1701 W 1 ST <br />� GRAND ISLAND NE 68803 <br />Category Tax Period Date of <br />Number Aesessment <br />22 2Q07 06/21/2011 <br />Amount of Tax Penalty <br />1,660.00 83.00 <br />interest I Addltions <br />328.82 <br />2,071.82 <br />TOTAL . � $ ' 2,071.82 <br />i nereay cernry u�a� u�e rveorasKa �partment ot Kevenue has complied with the revenue laws of the State of Nebraska in lhe determination of the <br />arnount sho►nm to be due, and tt�e taxpayer t�s fail�l to pa},r the amount due after demand. If this No6ce of State Tax Lien is an e�dension of an . • <br />eftective lien, it .�o 'aity of the 's In(erest in �e affected property of the taxpayer. � <br />. . . . <br />. � � R enue /�qent ' • • 0 a7 0 (402}471-6043 <br />s ig n Preparer ure �le Dat • Telep pe umbe ' <br />hefe ► r Revenue Supervisor �(% � <br />Au ' ed Signature , Title . Date � <br />, � , .• . 4-494•1874 (iev. 2-2�2 Supersedes 4494;1974 Rev. tad995 <br />ealance of <br />a <br />