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12/12/2011 MON 15:01 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br />1 <br />�01109310 <br />� <br />Nebreska DeparUment of <br />FtEVENUE <br />www.revenue.ne.gov <br />�004/006 <br />NE See of 41oio John R Gele - UCC STL <br />9911679155-6 P9s: t <br />BRITO NEFTRLI <br />Ffled: 12/12/2011 10:27 AM <br />PLEASE RETURN T0: <br />NEBRASKA DEPT OF REVENUE <br />1313 FARNAM-0{V THE-MALL <br />OMAHA NE 68102-1871 <br />NOTICE OF STATE TAX LIEN <br />This Notice of State Tax Lien is issued by the Nebraska Deparbnent of <br />Revenue for unpaid taxes pursuant to the revenue lauvs 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 specifled <br />below and remain unpaid after demand. These ta�ces constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter acauired. <br />99707896 <br />11166673 <br />�Register of Deeds �County Clerkl )pU(-)U(-5009 <br />12/09/2011 �Original �ConCmuatlon �Conected f{q�� <br />BUSINESS NAME AND LOCA110N ADDRESS TAXPAYER NAME AfVD MAILING ADDRESS <br />NEFTALI BRITO <br />1209 W 11 TH ST <br />GRAND ISLAND NE 68801-4019 <br />Category I Tax Period I Date of I Amount of Tax I Penalry I lirterest <br />Number Aasessment <br />22 � 2007 � 12124/2010 � 508.00 � 25.40 � 103.62 <br />9 <br />637.02 <br />TOTAL � $ 637.02 <br />���c�cuy �enuy u�a� me �veoresKa uepanmen[ o� rcevenue nas cumpuea witn tne revenue �aws ot the state at rvebrasKa N the aeterminaGOn or the <br />amount shown to be due, end the ta�ayer has fa�ed ta pay the amounl due afler demand. It lhis Notice a� State Tan Lien is an extension of an � <br />e�fecGve lien, it serve,s,to con6nue the p�o (y o( the stale's inter�st in the aitected property of lhe ta�ayer. _. <br />• � � Ravenue Agent � . �. � — � (308�32-1203 ' <br />S19� - Prep s S' n e ' � Date ' Telep o e mb� - <br />here ► Revenue Supervisor <br />. . oriz nature Title , , • . te . <br />. . • . . � • a-asa-��raaev.z-2oozsu�rseae,aaea�e�a•a� t iesB <br />Addfdona I Balanee oF <br />Assessment � <br />� <br />