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This Notice of State Tax Lien is issued by the Nebraska <br />Revenue for unpaid taxes pursuant to the revenue laws <br />Nebraska. Notice is hereby given that taxes including penalties <br />interest, which are shown below, are due from the taxpayer <br />below and remain unpaid after demand. These taxes constitute <br />in the county for real and personal property belonging <br />or hereafter acquired. <br />Department of <br />of the state of <br />and <br />specified <br />a lien <br />to the taxpayer <br />PLEASE DO NOT RITE IN THIS SPACE <br />Nebraska Identitiaciion Number <br />97296406 <br />Federal Ide nlificatlon Number <br />Lien Serial Number <br />11308801 <br />Lien <br />®Register <br />Flied With <br />County Clerk <br />Social Seailty Number <br />XXX -XX -8830 <br />Spouse N <br />of Deeds I <br />Date of Lien <br />09/24/2013 <br />Lien Type <br />]Original OConnnlalion []Corrected <br />County <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAILING ADDRESS <br />KRISTIN K IMEL <br />643 E MEVES AVE <br />GRAND ISLAND NE 68801 ' <br />Tax <br />Category <br />Number <br />Tax Period <br />Data of <br />Assessment <br />Amount of Tax <br />Penalty <br />Interest <br />Addalons <br />Balance of <br />Assessment Due <br />22 <br />2009 <br />11/1212010 <br />4,450.00 <br />806.85 <br />1.629.22 <br />6,686.07 <br />TOTAL <br />$ 6,686.07 <br />I hereby • - r <br />that the Nebraska Department of Revenue has comnled whh the revenue laws of the Stars of Nebraska in' 'aeterm:,aeen <br />Sep, 27. 2013 3:05PM NE Secretary of State — UCC <br />Nebraska Department of <br />REVENUE NOTICE OF STATE TAX LIEN <br />www.revenue•ne•eov <br />201307907 <br />amount shoowr► to be due, and the taxpayer has failed b pay the amoral due alter demand. If this Notice of State Tax Lien Is an exoenslai of an <br />effective fiery, it serves to continua the priority of the slate's Interest In the affected property of the taxpayer. <br />Revenue Senior Agent <br />The <br />Revenue Supervisor <br />Tine <br />No. 1138 P. 2 <br />ME ROO of 44a4a John M G.I. - UCe iTL <br />1 1111111 [1111 <br />'III <br />9913723404 -4 Pee: 1 <br />IMEL KRISTIN K <br />Filed; 39/27/2013 12:36 PM <br />(402)471 -5713 <br />4404-1114 Rev 24002 Syxee,ee 4-4ee -1674 Rev. 15.1096 <br />