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201307908
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Last modified
9/30/2013 8:21:09 AM
Creation date
9/30/2013 8:09:06 AM
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DEEDS
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201307908
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. <br />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 to <br />or hereafter acquired. <br />Department of <br />of the state of <br />and <br />specified <br />a lien <br />the taxpayer <br />PLEASE DO NOT WRITE IN THIS SPACE <br />. <br />Nebraska Identification Number <br />98512943 <br />Federal Identification lumber <br />'pen Serial Number <br />11306701 <br />Lien Filed With <br />3 Register of Deeds ■ County Cleric <br />Social Security Number <br />XXX -XX -6353 <br />Spouse's Social Security Number <br />Date of Lien <br />09/2012013 <br />lien Type <br />1 Ori g inel ■ Continuation ❑ <br />County • • <br />HALL <br />BUSINESS NAME AND LOCATION ADDRESS <br />TAXPAYER NAME AND MAIUNG ADDRESS <br />REBECA J PENNNER <br />818 WINDRIDGE AVE <br />GRAND ISLAND NE 68803 <br />ax <br />Category <br />Number <br />Tax Period <br />Data of <br />Assessment <br />Amount of Tax <br />Penally <br />Interest <br />Additions <br />Balance of <br />Assessment Due <br />22 <br />2009 <br />05/25/2010 <br />647.00 <br />47.38 <br />101.82 <br />796.20 <br />22 <br />2010 <br />08/1712011 <br />667.00 <br />153.35 <br />71.62 <br />89147 <br />22 <br />2011 <br />05/18/2012 <br />638.00 <br />50.90 <br />36.51 <br />725.41 <br />22 <br />2012 <br />08/05/2013 <br />606.00 <br />45.41 <br />7.87 <br />659.28 <br />TOTAL <br />$ 3,072.66 <br />I hereby certify try <br />amnrrt shown to ba duo. and <br />Department of Revenue has COM ied with the revenue la . I - I: - . ,' J. , ;1. In the . - I : : i ■ . I - <br />the taroever has failed to oav rho amount due attar demand If this Notice of State Tar lien Is an ahmerrslon of an <br />Sep, 27, 2013 3:05PM NE Secretary of State — UCC <br />effective Tien, it serves b <br />sign <br />here ► <br />201307908 <br />Nebraska Department of <br />REVENUE <br />yvwvv.ruveniue.ne.Dov <br />kterest in the affected property of the taxpayer. <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />rte <br />No. 1138 P. 3 <br />PLEASE F <br />NEBRASM 99137234®5-6 <br />pE*ER REBECR <br />PO BOX 9,FLted; 09/2712019 12!36 PM <br />LINCOLN NE 68509 -4609 <br />NOTICE OF STATE TAX LIEN <br />Date <br />(308)632 -1203 <br />4.101.1071 Rev. 2.2002 Supersedes 4/941074 Rev, 111995 <br />
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