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P dam Tax Period Rey aunt Tax Penalty interest Costs Torsi Due individual 2011 03/1112014 1,123.43 56.17 94.58 1,274.18 J Total $1,274.18 Aug. 18. 2014 3:06PM NE Secretary of State — UCC Nahrsriq Pspartmallt of REVENUE 201405088 Notice of State Tax Lien This Notice of State Tax Lien is issued by the Nebraska Department of F$evenue for unpaid taxes administered by the Tax Commissioner. Taxes, Including penalties, interest, and costs, which are Shown below, are due iron the taxpayer end remain unpaid after demand.These taxes are a lien for all property located In the county and rights to properly owned by the taxpayer or acquired before the expiration of this lien.This lien will expire and become unenforceable 10 years after the date of recording if no continuation statement is recorded on or prior to the expiration of the previous lion or continuation statement. Nebraska ID Number 96743808 Lien Serial Number Llen Fled Web: 11438211 ® riegister a t O county aerk Dais of Lien Lien type: 08/14/2014 ® Odglnat 0 continuation Business Name and Location Address sign here d Signature Tide PLEASE DO NOT WRITE IN rum SPACE Federal ID Number Social Security Number XXX XX - 9335 Owed No.6228 P. 2 NE PP. of 540ls Jon A polo - LICE STl 1111 11111 i I� c, i 991474es81 -9 Poe: 1 Wyl_LIAMM ROBERT Filed. ee,113t2014 02 :25 PM Spouse's Soul security Number XXX- XX-8994 County HALL Taxpayer Name and Mailing Address ROI3ERT WILLIAMS RHONDALYN T WILLIAMS 206 SARATOGA CIRCLE GRAND ISLAND NE 68801 I mrilly that the Nebraska Department ni Revenue baa mnpied with the laea of the State of Nebraska in determining the erneum uba n to be due, and del the taxpayer tear (wed to pay the emoum due ell a de twrd. TM Make of stale Tay Lien is an elfeceve ten and was (P continue the enemy of the State's Interest In the property of the taxpayer, Revenue ant Tile Revenue Supervisor (402)171 6043 Phan Neater Dale 4491•1674 Nev.0•2013 rrvaeraedee 4949.1974 Neu. 2.2002 (4)