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Pro 1 <br />Tait Period <br />Aaseea ant <br />Tax <br />Pemlq <br />Interest <br />Gnats <br />Tbtal Due <br />Individual <br />2011 <br />10/19/2012 <br />855.00 <br />42.75 <br />72.55 <br />970.30 <br />Total <br />$970.30 <br />Aug, 26, 2014 2.20PM NE Secretary of State — ACC No. 0369 P. 2/3 <br />1lehrrate Department o f <br />Notice of State Tax Lien • <br />This Notice of State Tax Lien Is Issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commissioner. Taxes, including penalles, Interest, and costs, <br />which arp show below, are due from the taxpayer and remain <br />unpaid after demand.These taxes area Ilea for all property located <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this IIen.This Ilea will expire and <br />beoome unenforceable 10 years after the data of recording 9 no <br />cant ivatlapn statement Ix recerded on or prior to the expiration of <br />the previous lien or continuation statement. <br />REVENUE <br />Nebaaelee 10 Number <br />41165 <br />fen Sertol Weibel <br />11438759 <br />Dela of Lien <br />08122/2014 <br />Lien Feed1Mf1: <br />© Replier of Deeds Ei Meaty Clark <br />Rosiness Name and Location Address <br />'01405252 <br />11w <br />PLEASE 00 NOT WFir E INTI1I$ SPACE <br />Faders, 1D Mother <br />Social Security Number <br />XXX J(X.3365 <br />LienTya: <br />Orkglrlel ❑ Coninuafon QCareaed <br />Revenue A <br />Tea <br />Revenue Supervisor <br />MG eai of ilea ,rave Gott - USG 61L <br />q'1 <br />9a14740031-8 Pea 1 <br />1iO1Z FiNDREM D <br />Filed: 0812612014 1113:49 PM <br />Spouses Socha Security Nunbar <br />County <br />HALL <br />Taxpayer Llama and Mailing Address 1 <br />ANDREW D WERTZ <br />1041 S LOCUST STREET <br />GRAND ISLAND NE 68801 <br />Nebraska Daparenenl of Revenue has mingled orb the law of ore Sale of hisbraeka in deiarminha Rro Amount durum to be due, <br />10 par = dus agar dement This Nolte of S1a16 Tax Lien is en effue ue len and soma lo oorliare the priory GI <br />Woolove <br />j401J471 »5731 <br />Phone Rueter <br />46. <br />Data <br />11 -494-1974 Rea 9- 14 atuwsW/ee 1441 -1974 Roo 2.2Ge2 <br />