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Tax Program <br />Tax Period <br />Ass n1 <br />Tax <br />Penalty <br />Intense' <br />Costs <br />Total Due <br />Individual <br />2012 <br />10/29/2013 <br />250 -00 <br />194.75 <br />40.73 <br />485.48 <br />Mil <br />il II <br />NM <br />ME <br />Total <br />$485.48 <br />J un, 23. 2015 3:10FM NE Secretary of State — UCC <br />Nebraska Department or <br />REVENUE <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 penalties, interest, and costs, <br />which are shown below, are due from the taxpayer and remain <br />unpaid after demand.These taxes are a lien 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 lien will expire and <br />become unenforceable 10 years after the date of recording if no <br />continuation statement is recorded on or prior to the expiration of <br />the previous lien or continuation statement. <br />Nebraska ID Number <br />94847657 <br />Lien Serial Number <br />1.1553293 <br />Dale of Uen <br />0 6/1 812 01 5 <br />Lien Filed With: <br />® Register of Deeds ❑ County Clear <br />Lien Type: <br />Business Name and Location Address <br />20150421.3 <br />Notice of State Tax Lien <br />Tale <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Federal ID Number <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />Social Security Number <br />XXX -XX -4774 <br />Original ❑Continuation ❑Corrected <br />ANTHONY M MANNING <br />DENISE M MANNING <br />413 OXNARD AVE <br />GRAND ISLAND NE 68801 <br />County <br />HALL <br />Nc,. 1419 E. 2 <br />NG ___ _ _ _,.. John, -.5 - UCC ST <br />9915756409 -5 Pas: i <br />MANNING PNTHONY R <br />Filed! 06123/2 ®16 02:23 PM <br />Spouse's Social S6unty Number <br />XXX -XX -9233 <br />Taxpayer Name and Mailing Address <br />1 certify that the Nebraska Department of Revenue has complied with the laws of the Stale of Nebraska In determining the amours shown to be due, <br />and that the . ayer has failed to , �: he am rd due after demand. This Notice of State Tax Lien is an effective pen and serves to continue the priority of <br />Ore State's Iola : t in thei � 1y ` axpayer. <br />Revenue Agent <br />Tale <br />Revenue Supervisor <br />06/18/2015 (300)632 -1206 <br />Dale Phone Number <br />06/18/2015 <br />Date <br />4-494-1974 Rev. 8-2013 Supersedes 4-949 -1974 Rev. 2 -2002 <br />tsiv <br />