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pro <br />Tax Peri <br />As s e ss m en t <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2013 <br />07/0312014 <br />302.00 <br />25.85 <br />18.43 <br />34628 <br />Total <br />$346-28 <br />x,28. 2015 2 66FM • NE Secretary .t State — UCC <br />201506652, <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />Nebraska Deparrmenr Of <br />REVENUE <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 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 />98438115 <br />Lien Serial Number <br />11558340 <br />Data of Lien <br />09/24/2015 <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Lien Filed W►lh, <br />® Register of Deeds ❑ County Clerk <br />Lien type: <br />® Original <br />e and Location Address <br />Social Security Number <br />XXX -XX -6344 <br />0 Conlinuaeon ❑ Corrected <br />Business Nam <br />Sigel <br />here <br />I certify ..t a De. <br />and that ✓ : , / <br />ate s <br />Federal ID Number <br />County <br />HALL <br />Taxpayer Name and Mailing Address <br />BARRY V OBEROSLER <br />1329 TUNNEL RD <br />ASHEVILLE NC 28805 <br />Revenue Agent <br />t16 Sae of 5iO4. John A 6a Ia - Ue[- ,L <br />1111111111 111 <br />9915761477 -7 Pgs: t <br />OBEROSLER BARRY V <br />Filed: 09/201201t. 01:20 PIS <br />Spouse's Social Security Number <br />Date <br />recent of Revenue has compiled with the lawc of the State of Nebraska In determining the amount shown lo be due. <br />pay the amount due after demand. This Notice of State Tan Lien to an enecbve lien and serves to continue the priority of <br />of the taxpayer. <br />09/24/2015 (308)632 -1210 <br />rise Data Phone Number <br />Revenue Supervisor 09/24/2015 <br />Tine <br />4 -494 -1974 Res. 8-Z013 Supersedes 4. 949.1974 PW.2.2002 <br />