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201508770
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12/28/2015 4:36:20 PM
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12/28/2015 4:36:20 PM
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DEEDS
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201508770
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TeX <br />Program <br />Tex Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2011 <br />09/01/2013 <br />522.00 <br />39.85 <br />05.42 <br />647.27 <br />Total <br />$647.27 <br />Dec. 23. 2015 3:52PM- NE Secretary c State — UCC Nc.4295. 6 <br />•NE Sec .f 54ak. dv.., - ' <br />a . <br />99157657 -8 Pu <br />CRISWELL JOYCE L <br />Filed; 12/28/201 01:07 P11 <br />Nowak(' Department of <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 />98369717 <br />Lien Serial Number <br />11562918 <br />sign <br />here <br />Aulho ad SIgnatu <br />Pen Flied Wtlh: <br />© Register of Deeds [] County Clerk <br />Dale of Caen Lien Type: <br />12/23/2015. © Origind 0 conunuatlon <br />I Business Name and Location Address <br />2015087'70 <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Federal ID Number <br />Social Security Number <br />XXX -XX -4054 <br />County <br />Corrected • HALL <br />Taxpayer Name and Mailing Address <br />JOYCE L CRISWELL <br />940 S CLARK <br />GRAND ISLAND NE 68801 <br />Spouse's Social Security Number <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />• I Cerny that the Nebraska Department of Revenue has compiled w11111110 laws of the State of Nebraska in detarmbing the amount shown to be due, <br />and that the taxpayer has failed to pay the amount due alter demand. This Notice of Slate Tax Lien is an effective lien and aervea to continue the priority 01 • <br />the State's inlereat in t -': - -- cted4 . = rly or the <br />;` // Revenue Agent . 12/23/2015 (3081632 -1203 • <br />Title Date Phone Number <br />• Revenue Supervisor • 12/23/2015 <br />Wr Title 'Dale • <br />4454 -1974 Rev. 8-2o13 supersedes 4449:1 971 Rev.22002 <br />
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