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Tax Program <br />Tax Period <br />As et a s ° mot <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due . <br />Individual <br />2012 <br />06/05/2013 <br />1,1131.92 <br />245.77 <br />236.40 <br />1,664.09 <br />Individual <br />2013 <br />05/20/2014 <br />2,977,00 <br />201.85 <br />168.10 <br />3,346.95 <br />Total <br />$5,011.04 <br />Mar. 4. 2016 2: 53rM. NE Secretary 0 <br />Nebraska Departmarc or <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 lten,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 />Nehraeka ID Number • <br />39211096 <br />Lien Serial Number <br />11666496 <br />Date of Lien <br />03/02/2016 <br />Lien Filed With <br />IN Register of Deeds D County Cleric <br />Lien Type: <br />® Original <br />Business Name and Location Address <br />201601306 <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Federal ID Number <br />Social Security Number <br />XXX -XX -4006 <br />Continuation 0 Corrected <br />Taxpayer Name and Mailing Address <br />PAUL PANKONIN <br />JESSICA PANKONIN <br />1016 PLEASANT VIEW DRIVE <br />GRAND ISLAND NE 68801 <br />I certify that the Nebraska De• ailment of Revenue has compiled with the kiwi of the State of Nebraska In determining the amount shown to bed" • <br />and that ipayer teas f . pay me amount duo after demand.Ttas Nollce of Stale Tan Liens an effective Non and serves to continuo the plotity of .. <br />the St= ;erest'�, = aft :dpropertyof the laup.', <br />sign <br />her <br />State — UCC . No.5374, F. 2/2. <br />NE Sec cI Sin a John R Bola - UGL ST <br />111 1 <br />9916759652- Pas: 1 <br />PRNKONIN PAUL <br />FiLed: 03/04/2016 01:25 PM <br />Revenue Agent <br />Tple <br />Revenue Supervisor <br />Title <br />Date <br />Spouse's Social Security Number <br />XXX -XX -4953 <br />county <br />HALL <br />Phone Number • <br />0310212016 • <br />03102/2016 (402)471 -6043 <br />Dale <br />4-494 -1974 Rem 8 -2.012 Superaedea 4. 949.1974 R. 2 -2002 <br />„(J <br />