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Tax <br />Category <br />Number <br />Tax Period <br />Date of <br />Assessment <br />Amount of Tax <br />Penalty <br />Interest <br />Additions <br />Balance of <br />Assessment Due <br />May. 10. 2016 3:09FM NE ` e_:`retary of 'Mate — UCC <br />201602885 <br />This Notice of State Tax Lien is issued by the Nebraska Department of <br />Revenue for unpaid taxes pursuant to the revenue laws of the state of <br />Nebraska. Notice is hereby given that taxes including penalties and <br />interest, which are shown below, are due from the taxpayer specified <br />below and remain unpaid after demand. These taxes constitute a lien <br />in the county for real and personal property belonging to the taxpayer <br />or hereafter ac • uired. <br />Nebraska Identification Number <br />40996905 <br />Lien Serial Number <br />1750071 <br />Date of Lien <br />07/31/2000 <br />BUSINESS NAME AND LOCATION ADDRESS <br />Business ame <br />Street Address <br />City <br />22 <br />22 <br />22 <br />22 <br />e Dian <br />sign <br />here 6 <br />1992 <br />1993 <br />1994 <br />1895 <br />Ric <br />utho`" ign; <br />05/07/2000 <br />05/07/2000 <br />05/07/2000 <br />05/07/2000 <br />State <br />I hereby certify that the Nebraska Department of <br />amount shown to be due, and the taxpayer has <br />effective lien, it serves to continue the prior <br />►1a4rack Vi <br />REVENUE NOTICE OF STATE TAX LIEN <br />Lien Filed With <br />©Re of Deeds ['County Clerk <br />Lien Type <br />UOriginal <br />Zip Code <br />775.00 <br />865.00 <br />792.00 198.00 <br />477.26 119.32 <br />Title <br />j Ce- C1c\OD0C\ V <br />Federal Identification Number <br />Continuation OCorrected <br />Name <br />LARRY BEHRENS <br />Street or Other Mailing Address <br />2323 BELLWOOD DR 95 <br />City <br />ISLAND <br />193.75 <br />216.25 <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Social Security Number <br />XXX - XX - 1483 <br />County <br />HALL <br />TAXPAYER NAME AND MAILING ADDRESS <br />482.53 <br />478.02 <br />377.69 <br />184.52 <br />TOTAL <br />Revenue has complied with the revenue laws of the State of Nebraska in <br />to pay the amount due after demand. If this Notice of State Tax Lien <br />t in the affected property of the taxpayer. <br />evenue A.ent <br />Revenue Supervisor <br />05/05/2016 <br />Date <br />SEE ATTACHMENTS <br />N..—N :u <br />9916713495— <br />BEfiKNSt LARRY <br />Fl sd 05/10/2018 <br />State <br />NE <br />the determination of the <br />Is an extension of an <br />68801 <br />UCC SCGN <br />Pee 5 <br />11:10 AM <br />Spouse's Social Security Number <br />Zip Code <br />1,451.28 <br />1,559.27 <br />1,367.69 <br />781.10 <br />$ 5,159.34 <br />308 632 -1206 <br />Telephone Number <br />05/05/2016 <br />Date <br />4-494 -1974 Rev. 2-2002 supersedes 4.490 -1074 Rev. 10-1095 <br />