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201603398
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Last modified
6/1/2016 4:45:23 PM
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6/1/2016 4:45:23 PM
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DEEDS
Inst Number
201603398
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. Nebraska ID Number <br />94075611 . <br />Federal ID Number <br />, <br />Lien Serial Number <br />11671841 <br />Lien Plied With: . <br />(g] Register of Deeds ❑count Clerk <br />Social Security Number .• . <br />XXX -XX -3301 . <br />Spouse'a Social Security Number. <br />Date of Lien <br />0512512016' <br />Lien Type :. • <br />Original iii Continuation It corrected' <br />County <br />HALL <br />Business Narrie and Location Address <br />Taxpayer Name and Malin • Address <br />BIANCA V GERTZ '' <br />516 E 10TH STREET • .. . <br />GRAND ISLAND NE 6880 <br />Tax ; <br />' Program <br />Tax.Period . . <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2014 <br />01111/2016 <br />781:00 <br />• 89.95 <br />• . .49.91 <br />920.86 <br />Total <br />$920.86 <br />Jun. 1. 2016 04FM <br />' Nebra's Department at <br />REVENUE :• <br />.2 <br />Notice of State Tax .Lien <br />This Notice of. State: Tax.: Lien is Issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Commissioner: Taxes, .including penalties, interest, and costs; <br />Which are shown below, are due from the taxpayer and remain <br />unpaid alter demand.These taxes are a lien for all property located <br />In the county and rights to property owned by the taxpayer or <br />acquired before the explratlan of this Ilen.Thls lien will expire and <br />become unenforceable 10 years: after the date of recording if no <br />continuation statement Is recorded on or priorte the expiration of <br />the previous l or co ntinuation statement. <br />Revenue Agent <br />Title . . <br />Revenue Su <br />• Title <br />ervisor <br />N 5.o of St.6e John <br />11 <br />9918774702 -3 <br />GERTZ 8IMCA V <br />Filed D5/ <br />PLEASE DO NOT WRITE IN ' THIS SPACE <br />N:. 290 <br />PLEASE. RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />sigh <br />here <br />05/25/2016 <br />Data <br />A AQ1E - UGC STL' <br />Pas: 1 <br />01 .24 P17 <br />I certify that the Nebraska Department of Revenue has compiled with the laws ()Ibis State of Nebraska in determining the amount shown to be due, ' . • <br />.and that the taxpayer has I- to pay the unl due after demand,Thls Notice of •State Tax.Llen is an effective Pen and serves to continue the priority of: <br />.. the State's interest In the " .ti ,'Jr,• pe oft l ,; • - . ' <br />(308)6324206 <br />Phone Number <br />05/2512016. <br />Date <br />4494-1974 Rev - E Su$er9edee 49 Rev. 2 -2002 <br />
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