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201606995
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Last modified
10/20/2016 4:14:50 PM
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10/20/2016 4:14:50 PM
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DEEDS
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201606995
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P ig <br />Tax Period <br />Assess of <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2011 <br />05/18/2016 <br />5,667.00 <br />1;416.76 <br />847.88 <br />7,931.63 <br />Total <br />$7,931.63 <br />Oct. 211. 21116 3:45FM . NE Secretary of State — UCC <br />Nebraska Department OT <br />REVENUE <br />This Notice of State Tax Llen Is Issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Fax <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 lien. 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 10 Number <br />36429074 • <br />Lien Serial Number <br />11679097 <br />Date of Lien <br />10118/2016 <br />I certify tha <br />that the <br />ale's in <br />Lien FIIecl WII <br />Register of Deeds El County Clerk <br />Lien Type: <br />Onoa,al <br />Business Name and Location Address <br />Notice of State Tax Lien <br />TiUe <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Federal ID Number <br />Social Security Number <br />XXX -XX -0604 <br />Q <br />Continuation 0 Corrected <br />CHRISTOPHER G COX <br />PO BOX 402 <br />DONIPHAN NE 68832 <br />Revenue Agent <br />NE Sce of sl.k.. John e.t• - <br />County <br />HALL <br />2 qip9 6 pgp <br />9918781465 —a <br />cox CHRISTOPHER G <br />Filed: 10/20/2016 10:24 AM <br />Spouse's Social Security Number <br />Taxpayer Name and Mailing Address <br />of Revenue has complied with the laws of the Slats of Nebraska in determining the amours shown to be due, <br />mount due after demand. This Notice of Slate Tax lien Is an efecttve teen and serves to continue the privity of <br />the : payer. <br />CC ST <br />10/1 6/2016 (402)471-S731 _ <br />Title Date Phone Number <br />Revenue Supervisor 10/18/2016 <br />Date• <br />4-494 -074 Pew. 9.2019 Superseoos 4-940.1974 Re %. 2,2002 <br />Pge. 1 <br />
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