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. 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 />2012 <br />11(01/2015 <br />1,276.88 <br />180,14 <br />349.67 <br />1,806.69 <br />Total <br />$1,806.69 <br />.Ncv. 16. 2516 3:22FM • •NE Secretary of State — UCC. <br />Nebreeke Department of <br />REVENUE <br />This Notice of State Tax Llen 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 deftland.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 ID Number <br />99848406 <br />Lien Serial Number <br />11680647 <br />Date of Lien <br />11/10/2016 <br />sign <br />here <br />Signal <br />I cattily that the Nebras <br />and the taxpayer has <br />the '6 Interest In the <br />Lien Type: <br />grodginw <br />Business Name end Location Address <br />Authorized Signature <br />Notice of State Tax Lien <br />Lien Filed With: <br />© Register of Deeds . ❑county Clerk <br />❑ Continuedon . ❑ Corrected <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Federal ID Number <br />E See of John H Ga1e - U[[ -STL <br />111 1111 <br />9916782782 -1 Pgs: I <br />LEACH JAMES P.JR <br />Filed: 11116/2016 1a 4d IM <br />Social Security Number Spouse's Social Security Number <br />XXX- XX.4425 • XXX.XX -1320 <br />County <br />HALL <br />4 <br />Taxpayer Name and Mailing Address <br />JAMES P LEACH JR <br />224 W 10TH STREET <br />GRAND ISLAND NE 68801 <br />Department of Revenue has complied with the laws of the State of Nebraska In determining the anlotxl shown to be due; <br />d to pay the amount due after demand.PIN Notice of Slate Tax Uen is an effective On and serves to continue the priority of <br />ed properly of the taxpayer. . • <br />• <br />. <br />Revenue Agent <br />11/10/2016 (402)471 -5789 <br />Title ' Dale Phone Number <br />Revenue Supervisor <br />The <br />11/10/2016 <br />Dale <br />' 4494.1971 Rev. 8 -2015 Sepereeeee a-ens -1974 'Rev. 24002 <br />