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Tax <br />Program <br />Tax Period <br />Date oI <br />Assessment <br />Tex <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2013 <br />08/26/2016 <br />147.00 <br />192.75 <br />59.80 <br />999.55 <br />individual <br />2014 <br />09/02/2016 <br />559.00 <br />148.62 <br />27.98 <br />735.60 <br />Total <br />$1,735.15 <br />oq <br />Dec. 19. 2016 2:23PM NE Secretary of State — UCC <br />Nebreeka Deportment or <br />REVENUE <br />L <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 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 />44096453 <br />Lien Serial Number <br />11682009 <br />Dale of Liar <br />12/14/2016 <br />sign <br />here <br />Lien Filed With: <br />IN Register of Deeds ❑ County Clerk <br />Business Name and Location Address <br />Au °(Zed S <br />201605538 <br />Notice of State Tax Lien <br />Title <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Federal ID Number <br />Social Security Number <br />XXX-XX <br />BEVERLY A REDWINE <br />2216 GATEWAY <br />GRAND ISLAND NE 68803 <br />Revenue Agent <br />Tile <br />Revenue Supervisor <br />No. 9145 <br />See of SA.CQ J hn C Gale <br />I 1 1111 <br />9918784087 -0 <br />REDIr1INE BEVERLY A <br />Filed: 12/19/2016 09 :42 AM <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />County <br />HALL <br />Lien Type <br />- © Original ❑ Continuation ❑ Carrgcled <br />Taxpayer Name and Mailing Address <br />Data <br />Spouse's Social Security Number <br />I °artity that the Nebraska Department of Revenue has compiled with the laws of the Slate of Nebraska in deletnxrdng the mount shown to be due, <br />and that the taxpayer has Wed to pay the amount due after demand, This Notice of State Tax lien Is an effective lien and serves to caMmue the FUNNY of <br />the Stately interest in the au ='V' i t rop ! I me • ayer. <br />�wi <br />Proper ! A�r iL% <br />F'. 4 <br />- ucc CTL <br />pgse 1 <br />12/14/2016 (308)632 -1206 <br />Phone Number <br />1211412016 <br />Dale <br />1.4941079 Apt IL201a Supersedes 1445 -1071 ntea 2.2902 <br />