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pr Tex period assessment Tax Penally littered Coate Total Due Individual 2015 05/24/2016 276.00 13.80 6.42 296.22 Total $296.22 Jan. 26. 2017 3:35N NE Secretary of State — UCC Nebraska Department of REVENUE This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes administered by the Tax Commissioner. Taxes, Including penalties, interest, and costs, which are shown below, are due from the taxpayer and remain unpaid after demend,These taxes are a Ilen for all property located in the county and rights to property owned by the taxpayer or acquired before the expiration of this lien.Thls lien will expire and become unenforceable 10 years after the date of recording if no continuation statement is recorded on or prior to the expiration of the previous Ilan or continuation statement, Nebraska ID Number 47382945 Lien Serial Number 11782962 Date of Lien 01123/2017 sign here Business Name and Location Address ed Signature 201700589 Notice of State Tax Lien Ilan Filed with: Register of Deeds D County Clerk PLEASE DD NOT WRITE IN THIS SPACE Federal ID Number Social Security Number XXX XX -3300 Lien Type: IN Original 0 Continuation ❑ Corrected Taxpayer Name and IIMaUIIng Address SCOTT D PEERS 1180 SAPPHIRE LN SHAKOPEE MN 55379 -3705 Colinly HALL No.9427 F. bi Sac aF S4a4.. John a Gala - UCt STL I` 991775E011 -4 Psis: 1 PEERS SCOTT D Filed: 0 1/26/2017 12:46 PM Spouse's Social Security Number 1 cerllty that the Nebraska Department of Revenue has complied with the Is of Me Stale of Nebraska in determining the amount shown to be due, and That the taxpayer has f led to pay The amount dde after demand. This Notice of State Tex Uen in an effective lien and serves to oontini,e the priority of the S G's interest In the al prop g 1y of the taxpayer. Prepa Signature Revenue Agent 01/23/2017 Title Date Revenue Supervisor Tate (402(471 -6789 Phone Number 01/23/2017 Date 4404 - 1e74 flee &.2013 Supersedes 4148.1074 RAIL 2 - 21102 11