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Nebraska ID Number <br />33921784 <br />Federal ID Number <br />Lien Serial Number <br />11791679 <br />Lien Filed With: <br />® Registerol Deeds ❑County Clerk <br />Social Security Number <br />XXX -XX -7308 <br />Spouse's Social SeCurtfy Number <br />Date of uen <br />08/01/2017 <br />Lien Type. <br />®Dr1 ❑Continuation I Corrected <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />JOHN I MARKLAND <br />1217 NORTH SHERMAN AVENUE <br />GRAND ISLAND NE 68803 <br />Tax <br />program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penally <br />Interest <br />Costs <br />Total Due <br />Individual <br />2013 <br />04104/2017 <br />3,209.12 <br />160.46 <br />317.57 <br />3,687.15 <br />— Total <br />$3,687.15 <br />Aug. 2017 4:06FM_ • NE `ecretary =f State — UCC- <br />Nebraska Department or <br />REVENUE <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 Tien -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 />�hn nrevinuc lien er continua statement, <br />sign <br />here <br />I certify th <br />Mai the I <br />tale's int <br />horized Signature <br />201705203 <br />Notice of State Tax Lien <br />Revenue Agent <br />Tine <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska Department of Revenue has complied with the laws of the Slate of Nebraska in determining the amount shown to be due. <br />r has tailed to pay the amount due atter demand. This Notice o1 State Tax Lien Is an eflective lien and serves to continue the priority of <br />n me affected proPertY of the taxpayer. <br />Tide <br />Revenue Supervisor <br />Vc. 1530 F. <br />pop <br />08/01/2017 (402)471 -5731 <br />Dale Phone Number <br />08/01/2017 <br />Dale <br />4.494 -1974 Rev. 0.2013 Supereeoec 4- 949-1074 Rev. 2 -2002 <br />