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Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual. <br />2008 <br />09/02/2015 <br />$510 - 00 <br />$127.50 <br />$173.75 <br />L1 Original 0 Continuation <br />811.25 <br />Total <br />$811.25 <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 Iien.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 />PLEASE DO NOT WRITE IN THIS SPACE <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />Nebraska ID Number <br />98493248 <br />Federal ID Number <br />Lien Serial Number <br />11802793 <br />Lien Filed Wfth: <br />Social Security Number <br />XXX- XX-8011 <br />Spouse's Socal Security Number <br />XXX -XX -8004 <br />l Register of Dee& ❑ County Clerk <br />Oale of Llen <br />February 28, 2018 <br />Lien Type: <br />County <br />HALL <br />L1 Original 0 Continuation <br />■ Corrected <br />cot <br />Mar. 5. 2013 2:44FM NE Secretary of Stag <br />Nebraska Deperrment of <br />REVENUE <br />sign <br />here <br />Business Name and Location Address <br />r ' <br />f �;1i <br />Preparer's Sig =lr <br />Li al <br />Authorize • ature <br />Notice of State Tax Lien <br />Revenue <br />Title <br />Revenue Supervisor <br />NE Sea of flab John A pate - UGC 911. <br />9918807111 -4 Pigs: 1 <br />LEETCH MEW D <br />Filed: 03/OSf2018 11:02 AM <br />Taxpayer Name and Mailing Address <br />BOBBY D LEETCH <br />JENIFER A LEETCH <br />550 THIRD RD <br />GRAND ISLAND NE 66803 -0313 <br />1 certify that tine Nebraska D = • Iment of Reese has complii0d with the laws of the Slate Of Nebraska to determining the amount shown to be due, <br />and that the taxpayer has failed to • =y the atm due after demand. This Notice of Slate Tax Lien is an effective nee and serves to continue the priority of <br />the Slate's interest , Cta It • : ty • 1 / 4i'ISYpayer. <br />02/28/2018 (308)632 -1203. <br />Date Phone Number <br />02/28/2018 <br />Title Date <br />4- 404 -197d Rev. 0-2019 Supersedes 4- 9494974 Rev. 2= <br />