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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 />2016 <br />07/05/2017 <br />$489.00 <br />548.90 <br />$13,18 <br />551.08 <br />Total <br />$551.08 <br />D� <br />Mar. 13. 2018 3:44FM NE Secretary of Stag No. 0215 P. 3/3 <br />Nebraska Department of <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 Iien.Thls Ilen 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 />95240918 <br />Lien Serial Nun t r Lien Flied with: <br />11863229, Register of Deeds p County Clerk <br />Date of Lien <br />March 09, 2018 <br />sign <br />here <br />Business Name and Location Address <br />201801549 <br />Notice of State Tax Lien <br />PLEASE DO NOT WRITE IN THIS SPACE <br />f=ederal D Number <br />Social Security Number <br />XXX -XX -2264 <br />Llen Type_ <br />® Original ❑ Continuation ❑ Corrected <br />7E See of stake Jelin h Gale - UCC STL <br />9918807466 -5 PSIS: 1 <br />ISKE MARSHA <br />Filed: 53/13/2018920 . <br />spouses Social Security Number <br />County <br />HALL <br />Taxpayer Name and Mailing Address <br />MARSHA I_ ISKE <br />603 WEST 6TH STREET APT 206 <br />DONIPHAN NE 68832 <br />!certify that the Nebraska Department of Revenue has compaed Whh Ifte laws of the State of NebrsSKa In determining the amount shown to be due, <br />and that the lawyer has tailed to pay the amount due after demand. This Notice of State Tax Lien is an effective Ilen and Serves to continue the priority of <br />the Slate' -.,y r rest In the = tied = property of the taxpayer. <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />(402)471 -6043 <br />Phone Number <br />03/09/2018 <br />Au prized Signature Title Date <br />4404-1974 Rev. 8 -2013 Supersedes 4- 040.1974 F4# 2 -2002 <br />