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Jul. 17. 2013 3:44PM NE Secretary of State — UCC <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.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 />33680132 <br />Lien Serial Number <br />11809822 <br />Dato of Lien <br />July 11, 2018 <br />Tax Program <br />Individual <br />Individual <br />Lien Flied With: <br />J Re of Deeds Q County Clerk <br />Lien Type; <br />® Original <br />Business Name and Location Address Taxpayer Name and Mailing Address <br />TARA J GRAVES <br />2422 W 18TH <br />GRAND ISLAND NE 68803 <br />Tax Period <br />2012 <br />2013 <br />Notice of State Tax Lien <br />Date of <br />Assessment <br />01/17/2017 <br />01/17/2017 <br />Continuation DCOrrecled <br />201804587 <br />Federal 0 Number <br />Social Security Number <br />XXX -XX -3427 <br />Tax <br />$28,400.40 <br />518,622.01 <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Penalty <br />57,100.10 <br />54,989.87 <br />Revenue Agent <br />Title <br />Revenue Supervisor <br />Title <br />Nc.4344 F. 2 <br />NE Sue of 5iaie John N Oala - UCC STL <br />1 111111 <br />8818815948 -3 Pus; 1 <br />GRAVES TARA .t <br />flied: 07/17/2010 10:19 ant <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />Spouse's Social Security Number <br />County <br />HALL <br />Interest <br />84,465.48 <br />82,369.33 <br />Costs <br />Total <br />F certify that the Nebraska Department of Revenue has complied With the laws of the State of Nebraska in determining the amount shown to be due. <br />and That me taxpayer has failed to pay the amount due after demand. This Notice of Slate lax Uen Is an effective Ilea and serves to continue the priority of <br />the State's interest in the affected property of the taxpayer. <br />Total Due <br />39,965.98 <br />25,981.21 <br />$65,947,19 <br />07/11/2018 (308)632-1203 <br />Date Phone Number <br />07/11/2018 <br />Dale <br />4- 484.1474 Rev. 8.2013 9i4'eree0as 4949 Rev. 2-2002 <br />