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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 />2015 <br />05/18/2016 <br />$1,533.00 <br />$112.65 <br />$114.23 <br />1,759.88 <br />Individual <br />2016 <br />05/24/2017 <br />$276.00 <br />- -$13.80 <br />$11.21 <br />301.01 <br />Individual <br />2017 <br />05/23/2018 <br />$1,212.00 <br />$60.60 <br />$12.85 <br />1,285,45 <br />Total <br />$3,346.34 <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 llen.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 00 NOTWRITE INTHIS SPACE <br />• <br />Nebraska ID Number <br />36214660 <br />i 0 Number <br />Lien Serial Number <br />11612661 <br />Lien Flied With: <br />Soda) Security Number <br />XXX-XX-5650 <br />Spouses Social Security Number <br />ij Register of Deeds County Clerk <br />Data of Lien <br />August 22, 2018 ' <br />Lien Type: <br />County <br />HALL <br />. <br />►i1 original . I♦ Continuation <br />■ Corrected <br />Aug. 27. 2018 3:12FM NE Secretary of State — UCC <br />Nebreeke Department of <br />REVENUE <br />sign <br />here <br />Business Name and Location Address <br />Prepa <br />Aut orired Signature <br />Notice of State Tax Lien <br />Tax <br />Revenue Agent <br />TiClo <br />Revenue Supervisor <br />rue <br />LYLE J KLUG <br />1605 N EASTWOOD <br />NORFOLK NE 68701 <br />1cS95E Q 4 <br />it See vI 54ei• John eD1� • U[t STI- <br />9918818334 QgB: 1 <br />KLUG LYLE J <br />Filsd: 08/27/2010 11:49 AM <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509 -4609 <br />a er Name an Mailing Aaaress <br />I certify that the Nebraska Department of Revenue has compiled wttn the laws of the State of Nebraska in determining the amount shown to be due, <br />and that the taxpayer has laded to pay the amount due atter demand, This Notice of State Tax Lien is an effective lien and selves to continue the prlorlty of <br />the Slate's interest in the affected property of the taxpayer. <br />OB/22/2018 (308)632 -1203 <br />Date Phone Number <br />08/22/2018 <br />Date <br />4- 44d -1e74 Rev. 8-2013 Supereedee 4- 849 -1974 Rev. 2-2002 <br />