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Fe .26.2019 1:54AM NE :rotary cf State - UCC <br />IU BRAtct�r[n^ <br />G3co Lea, Grout Sor•i,ce. <br />bra,. fie 0..0/ Oita <br />2 0u19493114; <br />NE see or Suite _Sabena. pvAGn <br />Filing Document #: 1902001886-5 Pages: 1 <br />DebtorNamt: ASHLEY WASHBURN <br />Filing Date and Time: 02/26/2019 1099 AM <br />Notice of State Tax Lien <br />This NOtIce Of State Tax Lien is issued by the Nebraska PLEASE DO NOT WRITE IN DRS SPACE <br />Departlnent of Revenue for unpaid takes 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 anti dernand.These taxes ars 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 Tien will expire and <br />become unenforceable 10 years after the data of recording If no <br />continuation statement Is recorded en or prior to the expiration of <br />the previous Ilan or conlinuellon statement, <br />Nab/asks ID Nambtre <br />12436372 <br />Lien Serial Number Lbrt FIleqµYD: �r---{ Sac?ef 5ecur iy rhvmbee swan's Social Security M1umtwl <br />11923304 0 R �n kr Oi Deeds 1—1 rlrCkrk XXX_XX-0027 <br />Data el lion Lien TAW County <br />February 14, 2019 ®origlrol DConinudbn OComatata NALL <br />Ovalness Name and Location Address Taxpayer Name and Mailing Address <br />Federal ID Number <br />474420611 <br />ASHLEY WASHBURN <br />2116 W DIVISION <br />GRAND ISLAND' NE 68803 <br />Tax program Wax Period <br />1 <br />Date of Tax <br />Assessment i <br />01.12:`2019 j 5,559.50 <br />Penalty <br />572.70 <br />Interest <br />314.63 <br />Costs <br />.00 <br />Total Due <br />6:446,83 <br />Sales . 107101/2016-02/28/2018 <br />• Total <br />6,446.83 <br />sign <br />here <br />comity [hal Ulu Nebraska °specimen(al Revenue had compiled with the !Sas or tiro guts of Nebraska in delererinlna me amount shown b tm Oue, <br />And the - o le'peyyr tea (ailed IO Oily :ha : ur,L cue arlar, mime.. Tots Notice of Stale Tex Lien it en effective' son and Serves to continuo lbs Priority d <br />Env SIMWasi In IDA athictad eI Ieo tarmie <br />t I'•_�. Revenue Agent <br />Title <br />/' Revenue Senior Agent <br />r <br />/uthWhOd 9ignancro Title <br />02./07'2019 402-471-57u <br />• Date <br />Prone e, <br />a ill <br />Date <br />+-494-se71 ines It -2010 Eb/avae.tete.rex Pay.o-2oIa <br />