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State of Nebraska <br />NEF3,44A- <br />6/4/2019 3:45:30 PM PAGE 2/004 Fax Server <br />HE Sec of-Sca:c Robert B Evnen <br />Filing Document g: 19U6U00079-2 Pages 1 <br />Plaine :ESSE 1 T1BIN <br />Flting Date- Tim e 06,1,4/2019 :1 35 AM <br />201903189 <br />Notice of State Tax Lien <br />This Note 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 irom the taxpayer and remain <br />unpaid after dernand.TI-sese taxes are a lien for at1 properly located <br />in the c•ounty and rights to property owned by the taxp.ayer <br />acquired before the expiration of this lien. T his lien twill expire arid <br />become unenforceable 10 Leans ft.04. the date of recording if no <br />continuation statement is recorded on or p-er to the expiration of <br />the previous lien or continuation statement: <br />1, <br />44588046 <br />150 <br />119.301a6 <br />May 31, 2019 <br />PLEASE DO NOT WRITE it NIS SPACE <br />XX X•XX-9504 <br />HALL <br />Business Name and Location Addreau laxpayer Name end MeIllng Acldreti <br />Tax P09rarr; <br />Tax ii--"ciroci <br />individual <br />JESSE ,F TC.Es'N <br />2324 N <br />C ---RAND ISI:rkf‘i0 NE 86C1E.' <br />Date of <br />Assessrr.ent <br />2o15 chs,•cla72oie <br />Tax <br />$735.;)0 <br />i).ei--1.11ity iteresr Costs <br />35.'.). 'I 3 <br />sign <br />here <br />Tote Due <br />842,63 <br />rotal 8642.63 <br />'10 -''<. <br />%-<.' cl,,,rAml hle N ,•1a <br />ikp c,pt <br />SupeRm.;or <br />1.„-f.,,,71 3 <br />