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State of Nebraska <br />PLEASE RETURN TO: <br />NEBRASKA DPTOF REVENiill <br />PO BOX '34660 <br />LINCOLN NE 68509-4.609 <br />6/5/2019 3:39:09 PM PAGE 2/003 FToleM226 <br />NE Sc.; of State - Robert Es Ev nen <br />Filing Document #: 1906000226-8 Pages: 1 <br />Debtor Na tiIC ANTHONY JOHNSON <br />Filing Date and Tune: 06/050019 12:20 PM <br />Notice of State Tax Lien <br />This Notice of State Fax Lien issued by the Nebraska <br />Department of Revenue for unpaid taxes administered by the Tax <br />Contmissioner. Taxes, including penalties, interest, and costs, <br />which are shown below, are due trom the taxpayer and remain <br />unpaid after demand.These taxes are a lien far all property located <br />in the county and rights to properly owned by the taxpayer or <br />acquired before the expiration of this lien. This lien will expire and <br />become unenforceable 10 years after the date of recording it no <br />continuation statement is recorded on or prior to the expiration of <br />the previous lien or continuation statement, <br />PLEASE DO NOT W9lI3 E in Ti -IFS SPACE <br />ZE, <br />$1877415 <br />119298.56 <br />FeNtleoz: N.,:elber <br />an "r;tx,e: tiro:-or,br Noteno: <br />E ;;Odor r <br />,:‘,21 <br />May 28, 2019 <br />XXX -XX -3553 <br />f-.44.10 <br />HALL <br />Business Name and Location Addresr Taxpayer Name and Meiling Address <br />Tax Program. <br />Individual <br />Tax Period <br />2015 <br />Date of <br />Assessment <br />0212012018 <br />ANTHONY ..OHHSON <br />23 <br />3027 N CANTAL AVE <br />GRIND ISLAND NE 65503 <br />Tax. <br />$270.00 <br />-Penalty <br />Interest <br />Costs <br />Totai Due <br />373.51 <br />Totat $373.51 <br />I 1s.5, 1611 f'.i.opaeff,,Ottf of RtYvRAlit• IA,: ->1-Se :ot-o <br />1,1,pxer in,:!:3,1,N17;) Azo.onni Jul 4<yrvioct Yr.", !ON:A <br />1l'ocmu,n. iii <br />0o-Sfo:: taxpoyor <br />s ign <br />here <br />s• •••. <br />Revenue Senior Agent 0512812019 (308)632-1205 <br />nice , <br />Revenue Supervisor 05128/2019 <br />;:t1.14".• <br />