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N S44A. <br />Good :ire. Great Se�vi<e. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 1907001052-1 Pages: 1 <br />Debtor Name. TROY W MORRIS <br />Filing Date and Time: 07/19/2019 01:39 PM <br />201904 19 <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509-4609 <br />Notice of State Tax Lien <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 lien. 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 NOT WRITE IN THIS SPACE <br />Nebraska ID Number <br />41232933 <br />Federal ID Number <br />Len Serial Number <br />11933474 <br />Len Filed with: <br />® Register of Deeds ❑ County Clerk <br />Social Security Number <br />XXX -XX -4220 <br />Spouse's Social Security Number <br />XXX -XX -6568 <br />Date o' Lien <br />July 15, 2019 <br />Len Type: <br />®Original 0Cominuatlon ❑correued <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />TROY W MORRIS <br />JULIE L MORRIS <br />2221 W ANNA ST <br />GRAND ISLAND NE 68803 <br />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 />03/30/2019 <br />$911.00 <br />$45.55 <br />$98.58 <br />1,055.13 <br />Total <br />$1,055.13 <br />sign <br />here <br />I 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 the taxpayer has tailed to pay the amount due after demand. This Notice of State Tax Lien 0 an effective lien and serves to continue the priority of <br />the Stales interest in the affected properly of the taxpayer. <br />Authorized Signature <br />Revenue Agent <br />Tick, <br />Revenue Supervisor <br />07/15/2019 (308)632-1203 <br />Dale Phone Number <br />07/15/2019 <br />Title Date <br />4494.1974 Rev. 0-20'9 Supe sedan 4.049.3074 Rev. 8-2013 <br />