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State of Nebraska 8/28/2019 3:40:31 PM PAGE 4/006 Fax Server NEBR-A-64.(c-A-- 201905223 NE Sec of State - Robert Et Ev nen Filing Document 1908001457-1 Pages: 1 Debtor Name JESSICA FANKONIN Filing Date and Time 05/28/2019 11.45 AM Notice of State Tax Lien This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes administered by the Tax Commissioner. Taxes, including penalties, interest, and costs, which are shown below, are due from the taxpayer and remain unpaid after dernand.These taxes are a lien far all property located in the county and rights to property owned by the taxpayer or acquired before the expiration of this; lieri.This lien will expire and become unenforceable 10 years alter the date of recording if no continuation statement is recorded on or prior to the expiration of the previous lien or Continuation statement, 39211099 ti::bttetr 11936109 'PLEASE DO NOT WRITE IN THIS SPACE August 21, 2019 Z.‘,.!,:zi!•:•!!)5/:!!-; Cicr4: Z. -os (1!?:...^1Zno:r•ban XXX -XX -4153 HALL Business Name and Location Address Taxpayer Name and Mailing Address 'fax Program Tax Period Date of Assessmest Individual • 2015 0871212016 Tax JESSICA PANKONiN 1016 PLEASANT VIEW DRIVE 'GRAND ISLAND NE 09801 F--eneity I r tO rest Costs Individual 2i)16 1 liOlf2.017 $3,429 SE.j:Sti 0 $22.691 00 '81,439.23 $750.08 $1,881.55 Total Due Total 4..239.,64i 25.911.78 $30,151.421 th.:, :!cc•!. '7: It: pay 11,.) 481,- C!!!rioVoe 80- C.,..1,:!; !Z.! 95s a1 !ht.! • 11.11 Reveaue 08/2112019 402)471-592a fRaventio S12ervit3or 03521:12019. •1;