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NEBR-A- KA <br />201907021 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 1911000385-2 <br />Debtor Name: ROBERT NELSON <br />Filing Date and Time: 11/07/2019 11:12 AM <br />Pages: 1 <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 />N e 5',) 54.1 It) I -a, Ibr: r <br />13201126' <br />PLEASE DO NOT WRITE IN THIS SPACE <br />"ul 1 "h,^rnet <br />.. on Set al Nt.^bet in. Wt1h. Sul al tice5nty Numter Stones Social <..r.; ;ly NarWer <br />11940067 Lk,'t not oe ds �J elk,"‘ XXX -XX -2757 <br />Dale c: tt ten tyr* County <br />October 14, 2(119 IS]tI-cit.ti ]Carr-iinaar jCirrecten HALL <br />Business Name and Location Address Taxpayer Name and Mailing Address <br />ROBERT NELSON <br />RNLB DESIGNS <br />II LAKEVIF.WCIRAI'-i';2 <br />BRAND ISLAND NL 48803 <br />'ax ('roaram Tax Peri<xl f>atc or las Penalty I Interest <br />Assessment <br />Sales 01'01'2018 - 1231:2018108'062019 ;00.00 60.00 <br />Costs Tota' Due <br />10971 .00 37097 <br />Total 37097 <br />Cenity that the Nebralea I)etxl',r,enl ef never,ue nus compiled will t'e laws u' the Sate 0' Neb,assd r. Cr, e•mrnaxl the arnn.rd c'anntt :u be tile. <br />ant that :^r, taxpayer has !Pled to aay the amount clue afe, ac -and. Tom NMrr tI Stale Tax t :en i5 an r irr',ve tem and states :<I UJnn,rra, Itn 51in111y 0` <br />ta tits:e.ref.,''. Ito: ted properly el the S,pane il <br />f <br />sign <br />�' • �QentA/v1/)J Ileac -nue Senior Agent <br />here Marra (� kg"lat.) <br />Rccenue Senior Agent <br />111/07,2(119 <br />rt):) <br />402-471-57119 <br />N1, 412( <br />13Gw <br />nrh.naxnl Nc_n:acre li1c Dale <br />:c•,.BC:l"_ S.:t. tems<Jte, r.,!J W; a. bin') <br />