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N. EB&-AI&}4A <br />NE Sec of State - Robert B. Evoen <br />Filing Document 4: 1912000692-8 <br />Debtor Name: ROBERT W SHRODER II <br />Filing Date and Time: 12/13/2019 10:02 AM <br />Pages: 1 <br />Notice of State Tax Lien <br />20 1907869 <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 Iien.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 DO NOT WRITE IN THIS SPACE <br />- ; • <br />{ <br />Nebraska ID Number <br />95571981 <br />FoderaI O NotTkt}Rt <br />Len Serial Numbest <br />11945642 <br />Lkol W tis: <br />®Aagiste ct Deeds 0C aruy ,'Wtk <br />_.. <br />Social Seanny tdunyber <br />XXX -XX -8574 <br />Spouses Social Seo,rily Number <br />XXX -XX -0961 <br />Dale of Linn <br />December 11, 2019 <br />Len Type <br />J Grgma'°Or t 0Correnao <br />County <br />HALL <br />usiness Name and Location Address <br />Taxpayer Name and Mailing Address <br />ROBERT W SHRODER II <br />TERESA A SHRODER <br />730 BEACHWOOO DRIVE <br />NILES MI 49120 <br />Tax Program Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual 1 2012 05/27/2019 <br />5842.00I <br />5210.50 <br />5184.15 <br />1,236.65 <br />Individual k 2013 05/27/2019 <br />51,152,001 <br />5288.00 <br />5217.40 <br />1,657.40 <br />Individual f 2014 08/12/2019 <br />52,353.00 <br />5588.25 <br />5373.45 <br />3,314.70 <br />Total <br />56,208.75 <br />sign <br />here <br />{artily that the Nebraska Department of %venue ttas complied with 100 laws of t <br />at Me ?anp ym has failed to pay the amount due aher de^laod. This Notice al 5,a <br />Interest in Ow alio ted prone <br />itate of Nebraska in eetermin n0 the amount shown 1n be due <br />3 K an eNeetn t Wen a^w servos to eont4tae aha priority of <br />Revenue Agent <br />Revenue Supery <br />12/11/2019 (402)471-6043 <br />Dale Phone Number <br />12/11/2019 <br />Date <br />P, $1K16"nndns A4444 074 neo !4v3 <br />