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NFBRAS KA <br />202000558 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2001001368-1 Pages: <br />Debtor Name: HARRY PREISENDORF <br />Filing Date and Time: 01/24/2020 10:24 AM <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 DO NOT WRITE IN THIS SPACE <br />Nebraska ID Number <br />26980444 <br />Federal ID Number <br />Lien Serial Number <br />12047295 <br />Date of ben <br />January 21, 2020 <br />Lien riled With Seoul Senor'.ty Number <br />® Register of Deeds [ County Cierk XXX -XX -0707 <br />Lien Type. <br />Orrgnal Continuation L Corrected <br />Sdouses Soda/ Security Number <br />XXX -XX -9797 <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />HARRY PREISENDORF <br />ALICIA PREISENDORF <br />7815 SKY PARK RD <br />GRAND ISLAND NE 68801 <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 />2017 <br />10/31/2018 <br />$8.098.00 <br />$439.90 <br />$646.93 <br />9,184.83 <br />Individual <br />2018 <br />11/27/2019 <br />$56,170.00 <br />$2,907.67 <br />$2,162.16 <br />61,239,83 <br />Total <br />$70,424.66 <br />sign <br />here <br />I certify that the Nebraska Department of Revenue has complied with Ire: haws of the Stab, of Nrkraska in determining the amount shown to be due. <br />and that the taxpayer has 'ailed to pay the amount due after demand. This Nolico at State Tax Lien .s an effective hen and serves to contest* the rummy of <br />the States interest et the affected property of the laxpayen. <br />LJ� Yir, A `lr ` Revenue Agent 01/21/2020 (402)471-5712 <br />Preps i s S�gneture �i Title Date Phone Number <br />re rt."- /l ��J: _. Revenue Supervisor 01/21/2020 <br />AuttQnzed Signature ! Tele Date <br /><194 ID74 ru,v. a -time Reeercenes.4.549-t974 Rev. 6.2et2 <br />i <br />