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NEBo <br />i 1 .fe. Gree; c«,ra <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2004001140-4 Pages: 1 <br />Debtor Name: TASHA L MILLER <br />Filing Date and Time: 04/23/2020 10:04 AM <br />Notice of State Tax Lien <br />202002496 <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509-4609 <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 />Netxaske 10 Number <br />39037614 <br />Lien Serial Number <br />12052750 <br />Odle el L=en <br />April 16, 2020 <br />I Lien Filed With: <br />i E Register of Deeds County <br />Fedwal D Numner <br />Sozal Securay Number <br />XXX -XX -5962 <br />Spouse's Social SecuriIy Nurse, <br />L en Type: <br />® Original <br />p Continuation <br />Business Name and Location Address <br />Conecleo <br />County <br />HALL <br />Taxpayer Name and Mailing Address <br />TASHA L MILLER <br />2414 WEST 1ST ST <br />GRAND ISLAND NE 68803 <br />Tax Program <br />Tax Period <br />Date of Tax f Penalty <br />Assessment <br />Interest <br />Costs <br />Total Due <br />Individual <br />2015 <br />03/31/2018 5725.00. 537.95 <br />$108.491 <br />Total <br />871.44 <br />$871.44 <br />sign <br />here <br />f ce2ey that the Nethaska Department of Revenue has complied *rah the h,ws of the State of Nebraska ,n determining thy, amour( shown lc be clue, <br />and pat the taxpayer has ailed to pay the amount due after der -and. This Notice of Slate Tax Lien is an effective ken and serves to eonl:nue the priority of <br />ate Slate's interest in ho, atected properly of the taxpayer. <br />Author' <br />VP <br />Revenue Agent <br />lig <br />Revenue Supervisor <br />04/16/2020 (308)632-1203 <br />Date Phare Number <br />04116/2020 <br />Titre <br />Oats <br />9494.1'1 4 fiay. 5..209 b ,yos.yoo, s-90'1979 ftev, a -no': <br />