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NAS. <br />L:'e v at ,s-, c, - <br />NE Sec or State - Robert B. Evnen <br />Filing Document #: 2006000160-9 Pages: 1 <br />Debtor Name: MARC T MORGAN <br />Filing Date and Time: 06/02/2020 09:27 AM <br />Notice of State Tax Lien <br />202003615 <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 NOTWRITE IN THIS SPACE <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509-4609 <br />Date of <br />Assessment <br />Nebraska ID Numbe' <br />95887164 <br />Fedoras to Number <br />Interest <br />Lien Sahel Number <br />12055244 <br />Len Fled Nt' . <br />Pegister at ;Deas 0 Covny Gferk <br />Soca! Security N o,,bor Spouse's Social Security <br />XXX -XX -5384 <br />mbar <br />Date al ben <br />May 26, 2020 <br />Len Type: I County <br />� 'J''g r'm ❑ r.Orltnuate - '—' Corrected S HALL <br />572.50 <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />MARC T MORGAN <br />815 W 17TH ST <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 />2013 <br />05/14/2019 <br />5290.00 <br />572.50 <br />561.36 <br />Total <br />423.86, <br />5423.861 <br />I cert ly tat the Nebraska Department of Revenue bas complier: with the laws of the State ct Neoraska in der er•n ru eq the amount she,,.ve to be doe. <br />and that the an. r has fatted to pa Me amount Ste atter demaret. Tris Notre or State lee i.len .s an enecyrea teat and 501005 to continue the prr ay of <br />taxi?. <br />States nfa jttm jbected p.- t:etrty at the taxpayer. <br />sit <br />?f 1iri, <br />sign <br />here' prepare" <br />At:tnonz <br />Revenue ce; i,,,.-"---' 05/26/2020 (308)632-1210 <br />Tak3 Date Phone Number <br />Revenue Su`jervisor 05/26/2020 <br />Ttto <br />Date <br />a<,7a.1A74 Hm. P.?tl'a Soraowe,s.t-a-ta-'97< Rev. 6?•'' <br />