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NE Sec of State - Robert D. Evnen <br />Filing Document #: 2006000534-0 Pages: 1 <br />Debtor Name: STEVEN G PETERSON <br />Filing Date and Time: 06/11/2020 08:53 AM <br />Notice of State Tax Lien <br />202003873 <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 damand.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 00 NOT WRITE IN THIS SPACE <br />dxaska ID Number <br />92402895 <br />FeOeral ID Nu <br />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509-4609 <br />Lien Serial Number <br />12055890 <br />Date at Len <br />June 03, 2020 <br />Lien Filed Win <br />taugistor of Doads E County Cter <br />Len Type: <br />UX Orivnat DCcrtinuanon <br />Social Security Norman <br />XXX -XX -5653 <br />LJ corroctea <br />se s Snout <br />tCounty <br />IHALL <br />Business Name and Location Addres <br />Taxpayer Name and Mailing Addres <br />STEVEN G PETERSON <br />316W7TH <br />GRAND ISLAND NE 68801 <br />Tax Program ? <br />Tax Period <br />1 Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2013 <br />07/22/2019 $510.00 <br />$127.50; <br />$108.47 <br />745.97 <br />Individual <br />2014 <br />07/22/2019 <br />$610.00 <br />$152.50' <br />$11143 <br />873.93 <br />Individual <br />2015 <br />07/22/2019 <br />$721.00 <br />$180.25 <br />$110.02 <br />1,011.27 <br />Total; <br />$2,631,17 <br />I cartfy that the Notorisaa Department of ieVerco has complied with the laws of the State xat Ner untat in <br />and that the taxpayer has faiiet to pay the amount due a'to+ demand. This Notice at State Tan Lien is an oiled <br />the Stales interest in the affected pet ,eriy of the taxpayer. <br />sign <br />here r PntParr <br />Revenue Supervisor <br />AUrhorir0d S tar - . _ <,.. _ ... _ ...• Title >.m. .. < _ . <br />Revenue Agent <br />Title <br />r-rsinirry ilio antrum shxtwn to I e due, <br />tan aria servos to contirve the pnerity of <br />06/03/2020 j308)632-1208 <br />Date Phone Number <br />06/03/2020 <br />Date <br />a -tot -ire toy, a.2T.8 Suoe'ieoea 4-049-/97a Pew. 3-20!3 <br />