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74_ <br />NE Sec of Stale - Robert B. Evnen <br />Filing Document #: 2006001140-2 Pages: 1 <br />Debtor Name: ERIC N MCCOOL <br />Filing Date and Time: 06/26/2020 08:31 AM <br />Notice of State Tax Lien <br />202004375 <br />This Notice of State Tax Lien is issued by the Nebraska -PLEASE DO NOT WRITE IN THIS SPACE <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 />Ncbr,n. a ID Nur-tber <br />9282181 <br />Lien Serial Number <br />12052532 <br />Date oI L en <br />April 21, 2020 <br />Federal ID Number <br />203400553 <br />Lien Fled Wish' <br />® Register of Deeds OCounty Cwrk <br />Social Security Number 1 Speuses Sacial'recunty Nun,TSer <br />XXX -XX -4.347 i <br />1 County <br />ā¯‘Corrected j MALL <br />Lien Type, <br />C Original <br />Conbnuathr <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />ERIC N MCCOOL <br />1104W12THST <br />GRAND ISLAND NE 68801 <br />Fax Program <br />"Fax Period <br />Date of <br />Assessment <br />'Fax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Sales <br />1010E2018 - 12131 12018 <br />041104/2020 <br />3.000.00 <br />600.00 <br />197.56 <br />.00 <br />3,797.561 <br />Sales <br />01101'2019 - 12131 2019 <br />04:042020 <br />12,000.00 <br />2.400.00 <br />427.55 <br />.00 <br />14,827.55 <br />Total <br />18.625.11 <br />I certify that the Nebraska Department of Rovenue has eumaeied vrth the taws o' the State of Nouraska 0 delerminIng the am0.011 shown to be due, <br />and that the taxpayer has fated to pay 11,0 amoure due after demand, This Notice of State 'fax Lien !s as 01ecthte ken anti serves to continue the priority of <br />tales !Meres . r' affected property of the taxpayer <br />Revenue Senior Agent <br />T rte <br />Revenue Senior Agent <br />04!14/2020 402-471-5709 <br />Date Phone Number <br />I die Date <br />4004.1374 t1 6 20'e Soocraerdes 4049 1010 taev. 6-2013 <br />