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N=BR SK A- <br />(,r).;d .ay. re•..& Sfe v. e <br />e1....e0 p NNwY1 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2008000719-7 Pages: 1 <br />Debtor Name: MARK A KERSTEN <br />Filing Date and Time: 08/20/2020 10:08 AM <br />Notice of State Tax Lien <br />2'02006162_ <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 Tien will expire and <br />become unenforceable 10 years after the date of recording 11 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 />PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509-4609 <br />Nebraska ID Number <br />40085570 <br />Federal ID Number <br />Len Serial Number <br />12059848 <br />Len Filed With: <br />Social Security Number <br />XXX -XX -8597 <br />Spouses Social Security Number <br />i7 Register of Deeds ❑ County Clerk <br />Dale of Lien <br />August 13, 2020 <br />Lien Type: <br />0Corrected <br />County <br />HALL <br />Ix] Original • Continuation <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />MARK A KERSTEN <br />3617 CURRAN AVE APT 14 <br />GRAND ISLAND NE 68803 <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 />2016 <br />06/24/2019 <br />61,994.00 <br />$116.15 <br />5301.77 <br />2,411.92 <br />Total <br />52,411.92 <br />sign <br />here <br />1 candy Mel the Nebraska Department of Revenue has complied with the laws of the Slate of Nebraska in determining the amount shown to be due. <br />and that the taxpayer has tailed to pay the amount ole seer demand. This Notice of SUM Tax Lien is an enactive lien and serves to conenue the priority of <br />the State's interest in the a1ecied property of the taxpayer. <br />Revenue Agent 08/13/2020 (308)632-1203 <br />Tide Dale Phone Number <br />Revenue Supervisor 08/13/2020 <br />Tide Cato <br />4-494-1974 mer.9-20118 S persedea 4-949-1974 flew. 9-2013 <br />