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PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 685094609 <br />NIEBI4A644A, <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2012000265-4 Pages: 1 <br />Debtor Name: RIMY KERO <br />Filing Dale and Time: 12/07/2020 11:32 AM <br />Notice of State Tax Lien <br />202009610 <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 />Nebraska ID Number <br />97026409 <br />al ID Number <br />Lien Serial Number <br />12065865 <br />Gate 01 L�:+ <br />November 24, 2020 <br />r <br />Lien Filen With, <br />Register 01 (leads E3 County perk <br />Social Security Number <br />XXX -XX -9708 <br />!Spouse S Socia+ Security Number <br />Len Type; <br />Nd Origami <br />0 Cont. tier <br />0 Corrected <br />I .:ounty <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />RINY KERO <br />406 E 5TH ST APT 3 <br />GRAND ISLAND NE 68801 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax Penalty <br />i Interest 1 Costs <br />I <br />Total Due <br />Individual <br />2018 <br />12/10/2019 <br />$1,453.00 872.65 <br />$117.23. <br />1,642.88 <br />Total <br />81.642.88 <br />I certly that the Nebraska Mipartment of Revenue has comoNsd wdh Ire laws of Ire Slate al Nebraska in determining the amount shown to be due. <br />and that the taxpayer has fared as day the amount due after demand. This Notice of State lax tier is an eeecnve lien and serves to contnua the priority of <br />trio Slate i a,temst n the affected prooerty of this taxpayer. <br />sign <br />here �` Paw Sgna <br />AotrOOZ <br />Revenue Agent <br />'!tta <br />Revenuet.'ja, cs <br />div <br />11/24/2020 (308)632-1208 <br />Date Phdne Number <br />tTit 11/24/2020 <br />Date <br />x.441.'074 Rey h.n, SfrperVtd0S 4.$aa.!gra RC, 042013 <br />