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PLEASE RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509-4609 <br />.NEBRAG44,4 <br />Good L Great Service <br />xw..wr w wvxr <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2012000617-3 Pages: 1 <br />Debtor Name: BRUCE L ANTHONY <br />Filing Date and Time: 12/14/2020 11:27 AM <br />Notice of State Tax Lien <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 Iien.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 />Nelxaska ID Number <br />94100888 <br />Lien Serial Number Lien Poled Witn: <br />12066496 ® Register of Deeds <br />Dated lien Lien Type: <br />December 08, 2020 ® Original <br />202009862 <br />PLEASE DO NOT WRITE IN THIS SPACE <br />Federal ID Number <br />County Cle <br />Social Security Number <br />XXX -XX -0544 <br />Spouse's Social Security Number <br />0 Continuation <br />Business Name and Location Address <br />0 Corrected <br />Tax Program <br />Individual <br />Individual <br />Tax Period <br />2012 <br />2013 <br />County <br />HALL <br />Taxpayer Name and Mailing Address <br />BRUCE L ANTHONY <br />3539 SE 7TH <br />TOPEKA KS 66607 <br />Date of <br />Assessment <br />Tax <br />Pe <br />05/03/2019 <br />$249.00 <br />05/03/2019 <br />$818.00 <br />sign <br />here i Preparers S <br />laity <br />Interest <br />Costs <br />Total Due <br />W2.25 <br />$66.84 <br />104.50 <br />$195.05 <br />378.09 <br />1,217.55 <br />Total <br />$1,595.64 <br />I candy that the Nebraska Department of Revenue nas complied win the laws of the Slate of Nebraska in determining the amount shown to be due. <br />and that the taxpayer has Weed to pay the amount due seer demand. This Notice of State Tax Lien is an al ecllve gen and serves to continue the priority of <br />the State's interest in the all oted property of the taxpayer. <br />etA <br />Author' Signature O <br />Revenue Agent <br />Tide <br />Revenue ItiLler <br />Tree <br />12/08/2020 (402)370-3121 <br />Dote Phone Number <br />12/08/2020 <br />Date <br />4.594.1974 new $-2018 Suowsedet 4-949.1974 Rev 8.20,3 <br />