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Goo -7 lte. Great Sorry ce. <br />x-....e.r ser.'.. <br />AP2009915 <br />NE Sec of Statobert B. Evnen <br />Filing Document #: 2012000741-9 Pages: 1 <br />Debtor Name: TAMERA MOWERS <br />Filing Date and Time: 12/16/2020 10:11 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 atter 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 />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraake ID Number <br />13028383 <br />Federal ID Number <br />No Federal ID <br />Lien Serial Number <br />12066532 <br />Lien Filed IMIh: <br />Socel Security Number <br />XXX -XX -9365 <br />Spouse's Social Security Numbee <br />® Register of Deeds ■ County Gan/ <br />Dale of Lien <br />December 10, 2020 <br />Lien Type: <br />300.00 <br />60.00 <br />County <br />11A LL <br />® Original ■ Convnuation <br />■ Corrected <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />TAMERA MOWERS <br />DIAMONDS IN THE RUFF <br />4025 S ENGLEMAN RD <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 />Sales <br />10.'01/2019- 12/31/2019 <br />08/16/2020 <br />300.00 <br />60.00 <br />13.35 <br />.00 <br />373.35 <br />Saks <br />01/01/2020-03/31/2020 <br />08/16/2020 <br />300.00 <br />60,00 <br />9.61 <br />.00 <br />369.61 <br />Sales <br />04/01/2020 - 06/30/2020 <br />12/0112020 <br />187.15 <br />.00 <br />3.66 <br />.00 <br />190.81 <br />Sales <br />07/01/2020 - 09/30/2020 <br />12/01/2020 <br />206.99 <br />25.00 <br />1.45 <br />.00 <br />233.44 <br />Total <br />1,167.21 <br />sign <br />here <br />I certify that the Nat eInka Department of Revenue has complied with the laws of the State 04 Nebraska In determining die amount Yawn to be due, <br />and trial the taxpayer has failed 10 pay the amount due seer demand, This Notice of Stale Tax Lien is en effective ken and serves to continue the priority of <br />the Syrle's' in affected property of 9+e taxpayer. <br />Preparees &g re <br />�^� <br />/t <br />/�1�'7 <br />Authorized 'nature <br />Revenue Agent <br />12/09/2020 402-471-5704 <br />Title Date Phare Number <br />Revenue Senior Agent 12/10/2020 <br />roe Dale <br />4.494-1974 Rev, 84019 Suparsaees 4949.1974 Fier e.2013 <br />