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N <br />Gnu C4, Ceo ,r Ser. <br />ur..ms.r«xrnevr. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2101000929-8 Pages: 1 <br />Debtor Name: MIKYLE THORNE <br />Filing Date and Time: 01/25/2021 09:56 AM <br />Notice of State Tax Lien <br />202104E 0 <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 />13292005 <br />Federal ID Number <br />830957857 <br />Lien Serial Number <br />12167666 <br />Lien Filed With: <br />© Register of Deeds 0 County Clerk <br />Social Security Number <br />XXX -XX -0559 <br />Spouses Socat Security Number <br />Date of Len <br />January 19, 2021 <br />Len Type:' <br />52 Original 0ConSrwation ā¯‘Corrected <br />County <br />HALL <br />, <br />Business Name and Location Address <br />axpayer Name and Mailing Address <br />MIKYLE THORNE <br />501 N PINE STREET <br />GRAND ISLAND NE 68801 <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`01'2018 - 08/31/2020 <br />12/02/2020 <br />27,102.16 <br />3,251.18 <br />1,686.46 <br />.00 <br />32,039.80 <br />Total <br />32,039.80 <br />sign <br />here <br />I certify that the Nebraska Department of Revenue has co'+phed with the laws of the State of Nebraska in determinoig the amount shown to be due. <br />and that the taxpayer has 'ailed to pay the amount due alter demand, This Notice of Stare Tao Lien Is an effective lien and serves In continue the priority of <br />the . Ws interest in the affected property of the taxpayer. <br />Revenue Senior Agent <br />01/19/2021 402-471-5709 <br />Tale <br />Revenue Senior Agent <br />Title <br />Date Phone Nu r <br />7//9 /7.7-021 <br />Date <br />4494-1474 Rex e -20t5 Fuprna9ae 4.0Ea.1e74 Rev. 54013 <br />