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mma,64344,6, <br />�, L to Great Sera. ce <br />20210074g <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2101001277-9 Pages: 1 <br />Debtor Name: ROBIN L RODENBAUGH <br />Filing Date and Time: 01/28/2021 09:21 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 lien.This lien will expire and <br />become unenforceable 10 years after the date of recording N 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 />PLEAS RETURN TO: <br />NEBRASKA DEPT OF REVENUE <br />PO BOX 94609 <br />LINCOLN NE 68509-4609 <br />Nebraska 10 Number <br />24713783 <br />Federal 0 Number <br />Lien Serial Number <br />12167839 <br />Lien Filed Wan: <br />Social Security Number <br />XXX -XX -6759 <br />Spouse's Social Security Number <br />74 Register of Deeds E County Clerk <br />Date of Lien <br />January 21, 2021 <br />Lien Type: <br />xi Original ❑Continuation ❑Corrected <br />County <br />HALL <br />usiness Name and Location Address <br />Taxpayer Name and Mailing Address <br />ROBIN L RODENBAUGH <br />105 LAKEVIEW CIR APT 10 <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 />2015 <br />11/24/2019 <br />$313.00 <br />$78.25 <br />$57.35 <br />448.60 <br />Individual <br />2016 <br />11/24/2019 <br />$341.00 <br />$85.25 <br />$52.25 <br />478.50 <br />Total <br />$927.10 <br />sign <br />here <br />I certify that the Nebraska Department or Revenue has complied with the laws of the Stale 01 Nebraska in determining the amount shown to be due. <br />and Mal [re taxpayer has tailed to pay the amount due after demand. This Notice of State Tax Lien a an efeclive ben and serves to continue the priority 01 <br />the Stale's interest in the aaected proper of the taxpayer. <br />u <br />Author,. . lure <br />Revenue Agent 01/21/2021 (308)632-1210 <br />Tide Date Phone Number <br />Revenue Supervisor 01/21/2021 <br />Tale Dale <br />4494.1974 Nen. 8-20: a Supersedes 4.9x9.1574 Rae. 60013 <br />