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(C)oa ,:fe. (;real Service. <br />NE Sec of State • Robert B. Evnen <br />Filing Document #: 2105000927-6 Pages: 1 <br />Debtor Name: SCOTT A KINNAN <br />Filing Date and Time. 05/20/2021 10:34 AM <br />Notice of State Tax Lien <br />202104247 <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 />94257027 <br />Federal ID Number <br />Lien Serial Number <br />12173767 <br />Len Filed With; <br />® Register of Deeds 0 County Clerk <br />Social Security Number <br />XXX -XX -3486 <br />Spouse's Social Security Number <br />Date of Lien <br />May 14, 2021 <br />Lien Type: <br />® Original ❑continuation ❑Corrected <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />SCOTT A KINNAN <br />601 3RD STREET <br />IRVINGTON IL 62848 <br />Tax Program <br />Tax Period <br />1 Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />( <br />2014 <br />11/02/2020 <br />$2,337.00 <br />$584.25 <br />$520.22 <br />3,441.47 <br />Total <br />$3,441.47 <br />I certify that the Nebraska Department of Revenue has complied with the taws of the State of Nebraska in determining the [mount shown to be due. <br />and that the taxpayer has tailed to pay the amount due after demand. This Notice of State Tax Lien is en effective lien and serves to continue the priority of <br />the State's interest in the affected property of the taxpayer. <br />hsign / <br />ere F ape er's SignaZ/''(. <br />Authorized gn <br />Revenue Agent <br />rine <br />Revenue Supervisor <br />-ale <br />05/14/2021 (308)632-1203 <br />Date Phone Number <br />05/14/2021 <br />Date <br />4.490-197 Rev. N-2018 Supueedm 4.949.1974 Rev. 94013 <br />