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N_EBR S}4A <br />GOOK' L,te Great St,,ice. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2108001369-2 Pages: 1 <br />Debtor Name. DOYLE HENKE <br />Filing Date and Time: 08/24/2021 10:26 AM <br />Notice of State Tax Lien <br />202107228 <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 />PLEASE DO NOT WRITE IN THIS SPACE <br />Nebraska ID Number <br />5031672 <br />Federal 10 Number <br />470687403 <br />Lien Serial Number <br />12103817 <br />Lien Filed With: <br />Social Security Number <br />XXX -XX -6065 <br />Spouse's Social Security Number <br />Q Register of Deeds ■ County Clerk <br />0e1e of Lien <br />August 18, 2021 <br />Lien Type: <br />(Si Original 0Continuation p Corrected <br />County <br />HALL <br />usiness Name and Location Address <br />Taxpayer Name and Mailing Address <br />DOYLE HENKE <br />I C DOYLE LTD <br />PO BOX 5831 <br />GRAND ISLAND NE 68802-2303 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Saks <br />01/01/2013-09/30./2018 <br />08/11/2021 <br />78,269.69 <br />9,107.02 <br />19,257.98 <br />.00 <br />106,634.69 <br />Total <br />106,634.69 <br />sign <br />here <br />I certify that the Nebraska Department of Revenue has comp8ed with the laws of the State of Nebraska in determining the amount shown 10 be due, <br />and that the taxpayer has failed to pay the amount due atter demand. This Notice of Stale Tax Lien is an effective lien and serves to continue the priority of <br />the States into_raa in the affected property of the taxpayer. <br />parer' Sgnauae Title Date Phone Number <br />!^� " Revenue Senior Agent 8-18-21 <br />Revenue Agent 08/18/2021 402-471-5704 <br />Authorized Signature Tate <br />Date <br />4.494.1974 Rev. 8.2018 Supersedes 4049.1974 Rev. 8-2013 <br />