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0i° <br />N�EFiR A- <br />. ire =rert Sera 42 <br />20210757j <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2109000242-8 Pages: 1 <br />Debtor Name: MEGAN L WIECK <br />Filing Date and Time: 09/03/2021 11:18 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 Tien 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 Ilen 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 Hen or continuation statement. <br />PLEASE DO NOT WRITE INTHIS SPACE <br />Nebraska ID Number <br />46525211 <br />Feoerel 0 Number <br />Lien Serial Number <br />12179577 <br />L,en Filed With: <br />® Register of Deeds ❑ County Clerk <br />Social Security Number <br />XXX -XX -1785 <br />Spouse's Soe,& Security Number <br />Date of Lien <br />August 27, 2021 <br />Lien Type: <br />0 Corrected <br />County <br />HALL <br />x original a Continuation <br />usiness Name and Location Address <br />Taxpayer Name and Mailing Address <br />MEGAN L WIECK <br />224 COMMANCHE AVE <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 />2018 <br />01/16/2021 <br />$1,182.00 <br />$295.50 <br />$124.58 <br />1,602.08 <br />Total <br />$1,602.08 <br />I certify that the Nebraska Department of Revenue has complied with the laws of the State o1 Nebraska in determining the amount spawn to be due, <br />and th31 the taxpayer has tared to oav the amount due after demand. Tnis Notice o' State Tax Lion is an effective lien and serves to continue the priority of <br />the State's interest m the affected property of the taxpayer. <br />sign <br />here O' Preparer'sS nate 4 <br />Y r <br />Authos' ria <br />retiy6d <br />Revenue Agent 08/27/2021 (308)632-1208 <br />Tilt° Date Phone Number <br />Revenue Supervisor 08/27/2021 <br />Title Date <br />4.494-1474 Rev. 8-2010 Supersedes 0-949-1974 Rey B-2013 <br />