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I C:oed 1'e. Gre t Serv.ce. wrwrnr.rt ar errwur 20210773 NE Sec of State - Robert B. Evnen Filing Document #: 2109000589-6 Pages: 1 Debtor Name: GARY G AUSTIN Filing Date and Time: 09/10/2021 11:08 AM Notice of State Tax Lien This Notice of State Tax Lien is issued by the Nebraska Department of Revenue for unpaid taxes administered by the Tax Commissioner. Taxes, including penalties, interest, and costs, which are shown below, are due from the taxpayer and remain unpaid after demand.These taxes are a lien for all property located in the county and rights to property owned by the taxpayer or acquired before the expiration of this IIen.This lien will expire and become unenforceable 10 years after the date of recording if no continuation statement is recorded on or prior to the expiration of the previous lien or continuation statement. PLEASE DO NOT WRITE IN THIS SPACE Nebraska 10 Number 95548181 Federal ID Number Lien Stinal Number 12179822 Lien Feed With: Social Security Number XXX -XX -3627 Spouse's Social Security Number ® Register of Deeds ■ County Clerk Dab of Lien September 01, 2021 Lien Type: ElCorrected County HALL ►,moi Original 0Continuation us nese Name and Location Address Taxpayer Name and Mailing Address GARY G AUSTIN 1803 N EDDY ST GRAND ISLAND NE 68801 Tax Program Tax Period Date of Assessment Tax Penalty Interest Costs Total Due Individual 2014 12/18/2020 $1,633.00 $408.25 $378.28 2,419.53 Total $2,419.53 1 certify that the Nebraska Department of Revenue has complied with the laws of the Stab of Nebraska In determining the amount shown to be due. and That the taxpayer has heed to pay the amount due after demand. This Notice of State Tax Lien is an efleclhe lien and serves to continue the poorly of the Slate's interest in the affected property of the taxpayer. sign here Preparer'e Signature Revenue Agent 09/01/2021 (402)471-5712 Tee Date Phone Number Revenue Supervisor 09/0112021 ized Signage Tsie Date 4.490-1974 Rev. 5-20,5 Supasedea 4-949o974 Rev 6.2013