Laserfiche WebLink
bg' <br />NFBRA K'A- <br />Gocd Life (,,,tit Se^rice <br />setvArmawr OP Raw.. <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2109001045-4 Pages: 1 <br />Debtor Name: ELIZABETH D MUSGA <br />Filing Date and Time: 09/22/2021 10:27 AM <br />Notice of State Tax Lien <br />202108078 <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 />94721106 <br />Federal ID Number <br />Lien Serial Number <br />12180649 <br />Lien Filed With: <br />[i(] Register of Deeds ❑ County Clerk <br />Social Security Number <br />XXX -XX -7846 <br />Spouse's Social Security Number <br />Date of Lien <br />September 14, 2021 <br />Lien Type: <br />[X] original Econli.bon [Corrected <br />County <br />HALL <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />ELIZABETH D MUSGA <br />322 W 8TH STREET <br />GRAND ISLAND NE 68801 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax Penalty <br />I <br />Interest <br />Costs <br />Total Due <br />Individual <br />2014 <br />01/31/2021 <br />$421.001 $105.25 <br />$97.97 <br />624.22 <br />Total <br />$624.22 <br />sign <br />here Peeparer's Sig <br />I certify that the Nebraska Department of Revenue has complied with the taws of the Stale of Nebraska in determining the amount shown to be due, <br />and that the taxpayer has failed to pay the amount due after demand. This Notice of State Tex Lien is an efeet ve lien and serves to continue the priority of <br />the $lpte's interest ip the affected property of the taxpayer. <br />Authoridhd Signature <br />ef.afel5 <br />Revenue Agent <br />The <br />Revenue Supervisor <br />09/14/2021 (308)632-1208 <br />Date Phone Number <br />09/14/2021 <br />The Date <br />e-4 W -197u R. a -romp S.:per odes x-949.1974 Rey, a-2013 <br />