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NEBRASKA Gum :. itt f:r,•nc Seri _r• 04.01.4.0000.4.4.1 202108269 NE Sec of State - Robert B. Evnen Filing Document #: 2109001328-4 Pages: 1 Debtor Name: BONNIE BILDERBACK VESS Filing Date and Time: 09/28/2021 09:44 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 lien.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 Nebrasva ID Number 47509953 Federal ID Number Lien Servat Number 12181280 Lien Filed With: Social Security Number XXX -XX -1799 Spouse's Social Security Number E Register of Deeds • county Clerk Date of Lien September 22, 2021 Lien Type ® Original O Continuation $4,023.00 County HALL ■ Corrected Business Name and Location Address Taxpayer Name and Mailing Address BONNIE BILDERBACK VESS PO BOX 103 ALDA NE 68810 Tax Program Tax Period Date of Assessment Tax Penalty interest Costs Total Due Individual 2014 05/30/2020 $4,023.00 $1,005.75 $938.85 5,967.60 Total $5,967.60 sign here I coral riment of Revenue has complied with the laws of the State of Nebraska h determining the amount shown to be due. and the - s tailed ay the amount due after demand. This Notice of State Tax Lien is an effective lien and serves to continue the priority of the St , r s}.in aIieet rty of the taxpayer. Revenue Agent 09/22/2021 (308)632-1210 Tit* Dale Phone Number Revenue Supervisor 09/22/2021 T,tte Date 5.494-1970 Rev. 67010 Suprwles 0.449.4970 Rev. 9-1013