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202108530
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10/6/2021 3:54:06 PM
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10/6/2021 3:54:06 PM
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DEEDS
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202108530
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NF £#A- <br />u,0Cl e Gee: Se,vCe <br />04.01,11001.01,11.0144 <br />202108530 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2110000189-6 Pages: 1 <br />Debtor Name: CARYN J HOHNHOLT <br />Filing Date and Time: 10/06/2021 11:00 AM <br />Notice of State Tax Lien <br />This Notice of State Tax Uen 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 />42111323 <br />Federal 0 Nurturer <br />Lien Serial Number <br />12181930 <br />Len Filed With: <br />®Re91r of Deeds ❑ minty Clxk <br />Social Security Number <br />XXX -XX -0627 <br />Spouse's Social Security Number <br />Date of Lien <br />September 30, 2021 <br />Lien Type <br />❑Corrected <br />County <br />HALL <br />►Li °Nina' ❑Continuation <br />Business Name and Location Address <br />Taxpayer Name and Mailing Address <br />CARYN J HOHNHOLT <br />7442 NALL AVENUE <br />PRAIRIE VILLAGE KS 66208 <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 />2013 <br />03/31/2020 <br />$430.00 <br />$107.50 <br />$113.54 <br />651.04 <br />Individual <br />2014 <br />03/31/2020 <br />$365.00 <br />$91.25 <br />585.42 <br />541.67 <br />Individual <br />2015 <br />03/31/2020 <br />5328.00 <br />$82.00 <br />$66.89 <br />476.89 <br />Total <br />$1.669.60 <br />I certify that the Nebraska Department of Revenue has complied with the laws of the State of Nebraska in determining the amount shown to be due, <br />and that the taxpayer has tailed to pay the amount due after demand. TMs Notice of State Tar Lien is an effective lien and serves to continue the priority of <br />the Slate's erterest lh the effected property of the taxpayer. <br />sign D <br />here' Prepares <br />Authorized Signature <br />Revenue Agent 09/30/2021 (308)632-1206 <br />Title Date Phone Number <br />Revenue Supervisor 09/30/2021 <br />Tide Date <br />4.494. rex Rev. 04010 SupensWi 4•049-1914 Rev. 8-20r3 <br />
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