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Cq <br />Gorri Lite G1ea'sery-:e. <br />Illtik.fl[tM, 1,11.1441•1 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2111000136-3 Pages: 1 <br />Debtor Name: ALAN R BEDFORD BI <br />Filing Date and Time: 11/02/2021 10:59 AM <br />Notice of State Tax Lien <br />202109295 <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 lien. 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 />45560471 <br />Lien Serial Number <br />12183579 <br />Dake 01 Lien <br />October 26, 2021 <br />IFederal D Number <br />Lien Filed With. <br />® Register of Deeds El County Clerk <br />Social Security Number <br />XXX -XX -9844 <br />Spouse's Social Security Number <br />Lien Type: <br />® Original [J Continuation [] Corre <br />Business Name and Location Address <br />County <br />clen HALL <br />Taxpayer Name and Mailing Address <br />ALAN R BEDFORD III <br />1926 BOYCE ST <br />HASTINGS NE 68901 <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 />2014 <br />09/15/2020 <br />$2,410.00 <br />$602.50 <br />$569.15 <br />3,581.65 <br />Individual <br />2015 <br />09/15/2020 <br />$332.00 <br />$83.00 <br />$68.42 <br />483.42 <br />Total <br />$4,065.07 <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 free fated to pey the amount due after demand. This Notice of State Tax Lien is en eNective Oen and serves to continue the priority of <br />the State's Interest in One affected property of the taxpayer. <br />sign Revenue Agent 10/26/2021 (402)471-5928 <br />here Weparer s Signature ,/' Title Dale Phone Number <br />,. f ✓' : „C i Revenue Supervisor 10/26/2021 <br />Alithorized Signe re Title Date <br />4.494.1974 nee. &207e Supersedes 4-a4g-198 Pe, 84013 <br />