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202109569
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Last modified
11/10/2021 4:01:14 PM
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11/10/2021 4:01:14 PM
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DEEDS
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202109569
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Ns.E1RASK-A <br />acid ,3roar Se,Yir. . <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2111000583-7 Pages: 1 <br />Debtor Name: MICHELLE CARLSON <br />Filing Date and Time: 11/10/2021 10:43 AM <br />Notice of State Tax Lien <br />202109569 <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 Tien 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 />90411285 <br />Lien Serial Number <br />12184454 <br />Date of Lien <br />November 03, 2021 <br />Lien Feed Nrlth: <br />® Register of Deeds <br />1 Federal ID Number <br />1 <br />Social Security Number <br />coon, Clerk XXX -XX -2095 <br />Spouses Social Security Number <br />Lien Type: <br />Original Conhrruation ❑ Corrected <br />County <br />HALL <br />Taxpayer Name and Mailing Address <br />L <br />Business Name and Location Address <br />MICHELLE CARLSON <br />527 EARLY ST <br />STORM LAKE IA 50588 <br />Tax Program <br />Tax Period 1 Date of <br />Assessment <br />Tax <br />Penalty <br />Interest <br />Costs <br />Total Due <br />Individual <br />2019 i 02/12/2021 <br />$1,147.00 <br />$67.35 <br />$62.64 <br />1,276.99 <br />Individual <br />2020 08/27/2021 <br />$132.00 <br />$6.60 <br />$1.84 <br />140.44 <br />Total <br />$1,417.43 <br />N �it ,a raska Dtment of Revenue has complied with tho laws 01 the State of Nebraska In determining the amount shown 10 be du <br />and th • y the amount duo atter demand. Is This Notice of State Tax Lien en effective lien and serves to continue 100 priority 01 <br />the ' + n e01 Nur allel3e pro tty 01 the lexpayee, <br />Revenue Agent 11/03/2021 <br />T41e <br />Revenue Supervisor <br />Date <br />(308)632-1210 <br />Phone Number <br />11/03/2021 <br />Title Date <br />44114.1574 Roy.. 8-2018 Suprusedas 4.849.1874 new. 0.2013 <br />
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