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Good I_ Ifo. Great Serv.ce. <br />1112 1.4•1•461. wee.e.w <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2201000961-3 Pages: 1 <br />Debtor Name: KM WOLFE <br />Filing Date and Time: 01/19/2022 10:41 AM <br />Notice of State Tax Lien <br />20220047 <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 />94268258 <br />Federal Ic Number <br />Lean Serial Number <br />12288594 <br />Lien Fled With. <br />Social Security Number <br />XXX -XX -4273 <br />Spouses Social Security Number <br />I'4 Register Cl Deeds ■ cwrny Clerk <br />bate of Lien <br />January 11, 2022 <br />1 _ <br />Um Type: <br />®original ID continuation ❑ca,eebd <br />County <br />HALL <br />Inas IVa me and Location Address <br />Taxpayer Name and Mailing Address <br />KAI WOLFE <br />334 5TH ST <br />PHILLIPSBURG KS 67661 <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 />2019 <br />07/31/2020 <br />$1,584.00 <br />$79.20 <br />$85.62 <br />1,748.82 <br />Total <br />$1,748.82 <br />sign <br />here <br />I certify that the Nebraska Department of Revenue has conpded with the laws of the State of Nebraska in determining the amount shown to be due, <br />and that the taxpayer has faded to pay the amount due alter demand. This Notice of Stale Tax Lien is an effective lien and serves to continue the priority of <br />the State's interest in the arected property of the taxpayer. <br />Z74.1,04.- .P16 <br />Revenue Ascent 01/11/2022 (308)632-1206 <br />is Signature Tule Dare <br />Phone <br />Number <br />1/ <br />f/�j/' Revenue Supervisor 01/11/2022 <br />nature,��(/ Tide <br />Dale <br />4-494`974 Rhe S -20t8 Supersedes 4.949.1974 Ron 8.2019 <br />