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NEBRASKA - <br />Good lire. Great Swvlce. <br />T«atrews <br />NE Sec of State - Robert B. Eynon <br />Filing Document #: 2202000966-7 Pages: 1 <br />Debtor Name: BRIAN R LAWRENCE SR <br />Filing Date and Time: 02/18/2022 10:23 AM <br />Notice of State Tax Lien <br />402201293 <br />ThIs Notioe eat 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 aro shown below, are due from the taxpayer and remain <br />unpaid after demand.These taxes area lien for alt 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 />Pt EASE Do NOT WRIT IN THIS SPACE <br />Date of <br />Assessment <br />Nebraska ID Number <br />48138588 <br />Federal 10 Nur fiber <br />interest <br />Lien Serial Number <br />12291015 <br />Batt Fged With: <br />® * a Deeds ❑ County <br />Sochi Seoul* Number <br />XXX,XX4S84 <br />3Dawe'a Social security Number <br />01/17/2020 <br />Data dl ten <br />February 15, 2022 <br />Limn 1 e: <br />Xi mal 0 ❑ <br />Camay <br />HAu- <br />r <br />Business <br />Urea <br />Ad <br />nage ane +Illa+xnq <br />BRIAN R LAWRENCE SR <br />315 hi WALDO <br />GRAND ISLAND NE 68803 <br />Tax Program <br />Tax Period <br />Date of <br />Assessment <br />Tax <br />Penalty <br />interest <br />+Caste <br />Total Due <br />Individual <br />2016 <br />01/17/2020 <br />$65.32 <br />$111.75 <br />$69.01 <br />246.08 <br />Individual <br />2017 <br />01/17/2020 <br />$405.00 <br />$101.25 <br />962.90 <br />569.15 <br />Total <br />$816.23 <br />1 certify that the NSMaska Ospartrnent of Revenue has complied eliy the last of the State of Nebraska In determkrinQ the ,mount s110Mm e7 be due, <br />and that the taxpayer has failed to pay the amaml due ager demand. TMs Notice of State Tax Use Ie an etlecttve lien and serves to continue the priority of <br />the State's Ireereet in the affected property of the texpaym <br />sign s� 7 l <br />i1ere r Ptepemr`. ora <br />7e; <br />Revenue Aaent <br />02/15/2022 (3051632-1206 <br />Title Rate Phone retarder <br />Revenue Supervisor 02/15/2022 <br />Title Date <br />4.494.1315 new.62018 &genasdes 4049.1915 Rex 8,901$ <br />