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Good Life. Goat Service. <br />NE Sec of State - Robert B. Evnen <br />Filing Document 4: 2204000831-0 Pages: 1 <br />Debtor Name: EVAN WESTPFAHL <br />Filing Date and Time: 04/15/2022 10:39 AM <br />Notice of State Tax Lien <br />202262303 <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 atter 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 />44795963 <br />Federal D Number <br />NO FEIN <br />lien Serial Number <br />12296578 <br />Lien Filed With: <br />® Register of Deeds ❑ county Clerk <br />Social Security Number <br />XXX -XX -0998 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />Date of Lien <br />April 11, 2022 <br />Lien Type: <br />❑cenectea <br />County <br />HALL <br />Ori El Continuation <br />Business Na <br />e and Location Address <br />Taxpayer Name and Mailing Address <br />EVAN WESTPFAHL <br />4134 PRAIRIE RIDGE LANE <br />GRAND ISLAND NE 68803 <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 />10/24/2021 <br />$759.00 <br />$37.95 <br />$46.64 <br />$843.59 <br />Total <br />$843.59 <br />I dertily that the Nebraska Department of Revenue has complied with lite laws of the State et Nebraska in determining the amount shown ki be due, <br />and that the taxpayer has tailed to pay the amount due after demand. This Notice of State Tax Lien is an effective beet and serves to continue the priority of <br />the State's interest in the affected property of the taxpayer. <br />sign <br />here Preparer's Signature <br />% [ /% <br />Authorized Signature <br />Revenue Agent <br />Tate <br />Revenue Supervisor <br />04/11/2022 <br />Date <br />(308)632-1206 <br />Phone Number <br />04/11/2022 <br />Tile Dale <br />4.4t14.1974 <br />8 - <br />Supersedes 4.445.1974 Flex&2013 <br />