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NEEIRAZKA- <br />Good Life. GreatService. <br />uI n,s.r enamel <br />202205608 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2207001609-7 Pages: 1 <br />Debtor Name: WILLIAM C HOUSER JR <br />Filing Date and Time: 07/29/2022 12:06 PM <br />Notice of State Tax Lien <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 Ben for all property located <br />in the county and rights to property owned by the taxpayer or <br />acquired before the expiration of this iien.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 INTIM SPACE <br />Nebraska ID Number <br />35457732 <br />Fetes D Number <br />NO FEIN <br />Uen Serial Number <br />12204270 <br />Lien FAbd With: <br />Register of Deeds ❑ County Clerk <br />Social Security Number <br />XXX -XX --2283 <br />Spouse's Social Security Number <br />NO SPOUSE SSN <br />Dab of Lien <br />July 27, 2022 <br />Uen Type: <br />[corrected <br />County <br />HALL <br />G1 original 0crosinuation <br />Business Name and Location Address <br />xpayer Name an F9aiiing Aaaress <br />WILLIAM C HOUSER JR <br />3720 W STATE ST APT 17 <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 />2014 <br />03/08/2021 <br />$399.00 <br />$99.75 <br />$103.21 <br />$601.96 <br />Individual <br />2016 <br />03/08/2021 <br />$369.00 <br />$92.25 <br />$73.28 <br />$534.53 <br />individual <br />2017 <br />03/08/2021 <br />$347.00 <br />$86.75 <br />$58.50 <br />$492.25 <br />individual <br />2018 <br />03/08/2021 <br />$291.00 <br />$29.10 <br />$34.39 <br />$354.49 <br />Total <br />$1,983.23 <br />I certify that the Nebraska Department of Revenue has complied watt the laws of the State of Nebraska N determining the amount shown to be due. <br />and that the taxpayer has failed to pay the amount due after demand.Tds Nolle of State Tax Lien ban effective lien our serves to continue the priority of <br />the Slates MbeeatIn the alfeeted property of the taxpayer. <br />sign kLgd2 /ad <br />here P i Liadt 1,4 <br />Authorized Signature <br />Revenue Supervisor <br />Tilts <br />Revenue Supervisor <br />07/27/2022 (308)632-1205 <br />Date Phone Number <br />07/27/2022 <br />Title Data <br />4494.1974 Per 84015 alperledsli 4949.1974 Sex 84013 <br />