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202207192
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10/6/2022 3:53:24 PM
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10/6/2022 3:53:24 PM
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DEEDS
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202207192
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ereett }UrviF:E. <br />202207192 <br />NE Sec of State - Robert B. Evnen <br />Filing Document #: 2210000144-2 Pages: 1 <br />Debtor Name: MARTIN FLEMING <br />Filing Date and Time: 10/06/2022 09:05 AM <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 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 />Nobrarkra ID Number <br />46647848 <br />Federal D Numbor <br />NO FEIN <br />Lien Serial Number <br />12209689 <br />Lean Filed With: <br />(]AegisterofDeeds County Clerk <br />Social Security Number <br />XXX -XX -0843 <br />Spouse's Sovial Security Number <br />NO SPOUSE SSN <br />Date of Lien <br />September 29, 2022 <br />r -. _ <br />Lien Type: <br />Original ❑ coruirmntian 0 Corrected <br />County <br />HALL <br />I antl Location Address <br />Taxpayer Name and Mailing Address <br />MARTIN FLEMING <br />3619 CURRAN COURT 4 <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 />10/30/2020 <br />$4,414.52 <br />$640.15 <br />$565.40 <br />$5,620.07 <br />Total <br />55,620.07 <br />sign <br />here <br />I certify that the Nebraska Department of Revenue has complied with the taws of the State of Nebraska in determining the amount shown to be due <br />and that the taxpayer has tailed to pay the amount Due atter demand. This Notice of State Tao Lien is an effective lien and serves to continue the priority of <br />the State's interest in the affected property of the taupayur. <br />Authorized Signature <br />Revenue Senior Agent 09/29/2022 (308)632-1203 <br />Title Date Phone Number <br />Revenue Supervisor 09/29/2022 <br />Tine Date <br />9a94-'974 Rev &7019 Supersedes 4.949.19'rx Sees 1-2013 <br />
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